Association of Area Deprivation Index With Severity of COVID-19 in Pediatric Patients: A Multisite Study of Racially and Ethnically Diverse Children

Acosta, Sebastián; Suresh, Srinivasan; Ettinger, Anna K.; Savorgnan, Fabio; Annapragada, Ananth; Kannikeswaran, Nirupama; Sethuraman, Usha

doi:10.1097/inf.0000000000003888

Cited by 1 publication

(1 citation statement)

References 9 publications

(20 reference statements)

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“…ADI captures a range of factors related to SES such as housing, education, access, to healthcare, and transportation, which are not fully captured by other measures of SES such as median income and insurance status. 28,29 Other composite measures of SES exist including the SVI. However, ADI provides the most granular neighborhood-level data.…”

Section: Discussionmentioning

confidence: 99%

Race and Area of Deprivation Index Predict Outcomes of Endoscopic Sinus Surgery for Chronic Sinusitis

Hentati,

Kim,

Hoying

et al. 2023

Am J Rhinol�Allergy

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Objective The purpose of this study is to characterize the presentation, outcomes, and barriers to care for White and non-White patients undergoing endoscopic sinus surgery (ESS). Background ESS is often successful in providing long-term relief for patients suffering from chronic rhinosinusitis (CRS). Literature that uses robust measures of socioeconomic status (SES) and barriers to care to assess ESS outcomes is limited. Methods A retrospective matched cohort study of patients who underwent ESS for CRS between 1/1/2015 and 6/1/2021 at a single tertiary care academic center was conducted. White and non-White patients were matched 1-to-1 by sex and age (± 5 years). SES was evaluated using the area of deprivation index (ADI). Results Of the 298 patients included in the study, 149 are White and 149 are non-White, 111 (37.2%) have CRS with nasal polyposis (CRSwNP), 141 (47.3%) had allergic rhinitis, 90 (30.2%) had asthma and 22 (7.4%) required revision ESS. Non-White patients were 3.62 times more likely to present with CRSwNP (95% confidence interval [CI] 2.2-5.96) and had 2.87 times increased odds for requiring revision ESS than age and sex-matched White patients (95% CI 1.090-7.545). The median ADI for non-White (6.00) patients was higher than for White patients (3.00) ( P < .001) and 21.5% more non-White patients presented with Medicaid ( P < .001). Conclusion Non-White patients undergoing ESS for CRS are more likely to present from areas with fewer resources and be underinsured. Using robust measures of SES, such as ADI, may allow for care to be tailored to patients with barriers to care.

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Section: Discussionmentioning

confidence: 99%