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.

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