biostudies-literatureBrumbaugh JENICHD NIH HHS454-464https://www.ebi.ac.uk/biostudies/studies/S-EPMC10928542biostudies-literatureUnknown178(5)<h4>Importance</h4>Redirection of care refers to withdrawal, withholding, or limiting escalation of treatment. Whether maternal social determinants of health are associated with redirection of care discussions merits understanding.<h4>Objective</h4>To examine associations between maternal social determinants of health and redirection of care discussions for infants born extremely preterm.<h4>Design, setting, and participants</h4>This is a retrospective analysis of a prospective cohort of infants born at less than 29 weeks' gestation between April 2011 and December 2020 at 19 National Institute of Child Health and Human Development Neonatal Research Network centers in the US. Follow-up occurred between January 2013 and October 2023. Included infants received active treatment at birth and haJAMA pediatricsSocial Determinants of Health and Redirection of Care for Infants Born Extremely Preterm.PMC10928542F32 HD098782L40 HD099827Huffman LCPetrie Huitema CMGrisby CHenkes LTalbert JGoldstein RFKendrick-Allwood STud TLNewton JRussell DAllain ETyson JEBall MBPeralta-Carcelen MHarmon HMBoylin EPappas ARowan MJensen RLSanders AWhite MPietruszewski LJohnson KJSnyder JPoe MPapile LACira CKirker KSchrimper BMRichards LAKeim SALuzader PBird KWhite DMosquera RAChristensen MKWalker JRMiller BCosby SSStringer KAbbasi SDeBattista AMBurson KLowe JRFebruary MStoll BJRodgers SNewman JEAgarwal PTruog WESanchez PJWoodbury KDPolin RAFallone CAdams SSCarlo WADeMauro SBBroadbent MFowler ADavis BGutentag JGuilford SDe Leon MMMadden LAVan Meurs KPChen LBottcher DReddy TSteffen MYost KFaix RGGarcia CSacilowski MGStevenson DKMcDougald RWarner DJohnson KJones PMBrumbaugh JESullivan MMyers GJJordan JBurkhardt SReynolds AMWarnimont KSullivan RABahmani DBackstrom Lacy CEastman DLBremer AAMcKee SLYoder BACunningham SDMason CMWilson Archer SMancini TKennedy KAStout KNewman NSPatel RMVan Muyden SLoertscher MCAlaniz NIBrion LPEubanks FHibbs AMRector RVHurt HZaterka-Baxter KMHunn JBose GMago-Shah DMarzec LAlksninis BHeyne RJZanger DGeller RLytle CCoulter BJPrinzing DZiolkowski KWatson VEDuran JRysavy MAChristensen SWilson LDAdams MMO'Donnell Auman JBooth LPuentez ABernbaum JCVera AEarhart BDevaskar UKent ABarks JGoldston LWidness JABell EFTiman CTice KArnold SJShadd JCYolton KOrme CWilliams RJAndrews HAGauldin CBaker SMoses MBWiener LESmall KWilson-Costello DEBinion KSchmidt BWyckoff MHVasil DMFortney CAWright SLLoggins YDudley JGaetano LBaserga MDempsey AGYork Chapman SMackie CTravers CPNelin MABara RCarey HEllsbury DLYossef-Salameh LBaugher HSchmelzel MLStacey SMoreland MShankaran SBailey KJWadkins HIMHall DJJno-Finn CJRhodes-Ryan GPierce Tate PLLevengood KWeaver-Lewis KSundquist Beauman SMcKee KGChaudhary ASDomnanovich KAJoyce Deceased JCole Bledsoe LMcGrath KMDeAnda MEElmont JOGabrio JDas ABentley ASperry DCrawford MBentley BJohn JSheffield MJWilliams AMcNair TETaylor HHerron DESchibler KTwell Boatman CPreskitt JWineski LTolentino-Plata KAmbalavanan NWatterberg KLCotten CMBurke RTLakshminrusimha SWatkins DSlaughter JLWalsh MCGoldberg RNBrodkorb ATHarley-McAndrew MGuzman APurnell JKachelmeyer JNelin LDStein MFarooq OMarchant TBass DBHall BBajaj MParimi PSLillie MLDhawan MPurdy IBWuertz SWeiss HEBuie CMcGowan ECSt Pierre LSchaefer STGhavam SFriedman HGSeabrook RBowman MProud MSFisher KAMerhar SLFinkle JCarlson MMorshedzadeh GGustafson KEAdams-Chapman Deceased ILi EMartin SCHague CDPallotto EKBiasini FJBeckford DRWallace DBernhardt JHines ACHenning MMJones RGuillet RHiggins RDScott AHarrod MWhitley SNatarajan GMoffat SKicklighter SDKirpalani HRochez DKilbride HWChao MHartenberger CWoldt EMcCool JLadinsky MReich BAKeszler MParlberg LBann CMHeyne ERennie KAshley PLPoindexter BBHintz SRSiner BSKuan ESepulveda PMcDavid GEEichenwald ECClark CArldt-McAlister JSabaratnam PBatterson NClark EColeman KJadcherla SRMartin KGoeke CACarter SLKhan Siddiki SWiggins SAHanson MDeSantis BSmiley LEdwards LSood BGMalcolm WFSmikle GJellison SSGrothause JLCucinotta DMWhite DFLaptook ARMaxson EScorsone AMLucash RELaursen JEunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research NetworkBoricha FVohr BRColaizy TTSokol GMLee LEMayne JChopko SAKim JHale ECChanlaw TD'Angio CTCollins MVCahill TELamberson VStuart ALColeman KRCarlton DPKnosp LKParry DMYeates KOKrueger CEGerdes MHensman AMStephens EBurnett JWereszczak JHolmes AKnoll AFearns EFaruqui SEVieira EReichert ENChilds KGarg MOsborne KFrancom BLZorn WJensen EROhls RKChock VYReubens LJMaitre NCavanaugh BPark CGantz MGBaack MLRau CAMulligan LaRossa MSewell ELaughon MMGunn SPavageau LKeszler MLKhan AMMerzbach JGratton TLChawla SBose CLMaffett DWinter SEason EDuncan AFMinton SDMaitre NLWaterbury JCatts CElenkiwich CLeach TMPhillips VAMickelsen HGFuller JfalseSocial Determinants of Health and Redirection of Care for Infants Born Extremely Preterm.<h4>Importance</h4>Redirection of care refers to withdrawal, withholding, or limiting escalation of treatment. Whether maternal social determinants of health are associated with redirection of care discussions merits understanding.<h4>Objective</h4>To examine associations between maternal social determinants of health and redirection of care discussions for infants born extremely preterm.<h4>Design, setting, and participants</h4>This is a retrospective analysis of a prospective cohort of infants born at less than 29 weeks' gestation between April 2011 and December 2020 at 19 National Institute of Child Health and Human Development Neonatal Research Network centers in the US. Follow-up occurred between January 2013 and October 2023. Included infants received active treatment at birth and ha2024-01-01T00:00:00Z2024 May2025-04-22T20:47:26.055Z2025-04-06T03:22:16.373ZS-EPMC109285423846626810.1001/jamapediatrics.2024.0125