Screening for Social Determinants of Health in the Pediatric Intensive Care Unit: Recommendations for Clinicians

Manzilat Akande; Erin T Paquette; Paula Magee; Mallory A Perry-Eaddy; Ericka L Fink; Katherine N Slain

doi:10.1016/j.ccc.2022.09.009

Screening for Social Determinants of Health in the Pediatric Intensive Care Unit: Recommendations for Clinicians

Crit Care Clin. 2023 Apr;39(2):341-355. doi: 10.1016/j.ccc.2022.09.009. Epub 2022 Nov 18.

Authors

Manzilat Akande¹, Erin T Paquette², Paula Magee², Mallory A Perry-Eaddy³, Ericka L Fink⁴, Katherine N Slain⁵

Affiliations

¹ Section of Critical Care, Department of Pediatrics, Oklahoma University Health Sciences Center, OU Children's Physicians Building, 1200 Children's Avenue, Oklahoma City, OK 73104, USA. Electronic address: manzi-akande@ouhsc.edu.
² Division of Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East, Chicago Avenue, Box 73, Chicago, IL 60611, USA.
³ University of Connecticut School of Nursing, 231 Glenbrook Rd, U-4026, Storrs, CT 06269, USA; Department of Pediatrics, University of Connecticut School of Medicine, 200 Academic Way, Farmington, CT 06032, USA.
⁴ Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Faculty Pavilion, 2nd floor, Pittsburgh, PA 15206, USA.
⁵ Division of Pediatric Critical Care Medicine, University Hospitals Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, RBC 6010 Cleveland, OH 44106, USA; Department of Pediatrics, Case Western Reserve University School of Medicine, 9501 Euclid Avenue, Cleveland, OH 44106, USA.

Abstract

Social determinants of health (SDoH) play a significant role in the health and well-being of children in the United States. Disparities in the risk and outcomes of critical illness have been extensively documented but are yet to be fully explored through the lens of SDoH. In this review, we provide justification for routine SDoH screening as a critical first step toward understanding the causes of, and effectively addressing health disparities affecting critically ill children. Second, we summarize important aspects of SDoH screening that need to be considered before implementing this practice in the pediatric critical care setting.

Keywords: Health status disparities; Intensive care unit; Pediatric; Social determinants of health.

Publication types

Review

MeSH terms

Child
Critical Care
Critical Illness
Humans
Intensive Care Units, Pediatric*
Social Determinants of Health*
United States

Abstract

Publication types

MeSH terms

Grants and funding