Summary
This project aims to improve outcomes for Hispanic patients experiencing respiratory failure by identifying mechanisms contributing to higher mortality rates, characterizing care delivery in ICUs, and refining an intervention to promote guideline-concordant care.
What they want
The project seeks to improve outcomes for patients with respiratory failure through changes in intensive care unit (ICU) practice, specifically addressing disparities affecting Hispanic patients. Aim 1 involves evaluating trajectories of long-term functional outcomes for Hispanic and non-Hispanic survivors of respiratory failure through an analysis of a unique patient registry (96 Hispanic and 96 matched non-Hispanic control patients). Aim 2 focuses on characterizing care delivery for respiratory failure through detailed site visits at ten heterogeneous U.S. hospitals, integrated with interviews and surveys of ICU clinicians to understand processes like deep sedation application. Aim 3 is to refine and pilot an intervention, developed from preliminary work, to promote guideline-concordant care, involving patient, family, and clinician engagement, and piloting it at two U.S. ICUs.
Deliverables
- Characterization of care delivery contributing to worse outcomes among Hispanic patients with respiratory failure
- An intervention aimed at reducing mortality from respiratory failure
Key personnel
- Sociologist with expertise in disparities research and intervention design
- Critical care physician with expertise in health services research
