Geospatial Analysis of Social Determinants of Health Identifies Neighborhood Hot Spots Associated With Pediatric Intensive Care Use for Acute Respiratory Failure Requiring Mechanical Ventilation.

ABSTRACT:

Objectives

Poverty, racial bias, and disparities are linked to adverse health outcomes for children in the United States. The social vulnerability and child opportunity indices are composite measures of the social, economic, education, health, and environmental qualities that affect human health for every U.S. census tract. Composite measures of social vulnerability and child opportunity were compared for neighborhood hot spots, where PICU admissions for acute respiratory failure requiring invasive mechanical ventilation were at the 90th percentile or greater per 1,000 children, versus non-hot spots.

Design

Population-based ecological study.

Setting

Two urban free-standing children's hospital PICUs consisting of a 36-bed quaternary academic and a 56-bed tertiary commu

SUBMITTER: Najjar N 

PROVIDER: S-EPMC9529762 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature