Linguistic isolation correlates with length of stay and mortality for pediatric oncology patients in California.
Cancer Med
; 13(13): e7371, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38967244
ABSTRACT
OBJECTIVE:
To evaluate social drivers of health and how they impact pediatric oncology patients' clinical outcomes during pediatric intensive care unit (PICU) admission via correlation with patient ZIP codes.METHODS:
Demographic, clinical, and outcome variables from Virtual Pediatric Systems®, LLC for oncology patients (2009-2021) in California PICUs (excluding postoperative) using 3-digit ZIP Codes with social drivers of health variables linguistic isolation, poverty, race/ethnicity, and education abstracted from American Community Survey data for 3-digit ZIP Codes using the Environmental Protection Agency's EJScreen tool. Outcomes of length of stay (LOS), mortality, acuity scores, were compared with social variables.RESULTS:
Positive correlation between mortality and minority racial groups (Hispanic/Latino) across ZIP Codes (correlation coefficients of 0.45 (95% CI 0.22-0.64, p < 0.001) in 2017, 0.50 (95% CI 0.27-0.68, p < 0.001) in 2018, 0.33 (95% CI 0.07-0.54, p = 0.013) in 2020, and 0.32 (95% CI 0.06-0.53, p = 0.018) in 2021). Median PICU length of stay significantly correlated with linguistic isolation (coefficient of 0.42 (95% CI 0.18-0.61, p = 0.001) in 2021 versus -0.41 (95% CI -0.61 to -0.16, p = 0.002) in 2019), which included PRISMIII (n = 7417). Mixed effects logistic regression model for other constant variables (PRISMIII, cancer type, race/ethnicity, year), random effect of patient, linguistic isolation (percentage as a continuous value) was significantly associated (95% CI 1.01-1.06; p = 0.02) with mortality; (OR = 1.03).CONCLUSIONS:
Linguistic isolation was correlated with LOS and mortality, however variable year to year.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Unidades de Cuidado Intensivo Pediátrico
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Tiempo de Internación
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Neoplasias
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Cancer Med
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos