Socioeconomic status and outpatient follow-up in children with bronchopulmonary dysplasia.
Socioeconomic status and outpatient follow-up in children with bronchopulmonary dysplasia.
复制标题
支气管肺发育不良儿童的社会经济状况和门诊随访。
DOI：
10.1002/ppul.26232
复制
发表时间：
2023
影响因子：
3.1
通讯作者：
Collaco,JosephM
中科院分区：
文献类型：
--
作者：
Aoyama,BriannaC;McGrath-Morrow,SharonA;Collaco,JosephM
1方法对出生于马里兰州的受试者（n= 361）进行回顾性病历审查，这些受试者于2013年7月1日至2019年6月6日期间从全州新生儿重症监护室（NICU）出院回家，并在BPD门诊进行随访。所有受试者均在妊娠≤ 32周时出生，并根据2001年国家心肺血液研究所共识声明诊断为BPD。2在首次NICU出院后2年内，对门诊亚专科访视（肺科、心脏科、耳鼻喉科和胃肠科）的电子病历数据进行了审查。个人家庭收入是根据住宅邮政编码估计的。在这项研究中，马里兰州的平均收入是84805美元。根据NICU出院后第一次门诊就诊时的保险范围，确定保险状态（公共或私人）。种族/民族是自我报告的。按照约翰霍普金斯大学机构审查委员会批准的方案，护理人员同意。使用χ 2和t检验比较亚群的描述性特征。2在361名受试者中，185名（51.2%）有公共保险，240名（66.5%）估计家庭收入低于州中位数，这些SES指标密切相关（p< 0.001）（支持信息：表1和表2）。低SES的两个标志物也与自我报告的黑人种族相关，保险与西班牙裔种族相关（支持信息：表3）。公共保险和自我报告的黑人受试者的出生体重较低，自我报告的黑人和西班牙裔受试者的胎龄较早。
1 METHODSA retrospective chart review was performed for subjects (n= 361) born in Maryland, discharged home from neonatal intensive care units (NICUs) across the state between July 1, 2013, and June 6, 2019, and followed in an outpatient BPD clinic. All subjects were born at≤ 32 weeks gestation and diagnosed with BPD based on the 2001 National Heart, Lung, and Blood Institute consensus statement. 2 Electronic medical record data were reviewed for outpatient subspecialty visits (pulmonary, cardiology, otolaryngology, and gastroenterology) for a 2-year period following initial NICU discharge. Individual household income was estimated based on residential zip code. The median income in the state of Maryland at the time of this study was $84,805. Insurance status, defined as public or private, was determined based on coverage at the first outpatient visit following NICU discharge. Race/ethnicity was self-reported. Caregivers were consented per protocol as approved by the Johns Hopkins University Institutional Review Board. Descriptive features of subpopulations were compared using χ 2 and t-tests.2 RESULTSOf the 361 subjects, 185 (51.2%) had public insurance and 240 (66.5%) had estimated household incomes below the state median, and these measures of SES were closely aligned (p< 0.001)(Supporting Information: Tables 1 and 2). Both markers of low SES were also associated with self-reported Black race, and insurance was associated with Hispanic ethnicity (Supporting Information: Table 3). Lower birth weights were seen with those with public insurance and self-reported Black subjects and earlier gestational ages were seen with self-reported Black and Hispanic subjects.