Sepsis in Aboriginal and Torres Strait Islander and non-Indigenous adults: a population cohort study

An estimate of the incidence and outcomes of sepsis hospitalisations in Aboriginal and Torres Strait Islander and non-Indigenous adults in Australia’s most populous state, New South Wales (NSW)

1 CPD Points, 1 CEUs.
Providers: CPDUK, CBRN

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Kelly Thompson help_outline
NHMRC Emerging Leader, Critical Care Division, The George Institute, Australia
Lecture Summary

The aim of this research was to estimate the incidence and outcomes of sepsis hospitalisations in Aboriginal and Torres Strait Islander and non-Indigenous adults in Australia’s most populous state, New South Wales (NSW). This was a prospective cohort study of residents aged 45 years and older, recruited between 2006 and 2009 and followed for hospitalisation for sepsis. We measured the incidence and hazard ratio (HR) of sepsis hospitalisation and ICU admission. Sepsis was identified using the International Classification of Diseases (10th Revision) coding on hospital discharge data. We found sepsis hospitalisation is higher among Aboriginal and Torres Strait Islander adults, but much of this excess risk attenuated after adjusting for sociodemographic risk factors. Culturally appropriate, community-led strategies targeting chronic disease prevention and the social determinants of health may reduce this gap.

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Target Audience

Healthcare Professionals that care for septic patients

Learning Objectives:

Upon completion of this activity, you should be able to:

  • identify sepsis in hospital administrative records using the International Classification of Diseases (10th Revision) coding system
  • determine differences in risk of hospitalisation for sepsis in different population groups, using Aboriginal and Torres Strait Islander Australians as a case study
  • describe the incidence of sepsis hospitalisations in Aboriginal and Torres Strait Islander adults living in NSW
  • describe the differences in outcomes between Aboriginal and Torres Strait Islander and non-Indigenous Australians following a sepsis hospitalisation