Influence of Socioeconomic Context on the Rehospitalization Rates of Infants Born Preterm

To investigate the impact of social inequalities on the risk of rehospitalization in the first year after discharge from the neonatal unit in a population of preterm-born children. Preterm infants were included if they were born between 2006 and 2013 at ≤32 + 6 weeks of gestation and who received fo...

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Bibliographic Details
Published in:The Journal of pediatrics 2017-11, Vol.190, p.174-179.e1
Main Authors: Laugier, Olivia, Garcia, Patricia, Boucékine, Mohamed, Daguzan, Alexandre, Tardieu, Sophie, Sambuc, Roland, Boubred, Farid
Format: Article
Language:English
Subjects:
BPD
bronchiolitis
Female
Follow-Up Studies
France
health inequality
Health Status Disparities
hospital admission
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - economics
Infant, Premature, Diseases - etiology
Infant, Premature, Diseases - therapy
Logistic Models
Male
Multivariate Analysis
Patient Readmission - economics
Patient Readmission - statistics & numerical data
preterm infants
Prospective Studies
Risk Factors
small for gestational age
Social Class
socioeconomic status
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Summary:To investigate the impact of social inequalities on the risk of rehospitalization in the first year after discharge from the neonatal unit in a population of preterm-born children. Preterm infants were included if they were born between 2006 and 2013 at ≤32 + 6 weeks of gestation and who received follow-up in a French regional medical network with a high level of healthcare. Socioeconomic context was estimated using a neighborhood-based socioeconomic deprivation index. Univariate and logistic regression analyses were used to identify risk factors associated with rehospitalization. For the 2325 children, the mean gestational age was 29 ± 2 weeks and the mean birth weight was 1315 ± 395 g. In the first year, 22% were rehospitalized (n = 589); respiratory diseases were the primary cause (44%). The multiple rehospitalization rate was 18%. Multivariable analysis showed that living in the most deprived neighborhoods (socioeconomic deprivation index of 5) was associated with overall rehospitalization (OR, 2.2; 95% CI, 1.5-3.6; P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2017.08.001