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Outcomes of Children With Critical Bronchiolitis Living in Poor Communities

Katherine N Slain1,2, Steven L Shein1,2, Anne G Stormorken1,2

  • 11 Rainbow Babies & Children's Hospital, Cleveland, OH, USA.

Clinical Pediatrics
|November 9, 2017
PubMed

Insights

Children in poorer communities experienced worse outcomes with critical bronchiolitis. This includes longer hospital stays and increased need for mechanical ventilation, highlighting socioeconomic disparities in pediatric critical care.

Area of Science:

  • Pediatric Critical Care Medicine
  • Public Health
  • Socioeconomic Determinants of Health

Background:

  • Established links exist between poverty and adverse health outcomes.
  • Associations between poverty and outcomes in critically ill children remain understudied.

Purpose of the Study:

  • To investigate the association between community poverty and clinical outcomes in children with critical bronchiolitis.
  • To test the hypothesis that poorer community living is linked to unfavorable outcomes in this pediatric population.

Main Methods:

  • Retrospective study of children admitted to a pediatric intensive care unit (PICU) for bronchiolitis over two years.
  • Median household income estimated using patient ZIP codes and US Census Bureau data.
  • Patients categorized based on proximity to the 150% Federal Poverty Threshold (150FPT).

Main Results:

  • Living below 150FPT was associated with longer PICU and hospital length of stay (LOS).
  • Patients from poorer communities had higher odds of requiring mechanical ventilation.
  • Increased hospital charges were observed for patients residing in areas below 150FPT.

Conclusions:

  • Community poverty is linked to more unfavorable clinical outcomes in critically ill children with bronchiolitis.
  • Socioeconomic factors play a significant role in the severity and management of pediatric critical illnesses.
  • Findings underscore the need to address socioeconomic disparities in pediatric healthcare.

Keywords:
bronchiolitiscritical carehealth disparitieslength of staypediatrics

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