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)

Authors

  • 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

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.

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.



Publication History

Received: 24 October 2019

Accepted: 22 April 2020

Article published online:
28 May 2020

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