Exclusion-based exome sequencing in critically ill adults 18-40 years old has a 24% diagnostic rate and finds racial disparities in access to genetic testing.

There was a trend toward a decreasing prevalence of incidental findings with increasing patient age, with incidental findings identified in 8.33% of patients aged 18–24 years, 5.43% of patients aged 25–29 years, 2.59% of patients aged 30–34 years, and 3.67% in patients aged 35–40 years, although this did not reach statistical significance ( p = 0.069).

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For all analyses, two-sided p values less than 0.05 were considered nominally significant.

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