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Objective <p>Racial and ethnic disparities in healthcare resource utilization (HCRU) are well-documented among extremely and very preterm infants but remain understudied among more mature preterm populations. This study evaluated HCRU by race/ethnicity among moderate (32-33 weeks) and late preterm infants (34-36 weeks) with respiratory distress syndrome (RDS; defined as ICD-10-CM P22.0) at Kaiser Permanente Northern California (2019-2023).</p> Study design <p>Infants (<i>n</i> = 1674) with RDS requiring &gt;12 h of respiratory support were included. HCRU was evaluated during birth hospitalization [respiratory support, length of stay (LOS)] and one-year post-discharge [emergency department (ED) visits, hospitalization].</p> Result <p>No racial or ethnic differences were observed during hospitalization. Post-discharge, Black and Hispanic infants had higher risk of respiratory/infectious ED visits (Black, aOR=1.72 [95% CI = 1.05-2.81]; Hispanic, aOR=2.18 [95% CI = 1.56-3.06]; reference=White). Hispanic infants also had higher risks of respiratory/infectious hospitalizations (aOR=2.53 [95% CI = 1.11-5.78]).</p> Conclusion <p>While inpatient HCRU was similar across race/ethnicity, disparities emerged one-year post discharge, particularly in Black and Hispanic infants.</p>

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Differences in healthcare resource utilization by race/ethnicity among moderate to late preterm infants with respiratory distress Syndrome, Northern California

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月24日

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  • Xuezheng Sun,
  • Sanjida Mowla,
  • Annie N. Simpson,
  • Aditi Lahiri,
  • Dana Edelman,
  • Yusu Liu,
  • Shelby Corman,
  • Daniel Fuentes,
  • Dmitry Dukhovny,
  • Michael W. Kuzniewicz

摘要

Objective

Racial and ethnic disparities in healthcare resource utilization (HCRU) are well-documented among extremely and very preterm infants but remain understudied among more mature preterm populations. This study evaluated HCRU by race/ethnicity among moderate (32-33 weeks) and late preterm infants (34-36 weeks) with respiratory distress syndrome (RDS; defined as ICD-10-CM P22.0) at Kaiser Permanente Northern California (2019-2023).

Study design

Infants (n = 1674) with RDS requiring >12 h of respiratory support were included. HCRU was evaluated during birth hospitalization [respiratory support, length of stay (LOS)] and one-year post-discharge [emergency department (ED) visits, hospitalization].

Result

No racial or ethnic differences were observed during hospitalization. Post-discharge, Black and Hispanic infants had higher risk of respiratory/infectious ED visits (Black, aOR=1.72 [95% CI = 1.05-2.81]; Hispanic, aOR=2.18 [95% CI = 1.56-3.06]; reference=White). Hispanic infants also had higher risks of respiratory/infectious hospitalizations (aOR=2.53 [95% CI = 1.11-5.78]).

Conclusion

While inpatient HCRU was similar across race/ethnicity, disparities emerged one-year post discharge, particularly in Black and Hispanic infants.