Journal article
Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California
Journal of perinatology, Vol.41(2), pp.220-231
02/2021
DOI: 10.1038/s41372-021-00919-9
PMID: 33514879
Abstract
To investigate racial/ethnic differences in rehospitalization and mortality rates among premature infants over the first year of life.
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.
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.
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.
Details
- Title: Subtitle
- Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California
- Creators
- Kayla L Karvonen - Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA. kayla.karvonen@ucsf.eduRebecca J Baer - Department of Pediatrics, University of California San Diego, La Jolla, CA, USAElizabeth E Rogers - California Preterm Birth Initiative, San Francisco, CA, USAMartina A Steurer - California Preterm Birth Initiative, San Francisco, CA, USAKelli K Ryckman - Department of Epidemiology, University of Iowa, Iowa City, IA, USASky K Feuer - Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USAJames G Anderson - California Preterm Birth Initiative, San Francisco, CA, USALinda S Franck - Department of Family Health Care Nursing, University of California, San Francisco, CA, USADawn Gano - California Preterm Birth Initiative, San Francisco, CA, USAMark A Petersen - California Preterm Birth Initiative, San Francisco, CA, USAScott P Oltman - Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USABrittany D Chambers - Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USAJohn Neuhaus - Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USALarry Rand - Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USALaura L Jelliffe-Pawlowski - Department of Epidemiology and Statistics, University of California San Francisco, San Francisco, CA, USAMatthew S Pantell - California Preterm Birth Initiative, San Francisco, CA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of perinatology, Vol.41(2), pp.220-231
- DOI
- 10.1038/s41372-021-00919-9
- PMID
- 33514879
- ISSN
- 0743-8346
- eISSN
- 1476-5543
- Grant note
- name: This work was supported by the University of California, San Francisco Preterm Birth Initiative
- Language
- English
- Date published
- 02/2021
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology
- Record Identifier
- 9984214689602771
Metrics
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