Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities?

Brenda H. Morris; Charlotte C. Gard; Kathleen Kennedy; Betty Vohr; Dee Wilson-Costello; Jean Steichen; Neal Simon; Barbara Stoll; Anna Dusick; Charles Bauer; Lu Ann Papile; Susan Hintz; Henrietta Bada; Sue Broyles; Virginia Delaney-Black; Yvette Johnson; Richard Ehrenkranz

doi:10.1038/sj.jp.7211361

Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities?

Brenda H. Morris, Charlotte C. Gard, Kathleen Kennedy, Betty Vohr, Dee Wilson-Costello, Jean Steichen, Neal Simon, Barbara Stoll, Anna Dusick, Charles Bauer, Lu Ann Papile, Susan Hintz, Henrietta Bada, Sue Broyles, Virginia Delaney-Black, Yvette Johnson, Richard Ehrenkranz

Research output: Contribution to journal › Article › peer-review

65 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	656-663
Number of pages	8
Journal	Journal of Perinatology
Volume	25
Issue number	10
DOIs	https://doi.org/10.1038/sj.jp.7211361
State	Published - Oct 2005

Bibliographical note

Funding Information:
This work was funded by National Institute of Child Health and Human Development Grants U10 HD21397, U10 HD34216, U10 HD27853, U10 HD27871, U10 HD21364, U10 HD21415, U10 HD40689, U10 HD27856, U10 HD27904, U10 HD27881, U01 HD36790, U10 HD21385, U10 HD27880, U10 HD27851, U10 HD 21373, and General Clinical Research Center Grants M01 RR 08084, M01 RR 06022, M01 RR 00750, M01 RR 00997, M01 RR 00070. National Institute of Child Health and Human Development Neonatal Research Network Followup Principle Investigators 1998 to 2000:

Funding

This work was funded by National Institute of Child Health and Human Development Grants U10 HD21397, U10 HD34216, U10 HD27853, U10 HD27871, U10 HD21364, U10 HD21415, U10 HD40689, U10 HD27856, U10 HD27904, U10 HD27881, U01 HD36790, U10 HD21385, U10 HD27880, U10 HD27851, U10 HD 21373, and General Clinical Research Center Grants M01 RR 08084, M01 RR 06022, M01 RR 00750, M01 RR 00997, M01 RR 00070. National Institute of Child Health and Human Development Neonatal Research Network Followup Principle Investigators 1998 to 2000:

Funders	Funder number
Eunice Kennedy Shriver National Institute of Child Health and Human Development	U01 HD36790, U10 HD40689, M01 RR 00750, U10 HD34216, M01 RR 00997, U10 HD21415, U10 HD27904, U10 HD21397, U10 HD27856, U10 HD21385, U10 HD27853, M01 RR 06022, U10 HD27871, M01 RR 00070, U10 HD27881, U10 HD27851, U10 HD 21373, RR 08084, U10 HD27880
Eunice Kennedy Shriver National Institute of Child Health and Human Development	U10HD021364

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1038/sj.jp.7211361

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Morris, B. H., Gard, C. C., Kennedy, K., Vohr, B., Wilson-Costello, D., Steichen, J., Simon, N., Stoll, B., Dusick, A., Bauer, C., Papile, L. A., Hintz, S., Bada, H., Broyles, S., Delaney-Black, V., Johnson, Y., & Ehrenkranz, R. (2005). Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities? Journal of Perinatology, 25(10), 656-663. https://doi.org/10.1038/sj.jp.7211361

@article{1cc26d69d8574cb086f9d72ade491acd,

title = "Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities?",

abstract = "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.",

author = "Morris, {Brenda H.} and Gard, {Charlotte C.} and Kathleen Kennedy and Betty Vohr and Dee Wilson-Costello and Jean Steichen and Neal Simon and Barbara Stoll and Anna Dusick and Charles Bauer and Papile, {Lu Ann} and Susan Hintz and Henrietta Bada and Sue Broyles and Virginia Delaney-Black and Yvette Johnson and Richard Ehrenkranz",

note = "Funding Information: This work was funded by National Institute of Child Health and Human Development Grants U10 HD21397, U10 HD34216, U10 HD27853, U10 HD27871, U10 HD21364, U10 HD21415, U10 HD40689, U10 HD27856, U10 HD27904, U10 HD27881, U01 HD36790, U10 HD21385, U10 HD27880, U10 HD27851, U10 HD 21373, and General Clinical Research Center Grants M01 RR 08084, M01 RR 06022, M01 RR 00750, M01 RR 00997, M01 RR 00070. National Institute of Child Health and Human Development Neonatal Research Network Followup Principle Investigators 1998 to 2000:",

year = "2005",

month = oct,

doi = "10.1038/sj.jp.7211361",

language = "English",

volume = "25",

pages = "656--663",

number = "10",

}

Morris, BH, Gard, CC, Kennedy, K, Vohr, B, Wilson-Costello, D, Steichen, J, Simon, N, Stoll, B, Dusick, A, Bauer, C, Papile, LA, Hintz, S, Bada, H, Broyles, S, Delaney-Black, V, Johnson, Y & Ehrenkranz, R 2005, 'Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities?', Journal of Perinatology, vol. 25, no. 10, pp. 656-663. https://doi.org/10.1038/sj.jp.7211361

TY - JOUR

T1 - Rehospitalization of extremely low birth weight (ELBW) infants

T2 - Are there racial/ethnic disparities?

AU - Morris, Brenda H.

AU - Gard, Charlotte C.

AU - Kennedy, Kathleen

AU - Vohr, Betty

AU - Wilson-Costello, Dee

AU - Steichen, Jean

AU - Simon, Neal

AU - Stoll, Barbara

AU - Dusick, Anna

AU - Bauer, Charles

AU - Papile, Lu Ann

AU - Hintz, Susan

AU - Bada, Henrietta

AU - Broyles, Sue

AU - Delaney-Black, Virginia

AU - Johnson, Yvette

AU - Ehrenkranz, Richard

N1 - Funding Information: This work was funded by National Institute of Child Health and Human Development Grants U10 HD21397, U10 HD34216, U10 HD27853, U10 HD27871, U10 HD21364, U10 HD21415, U10 HD40689, U10 HD27856, U10 HD27904, U10 HD27881, U01 HD36790, U10 HD21385, U10 HD27880, U10 HD27851, U10 HD 21373, and General Clinical Research Center Grants M01 RR 08084, M01 RR 06022, M01 RR 00750, M01 RR 00997, M01 RR 00070. National Institute of Child Health and Human Development Neonatal Research Network Followup Principle Investigators 1998 to 2000:

PY - 2005/10

Y1 - 2005/10

N2 - 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.

AB - 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.

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Rehospitalization of extremely low birth weight (ELBW) infants: Are there racial/ethnic disparities?

Abstract

Bibliographical note

Funding

ASJC Scopus subject areas

UN SDGs

Access to Document

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