Understanding sociodemographic factors related to health outcomes in pediatric obstructive sleep apnea

Xie, Deborah X.; Wang, Ray Y.; Penn, Edward B.; Chinnadurai, Sivakumar; Shannon, Chevis N.; Wootten, Christopher T.

doi:10.1016/j.ijporl.2018.05.030

Cited by 17 publications

(15 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 The study of these social determinants, such as income, education, race, nutrition, and insurance is gaining momentum as a promising method to decrease the burden of disease and achieve health equity. 1,2 Disparities in these factors have been documented in multiple otolaryngologic diseases, 1,[3][4][5] and several studies have employed zip code-based analysis to describe sociodemographic factors as well as geographic clustering of patients. [5][6][7] A recent study utilizing zip code-based analysis demonstrated higher sociodemographic status patients have higher utilization rates for chronic rhinosinusitis treatment.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Disparities in these factors have been documented in multiple otolaryngologic diseases, 1,[3][4][5] and several studies have employed zip code-based analysis to describe sociodemographic factors as well as geographic clustering of patients. [5][6][7] A recent study utilizing zip code-based analysis demonstrated higher sociodemographic status patients have higher utilization rates for chronic rhinosinusitis treatment. 7 Despite the impact of social determinants of health on several otolaryngologic diseases, the study of these factors in laryngotracheal stenosis has not been explored.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The impact of social determinants of health on laryngotracheal stenosis development and outcomes

et al. 2019

View full text Add to dashboard Cite

Objectives The social determinants of health affect a wide range of health outcomes and risks. To date, there have been no studies evaluating the impact of social determinants of health on laryngotracheal stenosis (LTS). We sought to describe the social determinants in a cohort of LTS patients and explore their association with treatment outcome. Methods Subjects diagnosed with LTS undergoing surgical procedures between 2013 and 2018 were identified. Matched controls were identified from intensive care unit (ICU) patients who underwent intubation for greater than 24 hours. Medical comorbidities, stenosis characteristics, and patient demographics were abstracted from the clinical record. Tracheostomy at last follow‐up was recorded from the medical record and phone calls. Socioeconomic data was obtained from the American Community Survey. Results One hundred twenty‐two cases met inclusion criteria. Cases had significantly lower education compared to Tennessee (P = .009) but similar education rates as ICU controls. Cases had significantly higher body mass index (odds ratio [OR]: 1.04, P = .035), duration of intubation (OR: 1.21, P < .001), and tobacco use (OR: 1.21, P = .006) in adjusted analysis when compared to controls. Tracheostomy dependence within the case cohort was significantly associated with public insurance (OR: 1.33, P = .016) and chronic obstructive pulmonary disease (OR: 1.34, P = .018) in adjusted analysis. Conclusion Intubation practices, medical comorbidities and social determinants of health may influence the development of LTS and tracheostomy dependence after treatment. Identification of at‐risk populations in ICUs may allow for prevention of tracheostomy dependence through the use of early tracheostomy and specialized follow‐up. Level of Evidence Level 3, retrospective review comparing cases and controls Laryngoscope, 130:1000–1006, 2020

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of social determinants of health on laryngotracheal stenosis development and outcomes

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Families of low SES generally present to care later compared to higher SES, and if children have a milder variant of bacterial tracheitis, it may not be "worth it" to families to seek medical care. [19][20][21]26,27 Patients of low SES perceive that their financial status has a direct impact on their healthcare, which affects how and when they seek care. 28 The literature on this subject is conflicted, making it difficult to draw definitive conclusions.…”

Section: Discussionmentioning

confidence: 99%

Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Barengo

Redmann

Kennedy

et al. 2021

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objectives: Examine the presentation and clinical course of patients with bacterial tracheitis (BT). Identify if socioeconomic differences exist among children who present with BT. Methods: This was a retrospective case series from a tertiary care pediatric medical center. The study group included patients less than 18 years old who were diagnosed with BT from January 2011 to March 2019. Patients with a tracheostomy and those who developed BT after prolonged hospitalization were excluded. Patient demographics were compared with the demographics of the counties surrounding the hospital. Results: 33 patients with BT met inclusion criteria. The most common presenting symptoms were difficulty breathing, stridor, and sore throat (81.8% each), followed by cough (78.8%). Median length of stay was 3 days [interquartile range (IQR):2-4]. 19 patients (57.5%) were admitted to the intensive care unit. Intubation was required for 13 patients (39.4%), for a median length of 2 days [IQR:2-2]. Methicillin sensitive staphylococcus aureus was the most common bacterial etiology (33%). Mean presenting age was 8.58 years [95% confidence interval:7.3-9.9] and 14 patients were female (42.4%). 31 patients were white (93.9%), 1 was black (3%), and 1 was Hispanic (3%). BT patients were more likely to have private insurance compared to comparison (81.8% vs 63.4%, P < .001). Conclusion: Children who presented with BT were more likely to be privately insured than a comparison population.

show abstract

“…Kesimpulan yang sama juga disimpulkan pada sebuah penelitian pada penderita obstructive sleep apnea di Amerika Serikat. Hasil penelitian menemukan adanya perbedaan akses yang signifikan pada kategori status sosial-ekonomi (Xie et al, 2018). Mereka yang memiliki status sosial-ekonomi lebih baik terbukti lebih bisa memanfaatkan fasilitas pelayanan kesehatan yang ada (Sibley & Weiner, 2011) (Vanamail & Gunasekaran, 2011)(Thin Zaw, Liabsuetrakul, Htay, & McNeil, 2012 (Dhruve, Badgaiyan, & Pandey, 2016) (Yu, Matthes, & Wei, 2018) (Boulton, Carlson, Power, & Wagner, 2018).…”

Section: Pembahasanunclassified

Gambaran Akses Pelayanan Kesehatan pada Balita di Indonesia

Nantabah¹,

A²,

Laksono³

2019

hsr

View full text Add to dashboard Cite

ABSTRAK Anak balita merupakan periode masa yang disebut golden age. Akses pelayanan kesehatan untuk kelompok ini menjadi perhatian karena kesinambungan hidup pada kelompok tersebut menjadi salah satu tolok ukur pembangunan kesehatan. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Analisis dilakukan pada variabel-variabel cakupan kunjungan balita ke pelayanan kesehatan. Pelayanan kesehatan dimaksud adalah Rumah Sakit, Puskesmas/Pustu, Praktik Dokter/Klinik, dan Polindes/Praktik Bidan. Hasil penelitian menunjukkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya dan sangat kaya memiliki akses yang lebih baik di Rumah Sakit dan praktik dokter/klinik pada akses rawat jalan dan rawat inap. Sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik ke Puskesmas/Pustu dan Polindes/praktik bidan baik di rawat jalan maupun rawat inap. Berdasarkan hasil penelitian dapat disimpulkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya memiliki akses yang lebih baik pada pelayanan kesehatan rujukan, sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik di fasilitas pelayanan kesehatan dasar. Kata kunci: akses, pelayanan kesehatan, balita ABSTRACT Toddler is a period of time called golden age. Access to health services for this group is a concern because the continuity of life in the group is one of the benchmarks for health development. This research is an advance analysis of the Riskesdas 2013, which is presented in quantitative descriptive manner. Analysis was carried out on the variables of coverage of toddler visits to health services. The intended health services are hospitals, health center/Pustu, doctor/clinic, and Polindes/midwife, both on outpatient visits and inpatients. The results showed that toddlers who lived in urban areas and in the rich and very rich groups had better access in hospitals and doctor/clinic practices on access to outpatient and inpatient care. While those who live in rural areas and the poor have better access to health center/Pustu and Polindes/ midwives both in outpatient and inpatient care. Based on the results of the study it can be concluded that toddlers who live in urban areas and in rich groups have better access to referral health services, while those who live in rural areas and in poor groups have better access to basic health care facilities. Keyword: access, health services, toddler

show abstract

Understanding sociodemographic factors related to health outcomes in pediatric obstructive sleep apnea

Cited by 17 publications

References 21 publications

The impact of social determinants of health on laryngotracheal stenosis development and outcomes

The impact of social determinants of health on laryngotracheal stenosis development and outcomes

Demographic Characteristics of Children Diagnosed with Bacterial Tracheitis

Gambaran Akses Pelayanan Kesehatan pada Balita di Indonesia

Contact Info

Product

Resources

About