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Understanding paediatric laryngomalacia: a study of social determinants and associated diseases

Dean G Kennedy1, Amos M Mwaura1, Nicholas R Wilson1

  • 1Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.

The Journal of Laryngology and Otology
|November 4, 2024
PubMed

Insights

Socioeconomic factors significantly influence pediatric laryngomalacia admissions. Lower income and certain racial groups show increased incidence, while higher income and other groups show decreased rates.

Area of Science:

  • Pediatric Health
  • Health Economics
  • Epidemiology

Background:

  • Laryngomalacia is a common congenital condition affecting infants.
  • Understanding socioeconomic determinants is crucial for public health initiatives.

Purpose of the Study:

  • To investigate the impact of socioeconomic factors on pediatric laryngomalacia hospital admissions.
  • To analyze the association between income, race, insurance, and comorbidities with laryngomalacia incidence.

Main Methods:

  • Analysis of the 2016 Healthcare Cost and Utilization Project Kid Inpatient Database.
  • Inclusion of variables such as zip code median income, race/ethnicity, and primary payer.
  • Utilized International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) codes.

Main Results:

  • Lower median income zip codes correlated with a 6.4% increase in laryngomalacia admissions.
  • Black patients showed a 24.5% increase, while Asian/Pacific Islander patients had a 42.5% decrease.
  • Medicaid payers had a 22.1% increase, contrasted with significant decreases for Medicare, private insurance, and self-pay.

Conclusions:

  • Socioeconomic status, race, and insurance type are significant factors in pediatric laryngomalacia admissions.
  • Comorbid disease processes also play a statistically significant role in the incidence of laryngomalacia.
Abstract

Keywords:
health disparitieslaryngomalaciapediatricssocioeconmic factors

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