Impact of race on heart rate characteristics monitoring in very low birth weight infants.

ABSTRACT:

Background

A multicenter RCT showed that displaying a heart rate characteristics index (HRCi) predicting late-onset sepsis reduced mortality for VLBW infants. We aimed to assess whether HRCi display had a differential impact for Black versus White infants.

Methods

We performed secondary data analysis of Black and White infants enrolled in the HeRO RCT. We evaluated the predictive performance of the HRCi for infants with Black or White maternal race. Using models adjusted for birth weight, we assessed outcomes and interventions for a race × randomization interaction.

Results

Among 2607 infants, Black infants had lower birth weight, gestational age, length of stay, and ventilator days, while sepsis and mortality were similar. The HRCi performed equally for sepsis predic

SUBMITTER: Sullivan BA 

PROVIDER: S-EPMC10350468 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature