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Published on: November 20, 2015
Gestational Age, Socioeconomic Context and Infection-Related Hospital Admissions of Infants Born With Gestational Age
M Berland1, M Boucekine2, L Fayol1
1APHM, Hospital University La Conception, Neonatal Unit, Marseille, France.
Insights
Infants born very preterm (gestational age <33 weeks) face higher infection hospitalization risks, especially those from low socioeconomic backgrounds. Extremely preterm infants are particularly vulnerable to respiratory infections in their first year.
Area of Science:
- Neonatal Medicine
- Public Health
- Pediatric Infectious Diseases
Background:
- Preterm birth is a significant risk factor for infant morbidity.
- Socioeconomic factors can influence health outcomes in early childhood.
- Infection-related hospitalizations are a major concern for vulnerable infant populations.
Purpose of the Study:
- To investigate the association between gestational age, socioeconomic status, and infection-related hospitalizations in preterm infants.
- To identify specific risk factors contributing to hospitalization in the first year of life for infants born before 33 weeks gestational age.
Main Methods:
- Utilized data from a regional medical follow-up network database.
- Included preterm infants with gestational age less than 33 weeks.
- Analyzed incidence of infection-related hospitalization within the first year of life.
Main Results:
- Low gestational age (<33 weeks) was associated with increased infection-related hospitalizations.
- Infants residing in deprived socioeconomic neighborhoods had a higher incidence of infection-related hospitalizations.
- Extremely preterm infants (<33 weeks gestational age) exhibited higher rates of respiratory tract infections.
Conclusions:
- Gestational age and socioeconomic deprivation are critical determinants of infection risk in early infancy.
- Targeted interventions and support are crucial for preterm infants, particularly those from disadvantaged backgrounds.
- Understanding these risk factors can inform preventative strategies to reduce hospitalization rates in vulnerable preterm populations.
Abstract:
Using data from a regional medical follow-up network database of preterm infants born with gestational age (GA) <33 weeks, we found that low GA and deprived socioeconomic neighborhoods increased incidence of infection-related hospitalization during the first year of life. Respiratory tract infections rates were higher in extremely preterm infants.
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