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Neighborhood Socioeconomic Deprivation And Length Of Stay In Children With Medical Complexity.

Home
Research Domains
Health Sciences
Health Services And Systems
Family Care
Neighborhood Socioeconomic Deprivation And Length Of Stay In Children With Medical Complexity.

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Neighborhood Socioeconomic Deprivation and Length of Stay in Children With Medical Complexity.

Amanda Warniment¹, Yin Zhang², Bin Huang^2,3

¹Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Hospital Pediatrics

|May 11, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Children with medical complexity (CMC) face longer hospital stays when living in socioeconomically deprived neighborhoods. This study found a 9% increase in length of stay for CMC in more deprived areas, highlighting systemic inequities.

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Area of Science:

Pediatric Health Services Research
Social Determinants of Health
Health Equity

Background:

Children with medical complexity (CMC) often have prolonged hospital stays.
Families of CMC face financial and social hardships impacting discharge planning.
Neighborhood socioeconomic context may influence hospital length of stay (LOS).

Purpose of the Study:

To evaluate the association between neighborhood socioeconomic deprivation and hospital LOS in CMC.
To understand how socioeconomic factors at a neighborhood level impact healthcare utilization for complex pediatric patients.

Main Methods:

Single-center retrospective study of 4697 CMC encounters (2016-2022).
Utilized US census-tract data to calculate the Brokamp neighborhood socioeconomic deprivation index.

Employed linear mixed models to assess the relationship between deprivation and LOS, adjusting for covariates.

Main Results:

Median LOS was 3.29 days; median deprivation index was 0.33.
Each 0.1 increase in deprivation index was associated with a 1.05-fold increase in LOS (95% CI, 1.03-1.08).
CMC in more deprived neighborhoods (75th percentile) had an expected 9% longer LOS compared to those in less deprived neighborhoods (25th percentile).

Conclusions:

Greater neighborhood socioeconomic deprivation is linked to longer hospitalizations for CMC.
These findings persist even after controlling for patient clinical complexity and illness severity.
The study underscores the presence of systemic inequities affecting healthcare outcomes for vulnerable pediatric populations.