J Pediatr Intensive Care 2020; 09(04): 277-883
DOI: 10.1055/s-0040-1712920
Original Article

Preadmission Diet and Zip Code Influences the Pediatric Critical Care Clinical Course for Infants with Severe Respiratory Illness (N = 187)

1  Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
3  Spectrum Health, Grand Rapids, Michigan, United States
,
Jessica Montgomery
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Jennifer Jess
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Karen Ferguson
3  Spectrum Health, Grand Rapids, Michigan, United States
,
Jessica Parker
3  Spectrum Health, Grand Rapids, Michigan, United States
,
Dominic Sanfilippo
1  Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Surender Rajasekaran
1  Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2  Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
› Author Affiliations
Funding M.L. and S.R. are recipients of the Spectrum Health Office of Research grant (#RI0027-19), researching dietary influences in the infant population.

Abstract

We examined preadmission diet and zip code in infants with severe respiratory illness in the pediatric critical care unit. Patients aged 0 to 5 months admitted to the Helen DeVos Children's Hospital from January 2011 to May 2017 (N = 187), as exclusively formula, exclusively breastfed or mixed diet were included. Formula-fed infants (n = 88; 47%) clustered to zip codes with lower median incomes (<0.005), used public insurance as their payer type (p < 0.005), and were prescribed more ranitidine (p < 0.05) on admission.

Supplementary Material



Publication History

Received: 24 October 2019

Accepted: 22 April 2020

Publication Date:
28 May 2020 (online)

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