ArticleAcademic pediatrics2020
Socioeconomic Status and Bronchiolitis Severity Among Hospitalized Infants.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Recurrent Preschool Wheeze: The Impact of Adverse Social Drivers of Health and Opportunities for Interventions.The journal of allergy and clinical immunology. In practice · 2025Review
- Parental Socioeconomic Status and an Infant's Risk of Hospital Admission for Respiratory Syncytial Virus.Journal of the Pediatric Infectious Diseases Society · 2024Article
- Association of Socioeconomic Factors and Severity of Bronchiolitis Hospitalizations.Clinical pediatrics · 2024Article
- Racial and Ethnic Variation in ECMO Utilization and Outcomes in Pediatric Cardiac ICU Patients.JACC. Advances · 2023Article
- Blood eosinophils, specific immunoglobulin E, and bronchiolitis severity.Pediatric pulmonology · 2021Article
- A comparison of case definitions for infant atopic dermatitis in a multicenter prospective cohort study.Health science reports · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo investigate the relationship between socioeconomic factors and bronchiolitis severity among hospitalized infants.
methodsWe performed a 17-center, prospective cohort study from 2011 to 2014. Children <1 year old hospitalized with bronchiolitis were enrolled. Socioeconomic factors included estimated median household income (MHI) per home ZIP code, parent-reported household income, number of adults and children in household, and insurance type. We defined higher bronchiolitis severity as receipt of intensive care treatment. Multivariable logistic regression was used to analyze the association between socioeconomic factors and bronchiolitis severity, with the final model adjusted for potential clustering by site.
resultsIn multivariable models adjusted for demographic and clinical characteristics, estimated MHI was the socioeconomic factor most strongly associated with severity. Compared to infants with an intermediate MHI ($40,000-$79,999), odds of receiving intensive care treatment were significantly higher for those with MHI of ≥$80,000 (aOR 2.05, 95% CI 1.19-3.53). No significant associations were found for the other socioeconomic factors (all P > .30). While there were no significant differences in clinical presentation between income groups (all P > .25) or in receipt of mechanical ventilation alone (P = .98), infants with estimated MHI ≥$80,000 were significantly more likely to specifically have been admitted to the intensive care unit (P = .01).
conclusionsIn this multicenter study of infants hospitalized with bronchiolitis, we identified higher median household income as a risk factor for intensive care treatment. This work may yield important biological or nonbiological insights for the future management of infants with bronchiolitis.
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