Kayla L Karvonen1, Rebecca J Baer2,3, Elizabeth E Rogers4,2, Martina A Steurer4,2, Kelli K Ryckman2,5, Sky K Feuer2,6, James G Anderson4,2, Linda S Franck2,7, Dawn Gano4,2, Mark A Petersen4,2, Scott P Oltman2,8, Brittany D Chambers2,8, John Neuhaus8, Larry Rand2,8, Laura L Jelliffe-Pawlowski2,8, Matthew S Pantell4,2. 1. Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA. kayla.karvonen@ucsf.edu. 2. California Preterm Birth Initiative, San Francisco, CA, USA. 3. Department of Pediatrics, University of California San Diego, La Jolla, CA, USA. 4. Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA. 5. Department of Epidemiology, University of Iowa, Iowa City, IA, USA. 6. Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA. 7. Department of Family Health Care Nursing, University of California, San Francisco, CA, USA. 8. Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USA.
Abstract
OBJECTIVES: To investigate racial/ethnic differences in rehospitalization and mortality rates among premature infants over the first year of life. STUDY DESIGN: A retrospective cohort study of infants born in California from 2011 to 2017 (n = 3,448,707) abstracted from a California Office of Statewide Health Planning and Development database. Unadjusted Kaplan-Meier tables and logistic regression controlling for health and sociodemographic characteristics were used to predict outcomes by race/ethnicity. RESULTS: Compared to White infants, Hispanic and Black early preterm infants were more likely to be readmitted; Black late/moderate preterm (LMPT) infants were more likely to be readmitted and to die after discharge; Hispanic and Black early preterm infants with BPD were more likely to be readmitted; Black LMPT infants with RDS were more likely to be readmitted and die after discharge. CONCLUSIONS: Racial/ethnic disparities in readmission and mortality rates exist for premature infants across several co-morbidities. Future studies are needed to improve equitability of outcomes.
OBJECTIVES: To investigate racial/ethnic differences in rehospitalization and mortality rates among premature infants over the first year of life. STUDY DESIGN: A retrospective cohort study of infants born in California from 2011 to 2017 (n = 3,448,707) abstracted from a California Office of Statewide Health Planning and Development database. Unadjusted Kaplan-Meier tables and logistic regression controlling for health and sociodemographic characteristics were used to predict outcomes by race/ethnicity. RESULTS: Compared to White infants, Hispanic and Black early preterm infants were more likely to be readmitted; Black late/moderate preterm (LMPT) infants were more likely to be readmitted and to die after discharge; Hispanic and Black early preterm infants with BPD were more likely to be readmitted; Black LMPT infants with RDS were more likely to be readmitted and die after discharge. CONCLUSIONS: Racial/ethnic disparities in readmission and mortality rates exist for premature infants across several co-morbidities. Future studies are needed to improve equitability of outcomes.
Authors: Tochukwu Ndukwe; Emily Cole; Angelica C Scanzera; Margaret A Chervinko; Michael F Chiang; John Peter Campbell; Robison Vernon Paul Chan Journal: Front Pediatr Date: 2022-04-01 Impact factor: 3.569
Authors: Kayla L Karvonen; Rebecca J Baer; Bridgette Blebu; Lucia Calthorpe; Jonathan D Fuchs; Laura Jelliffe-Pawlowski; Deborah Karasek; Safyer McKenzie-Sampson; Scott P Oltman; Larry Rand; Maureen T Shannon; Taylor E Washington; Tiana Woolridge; Elizabeth E Rogers; Matthew S Pantell Journal: Am J Obstet Gynecol MFM Date: 2021-12-04