Abstract
Admissions over a three-year period to the general surgical and medical critical care unit at King's College University Hospital were allocated to the output area of residence for each patient. Each output area contains around 300 people of roughly similar social and demographic characteristics. Output area social grouping (output area classification) and deprivation (index of multiple deprivation) are shown to effect critical care admission rates. The admission rate doubles between the least and most deprived areas (excluding the effect of social group), however there is in excess of a 10-fold variation between the various deprivation-banded output area classification social groups. Particular social groups also show differing proportions of patients admitted to the critical care unit for different conditions such as sepsis or drug overdose. Having identified small areas with high risk of critical care admission should enable primary care organisations to target admission avoidance and/or appropriate end-of-life care.
Published Version
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