Scoping Review to Assess Evidence on the Relationship Between Limited English Proficiency and Sepsis Mortality.
DOI:
https://doi.org/10.22024/UniKent/03/ajpp.1380Samenvatting
Background: Sepsis is a deadly syndrome accounting for the deaths of 48,000 people in the UK each year. Care continues to improve for these patients, but diagnosis is reliant on clear communication between patient and care provider. A significant proportion of the UK populous speaks little or no English, which poses challenges to clinicians for patient assessment.
Methods: This scoping review searched EMBASE, MEDLINE and Google Scholar. All relevant articles comparing Sepsis Mortality and Limited English Proficiency (LEP) were retrieved and screened. The primary outcome was to find articles that compared this exposure and outcome directly. Secondary outcomes assessed the risk of bias and qualitative discussion of paper results. No quantitative analyses were performed.
Results: Three relevant papers were discovered and included. There was diversity in outcomes relating to LEP depending on racial and ethnic background. The studies provided insight into a direct link between LEP and sepsis mortality. One found a 31% increase in patient mortality for Asian, White, and other races, one found a 29% increase in mortality for non-Hispanic White patients, whilst a third found a 17% decrease in all-cause mortality including sepsis patients if they had LEP.
Conclusions: Overall, there is a dearth of evidence in the subject area with no studies carried out in the UK. The research that does exist is conflicting and somewhat limited. Efforts should be focused on improving the research base with wider studies with greater varieties in patient locations.
##submission.downloads##
Gepubliceerd
Citeerhulp
Nummer
Sectie
Licentie
© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
AJPP requests that, as the creator(s)/author(s) of the manuscript you are submitting, that you assign certain rights to the manuscript to the AJPP in exchange for undertaking to publish the article in electronic form and, in general, to pursue its dissemination throughout the world. The rights the AJPP requests are:
- The right to publish the article in electronic form or in any other form it may choose that is in keeping with its role as a scholarly journal with the goal of disseminating the work as widely as possible;
- The right to be the sole publisher of the article for a period of 12 months;
- The right to make the article available to the public within a period of not more than 24 months, as determined by relevant journal staff of the AJPP;
- The right to grant republication rights to itself or others in print, electronic, or any other form, with any revenues accrued to be shared equally between the author(s) and the journal;
- The right to administer permission to use portions of the article as requested by others, seeking recompense when the AJPP sees it as warranted;
- The right to seek or take advantage of opportunities to have the article included in a database aimed at increasing awareness of it;
- As the author(s), the AJPP wishes you to retain the right to republish the article, with acknowledgement of the AJPP as the original publisher, in whole or in part, in any other pbulication of your own, including any anthology that you might edit with up to three others;
- As the author(s), the AJPP wishes you to retain the right to place the article on your personal Web page or respository of your university or institution. The AJPP askes that you include this notice: A fully edited, peer-reviewed version of this article was first published by the Advanced Journal of Professional Practice, <Year>, <Volume>, <Issue>, <Page Numbers>.
- You retain the right to unrestricted use of your paper for yourself or for your own teaching purposes.
BY AGREEING TO THE FOREGOING, YOU CONFIRM THAT THE MANUSCRIPT YOU ARE SUBMITTING HAS NOT BEEN PUBLISHED ELSEWHERE IN WHOLE OR IN PART, AND THAT NO AGREEMENT TO PUBLISH IS OUTSTANDING.
SHOULD THE ARTICLE CONTAIN MATERIAL WHICH REQUIRES WRITTEN PERMISSION FOR INCLUSION, YOU AGREE THAT IT IS YOUR OBLIGATION IN LAW TO IDENTIFY SUCH MATERIAL TO THE EDITOR OF THE AJPP AND TO OBTAIN SUCH PERMISSION. THE AJPP WILL NOT PAY ANY PERMISSION FEES. SHOULD THE AJPP BE OF THE OPINION THAT SUCH PERMISSION IS NECESSARY, IT WILL REQUIRE YOU TO PURSUE SUCH PERMISSSION PRIOR TO PUBLICATION.
AS AUTHOR(S), YOU WARRANT THAT THE ARTICLE BEING SUBMITTED IS ORIGINAL TO YOU.
Provided the foregoing terms are satisfactory, and that you are in agreement with them, please indicate your acceptance by checking the appropriate box and proceed with your submission.
