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

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-06-01 DOI:10.1017/S0022215124001567

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

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引用次数: 0

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.

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了解小儿喉瘤：社会决定因素及相关疾病研究。

目的：探讨社会经济因素对儿科住院患者喉软化症发病率的影响。方法：对2016年医疗成本与利用项目儿童住院患者数据库中的数据进行分析。变量包括邮政编码收入中位数、种族和/或民族、主要预期付款人以及相关的国际疾病和相关健康问题统计分类第10次修订代码。结果：收入中位数较低的邮政编码显示喉软化症入院人数增加了6.4%，而收入较高的邮政编码则减少了8.0%。黑人患者的喉软化症入院率上升了24.5%，而亚洲或太平洋岛民患者的喉软化症入院率下降了42.5%。医疗补助（Medicaid）和其他政府项目支付者的支出增长了22.1%，而医疗保险（Medicare）、私人保险和自费患者的支出分别下降了35.5%、20.9%和55.7%。喉软化症与许多器官系统的许多疾病过程有关，具有统计学意义。结论：社会经济地位、种族、主要预期付款人和合并症病程显著影响喉软化入院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.