Associations of neighborhood social vulnerability with emergency department visits and readmissions among infants with bronchopulmonary dysplasia.
Associations of neighborhood social vulnerability with emergency department visits and readmissions among infants with bronchopulmonary dysplasia.
复制标题
邻里社会脆弱性与支气管肺发育不良婴儿的急诊就诊和再入院之间的关系。
DOI：
10.1038/s41372-023-01735-z
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Burris,HeatherH
中科院分区：
文献类型：
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作者：
Nelin,TimothyD;Yang,Nancy;Radack,Joshua;Lorch,ScottA;DeMauro,SaraB;Bamat,NicolasA;Jensen,ErikA;Gibbs,Kathleen;Just,AllanC;Burris,HeatherH
ObjectivesTo characterize association of the CDC Social Vulnerability Index（SVI）with medically attended acute respiratory diseases among infants with bronchopulmonary dysplasia（BPD）.Study design-Retrospective cohort of 378 preterm infants with BPD from a single center.多变量logistic回归分析量化了SVI与急性呼吸道疾病的相关性，急性呼吸道疾病定义为首次出院后一年内急诊（艾德）就诊或再次入院。中介分析量化的程度，在SVI的差异可以解释已知的黑白差距在医疗出席的急性呼吸道疾病。ResultsSVI与医疗出席的呼吸道疾病（每SVI标准差增量，aOR 1.44，95%CI：1.17-1.78）。人种和种族调整减弱了相关性（aOR 1.27，95% CI：0.97-1.64）。SVI显着介导的31%的黑白差距在艾德visits（p= 0.04）。ConclusionsSVI与，并可能部分解释种族差异，医学出席的急性呼吸道疾病的婴儿BPD。
ObjectivesTo characterize associations of the CDC Social Vulnerability Index (SVI) with medically attended acute respiratory illness among infants with bronchopulmonary dysplasia (BPD).Study designRetrospective cohort of 378 preterm infants with BPD from a single center. Multivariable logistic regression quantified associations of SVI with medically attended acute respiratory illness, defined as emergency department (ED) visits or hospital readmissions within a year after first hospital discharge. Mediation analysis quantified the extent to which differences in SVI may explain known Black-White disparities in medically attended acute respiratory illness.ResultsSVI was associated with medically attended respiratory illness (per SVI standard deviation increment, aOR 1.44, 95% CI: 1.17–1.78). Adjustment for race and ethnicity attenuated the association (aOR 1.27, 95% CI: 0.97–1.64). SVI significantly mediated 31% of the Black-White disparity in ED visits(p= 0.04).ConclusionsSVI was associated with, and may partially explain racial disparities in, medically attended acute respiratory illness among infants with BPD.