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Social Determinants of Health and Oxygen Use in Preterm Infants with Bronchopulmonary Dysplasia
Bridget Dillon1, Sana Ashraf1, Nupur Assudani1
1Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, United States.
Insights
Child Opportunity Index (COI) did not significantly impact home oxygen use duration for infants with bronchopulmonary dysplasia (BPD). Further research is needed to explore potential associations and contributing factors.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Social Determinants of Health
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease in premature infants.
- Postdischarge oxygen use is common in infants with BPD, impacting long-term outcomes.
- Socioeconomic factors, such as the Child Opportunity Index (COI), may influence healthcare access and outcomes.
Purpose of the Study:
- To investigate the association between the Child Opportunity Index (COI) and the duration of postdischarge home oxygen use in infants with BPD.
- To explore the relationship between COI and secondary outcomes including emergency room visits, readmissions, and missed appointments.
Main Methods:
- Retrospective cohort study of infants born before 32 weeks' gestation diagnosed with BPD.
- Data collected from 2010 to 2022 for infants discharged on home oxygen and followed in a BPD clinic.
- Statistical analysis, including regression, was used to assess the association between COI categories and clinical outcomes.
Main Results:
- Of 145 infants, 60.3% were in the very low COI category.
- Mean home oxygen duration was 89.5 days; no significant association was found between COI and oxygen use duration.
- No significant differences in ER visits, readmissions, or missed appointments were observed across COI groups.
Conclusions:
- The Child Opportunity Index (COI) was not significantly associated with the duration of home oxygen use in infants with BPD.
- Potential limitations include uneven group sizes, necessitating cautious interpretation of results.
- Further research is warranted to elucidate the complex interplay between socioeconomic factors and BPD outcomes.
Objective:
This study aimed to evaluate the association between the Child Opportunity Index (COI) and postdischarge oxygen use in infants with bronchopulmonary dysplasia (BPD).
Study Design:
Retrospective study of infants < 32 weeks' gestation with BPD, discharged on home oxygen from 2010 to 2022 and followed in a BPD clinic. Primary outcome was duration of oxygen use, secondary outcomes were emergency room (ER) visits, missed BPD appointments, and readmission.
Results:
Of 145 infants included in the study, 88 (60.3%) infants were in the very low COI category. Mean (standard deviation) duration of home oxygen was 89.5 (92) days. Regression analysis did not show any significant association between COI and duration of home oxygen use. Number of ER visits, unplanned readmissions, and missed BPD appointments also did not vary significantly between the COI groups.
Conclusion:
Our study did not show any significant association between COI and duration of home oxygen use in infants with BPD.
Key Points:
· COI not associated with duration of oxygen use.. · Uneven groups may have affected our results.. · Additional research in this area is needed..
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