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J Pediatr Intensive Care 2020; 09(04): 277-883
DOI: 10.1055/s-0040-1712920
Original Article

Preadmission Diet and Zip Code Influences the Pediatric Critical Care Clinical Course for Infants with Severe Respiratory Illness (N = 187)

Mara L. Leimanis Laurens 
1   Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Amina M. Jaji 
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
3   Spectrum Health, Grand Rapids, Michigan, United States
,
Jessica Montgomery
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Jennifer Jess
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Karen Ferguson
3   Spectrum Health, Grand Rapids, Michigan, United States
,
Jessica Parker
3   Spectrum Health, Grand Rapids, Michigan, United States
,
Dominic Sanfilippo
1   Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
,
Surender Rajasekaran
1   Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States
2   Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States
› Institutsangaben Funding M.L. and S.R. are recipients of the Spectrum Health Office of Research grant (#RI0027-19), researching dietary influences in the infant population.
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Abstract

We examined preadmission diet and zip code in infants with severe respiratory illness in the pediatric critical care unit. Patients aged 0 to 5 months admitted to the Helen DeVos Children's Hospital from January 2011 to May 2017 (N = 187), as exclusively formula, exclusively breastfed or mixed diet were included. Formula-fed infants (n = 88; 47%) clustered to zip codes with lower median incomes (<0.005), used public insurance as their payer type (p < 0.005), and were prescribed more ranitidine (p < 0.05) on admission.

Keywords

diet - pediatric critical care unit - severe respiratory illness - median household income - zip code

Supplementary Material



Publikationsverlauf

Eingereicht: 24. Oktober 2019

Angenommen: 22. April 2020

Artikel online veröffentlicht:
28. Mai 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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