Social Determinants of Health and Oxygen Use in Preterm Infants with Bronchopulmonary Dysplasia

Bridget Dillon; Sana Ashraf; Nupur Assudani; Ronald Thomas; Monika Bajaj

doi:10.1055/a-2717-3893

American Journal of Perinatology, Table of Contents

Am J Perinatol
DOI: 10.1055/a-2717-3893

Original Article

Social Determinants of Health and Oxygen Use in Preterm Infants with Bronchopulmonary Dysplasia

Authors

Bridget Dillon

¹Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, United States
Sana Ashraf

¹Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, United States
Nupur Assudani

¹Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, United States
Ronald Thomas

²Department of Pediatrics, Children's Hospital of Michigan, Central Michigan University, Detroit, Michigan, United States
Monika Bajaj

²Department of Pediatrics, Children's Hospital of Michigan, Central Michigan University, Detroit, Michigan, United States

Abstract

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.

Keywords

bronchopulmonary dysplasia - social determinants of health - prematurity - outcomes

Full Text

References

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