Work

Understanding paediatric laryngomalacia: a study of social determinants and associated diseases

Year: 2024

Type: article

Abstract: OBJECTIVE: This study investigated the influence of socioeconomic factors on the incidence of laryngomalacia in paediatric in-patients. METHODS: Data from the 2016 Healthcare Cost and Utilization Project Kid Inpatient Database were analysed. Variables included zip code median income, race and/or ethnicity, primary expected payer and associated International Statistical Classification of Diseases and Related Health Problems 10th Revision codes in admission. RESULTS: Lower median income zip codes showed a 6.4 per cent increase in laryngomalacia admissions, while higher-income zip codes had an 8.0 per cent decrease. Black patients exhibited a 24.5 per cent increase and Asian or Pacific Islander patients showed a 42.5 per cent decrease in laryngomalacia admissions. Medicaid and other government programme payers had a 22.1 per cent increase, while Medicare, private insurance and self-pay patients had decreases of 35.5, 20.9 and 55.7 per cent, respectively. Laryngomalacia was associated with a number of disease processes from a multitude of organ systems in a statistically significant manor. CONCLUSION: Socioeconomic status, race, primary expected payer and co-morbid disease process significantly impact laryngomalacia admissions.

Source: The Journal of Laryngology & Otology

DOI: 10.1017/s0022215124001567

Authors: Dean G. Kennedy, Amos M. Mwaura, Nicholas R. Wilson, Jonathan M. Carnino, Jessica R. Levi

Institutions: Boston University, Boston Medical Center

Language: English

Topic: Tracheal and airway disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDGs: Reduced inequalities, Good health and well-being

Open Access status: bronze

OpenAlex ID: W4404020773