Mark Darby, Linda Smith, Bailey Waldron, Kathryn Fiandt
Intensive Primary Care Nursing: Exploring the Impact of a Nurse-Led Model for Medically and Social Complex Patients
Clinical nursing research
aims socioeconomic disparities health access care well documented socioeconomic disparities surgical care outcomes received less attention aim study determine socioeconomic disparities risk undergoing emergency laparotomy postoperative mortality universal healthcare system free equal access care methods nationwide casecontrol study including patients undergoing nonmalignant emergency laparotomy involving resection ostomy open drainage 2003 2014 population references matched 11 age sex socioeconomic disparities oneyear postoperative mortality explored cohort study including patients exposure measures registerbased household disposable income educational level employment status analyses adjusted age sex country origin marital status comorbidity results total 11962 cases 11962 population references included highest odds ratios undergoing surgery found among lowest income or151 95 confidence interval ci 139163 elementary school education or133 95 ci 122146 earlyretirement pension or349 95 ci 307398 oneyear postoperative mortality highest among lowest income hazard ratio hr151 95 ci 135169 elementary school education hr139 95 ci 122159 earlyretirement pension hr212 95 ci 173261 conclusions socioeconomic disparities health exist relation nonmalignant emergency laparotomies still exist adjustment confounders including comorbidity indicating mechanisms differences disease burden involved substantial need exploration mechanisms preventive measures