SCCM Resource Library-March Journal Club: Critical Care Medicine (2023)

Video Transcription

Video Summary

In this Journal Club Critical Care Medicine webcast, two articles are discussed. The first article is a review of the association between socioeconomic status and outcomes in critical care. The review found that socioeconomic status is associated with mortality in critical care, with the most deprived individuals having a higher mortality rate compared to the least deprived. The review also highlighted the challenges of synthesizing the literature on socioeconomic status and outcomes, including heterogeneity of healthcare systems, diversity of markers of socioeconomic status, and variability in outcomes assessed. The findings suggest that health inequalities persist even in critical care settings, and it is important for clinicians to recognize the influence of socioeconomic deprivation on patient outcomes and advocate for access to care for socially deprived individuals. <br />The second article examines the impact of thoracic ultrasound on clinical management of critically ill patients. The study found that thoracic ultrasound had a significant impact on clinical decision-making, with almost half of the examinations leading to a change in clinical impression or management. The changes were most often related to respiratory pathology and led to non-invasive management changes. Additionally, the study found that 89% of the management changes were executed within eight hours. The study suggests that thoracic ultrasound has the potential to improve diagnostic and therapeutic decision-making in the ICU. However, further research is needed to assess the impact on patient-centered outcomes. The presenters discussed the need for more evidence on the downstream impact of thoracic ultrasound and the role of artificial intelligence in improving consistency and interpretation of ultrasound findings.

Asset Subtitle

Research, Worldwide Data, 2023

Asset Caption

The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.
This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.
Follow the conversation at #CritCareMed.

Meta Tag

Content Type Webcast

Knowledge Area Research

Knowledge Area Worldwide Data

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Professional

Membership Level Select

Tag Outcomes Research

Tag Economics

Year 2023

Keywords

socioeconomic status

mortality rate

health inequalities

access to care

thoracic ultrasound

clinical management

respiratory pathology

patient-centered outcomes

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