Document Detail


Rehospitalization of extremely low birth weight (ELBW) infants: are there racial/ethnic disparities?
MedLine Citation:
PMID:  16107873     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Premature infants are at increased risk for rehospitalization after discharge from the hospital. Racial disparities are known to exist in pediatric health care. OBJECTIVE: To evaluate whether racial disparities exist in the proportion of extremely low birth weight (ELBW) infants rehospitalized prior to 18 months corrected age and the causes of rehospitalization. METHODS: The National Institute of Child Health and Human Development Neonatal Research Network database was used to identify all ELBW infants (n=2446) who were born between November 1, 1998 and May 31, 2000 at the 14 participating centers and discharged alive (n=1591). Infants were seen at 18-22 months corrected age for followup. Data related to maternal variables, race, socioeconomic status, medical morbidities, insurance, and rehospitalizations were recorded from the medical record and parent interview. Logistic regression analyses were used to examine the relationship of race/ethnicity and rehospitalization while controlling for gestational age, gender, center, maternal education, family income, bronchopulmonary dysplasia (BPD), necrotizing enterocolitis, ventriculoperitoneal (VP) shunt, respiratory syncytial virus (RSV) prophylaxis, and insurance type. RESULTS: In all, 1405 (88%) infants were evaluated at followup. The racial distribution of infants admitted, discharged, seen at followup, and rehospitalized were similar. Rehospitalization occurred at least once in 49% of the infants. In the logistic regression analyses, race was not a significant predictor for rehospitalization. The odds of rehospitalization were related to low family income, type of insurance, BPD, VP shunt, RSV prophylaxis, and center. CONCLUSION: Race was not a predominant variable in the risk of rehospitalization in this cohort of ELBW infants. Medical morbidities and low family income appear to be the major risk factors for rehospitalization.
Authors:
Brenda H Morris; Charlotte C Gard; Kathleen Kennedy;
Related Documents :
2657423 - A controlled trial of dexamethasone in preterm infants at high risk for bronchopulmonar...
711583 - A simple technique for measuring alveolar co2 in infants.
11369043 - Development of psychophysically-derived detection contours in l- and m-cone contrast sp...
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  25     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-29     Completed Date:  2006-01-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  656-63     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Center for Clinical Research and Evidence Based Medicine, Houston, TX 77030, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
African Americans
Continental Population Groups*
Databases, Factual
Female
Hispanic Americans
Humans
Income
Infant
Infant, Newborn
Infant, Very Low Birth Weight*
Insurance, Health
Male
Morbidity
Patient Readmission / statistics & numerical data*
Regression Analysis
Socioeconomic Factors
United States
Grant Support
ID/Acronym/Agency:
M01 RR 00070/RR/NCRR NIH HHS; M01 RR 00750/RR/NCRR NIH HHS; M01 RR 00997/RR/NCRR NIH HHS; M01 RR 06022/RR/NCRR NIH HHS; M01 RR 08084/RR/NCRR NIH HHS; U01 HD36790/HD/NICHD NIH HHS; U10 HD 21373/HD/NICHD NIH HHS; U10 HD21364/HD/NICHD NIH HHS; U10 HD21385/HD/NICHD NIH HHS; U10 HD21397/HD/NICHD NIH HHS; U10 HD21415/HD/NICHD NIH HHS; U10 HD27851/HD/NICHD NIH HHS; U10 HD27853/HD/NICHD NIH HHS; U10 HD27856/HD/NICHD NIH HHS; U10 HD27871/HD/NICHD NIH HHS; U10 HD27880/HD/NICHD NIH HHS; U10 HD27881/HD/NICHD NIH HHS; U10 HD27904/HD/NICHD NIH HHS; U10 HD34216/HD/NICHD NIH HHS; U10 HD40689/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Low birth weight and preterm births: etiologic fraction attributable to prenatal drug exposure.
Next Document:  A randomized multicenter study to determine the efficacy of activity restriction for preterm labor m...