What question did this study set out to answer?

To evaluate the association between neighborhood socioeconomic deprivation and hospital length of stay in children with medical complexity.

May 11, 2025Hospital Pediatrics

Neighborhood Socioeconomic Deprivation and Length of Stay in Children With Medical Complexity

View Full Paper

Ask AI

Bookmark

Authors

AWAmanda Warniment YZYin Zhang BHBin Huang

Discussion

Member takes

Overview

Retrospective study reveals longer hospital stays among medically complex children from socioeconomically deprived neighborhoods, highlighting systemic health inequities.

Key Points

To evaluate the association between neighborhood socioeconomic deprivation and hospital length of stay in children with medical complexity.
Conducted a single-center retrospective study of hospitalized patients aged up to 21 years with at least 2 complex chronic conditions discharged between 2016 and 2022 (N = 4,697 encounters from 2,186 patients), excluding neonatal intensive care stays.
Mapped patient home addresses to US census-tract data using the Brokamp neighborhood socioeconomic deprivation index as the primary exposure.
Employed linear mixed models adjusted for clinical covariates and within-patient clustering to examine the effect on continuous length of stay in days.
The median neighborhood deprivation index was 0.33 (IQR, 0.25–0.42) and the overall median hospital length of stay was 3.29 days (IQR, 1.86–6.91).
In adjusted analyses, each 0.1-unit increase in the deprivation index was associated with a 1.05-fold increase in length of stay (95% CI, 1.03–1.08).
Patients living in more socioeconomically deprived neighborhoods (75th percentile) experienced an estimated 9% increase in length of stay compared to those in less deprived areas (25th percentile).

Cite This Study

Warniment et al. (2025) studied this question.

synapsesocial.com/papers/6a174d5ebdf43c780a786fb3 https://doi.org/10.1542/hpeds.2024-008053

View Full Paper

Ask AI

Bookmark

May 11, 2025Hospital Pediatrics

Neighborhood Socioeconomic Deprivation and Length of Stay in Children With Medical Complexity

View Full Paper

Ask AI

Bookmark

Authors

AWAmanda Warniment YZYin Zhang BHBin Huang

Discussion

Member takes

Overview

Retrospective study reveals longer hospital stays among medically complex children from socioeconomically deprived neighborhoods, highlighting systemic health inequities.

Key Points

To evaluate the association between neighborhood socioeconomic deprivation and hospital length of stay in children with medical complexity.
Conducted a single-center retrospective study of hospitalized patients aged up to 21 years with at least 2 complex chronic conditions discharged between 2016 and 2022 (N = 4,697 encounters from 2,186 patients), excluding neonatal intensive care stays.
Mapped patient home addresses to US census-tract data using the Brokamp neighborhood socioeconomic deprivation index as the primary exposure.
Employed linear mixed models adjusted for clinical covariates and within-patient clustering to examine the effect on continuous length of stay in days.
The median neighborhood deprivation index was 0.33 (IQR, 0.25–0.42) and the overall median hospital length of stay was 3.29 days (IQR, 1.86–6.91).
In adjusted analyses, each 0.1-unit increase in the deprivation index was associated with a 1.05-fold increase in length of stay (95% CI, 1.03–1.08).
Patients living in more socioeconomically deprived neighborhoods (75th percentile) experienced an estimated 9% increase in length of stay compared to those in less deprived areas (25th percentile).

Cite This Study

Warniment et al. (2025) studied this question.

synapsesocial.com/papers/6a174d5ebdf43c780a786fb3 https://doi.org/10.1542/hpeds.2024-008053

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark