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Reduced racial disparities among newborns with intraventricular hemorrhage

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Abstract

Introduction

Intraventricular hemorrhage (IVH) can ensue permanent neurologic dysfunction, morbidity, and mortality. While previous reports have identified disparities based on patient gender or weight, no prior study has assessed how race may influence in neonatal or infantile IVH patients. The aim of this study was to investigate the impact of race on adverse event (AE) rates, length of stay (LOS), and total cost of admission among newborns with IVH.

Methods

Using the 2016–2019 National Inpatient Sample database, newborns diagnosed with IVH were identified using ICD-10-CM codes. Patients were stratified based on race. Patient characteristics and inpatient outcomes were assessed. Multivariate logistic regression analyses were used to identify the impact of race on extended LOS and exorbitant cost.

Results

Of 1435 patients, 650 were White (45.3%), 270 African American (AA) (18.8%), 300 Hispanic (20.9%), and 215 Other (15.0%). A higher percentage of AA and Other patients than Hispanic and White patients were < 28 days old (p = 0.008). Each of the cohorts had largely similar presenting comorbidities and symptoms, although AA patients did have significantly higher rates of NEC (p < 0.001). There were no observed differences in rates of AEs, rates of mortality, mean LOS, or mean total cost of admission. Similarly, on multivariate analysis, no race was identified as a significant independent predictor of extended LOS or exorbitant cost.

Conclusions

Our study found that in newborns with IVH, race is not associated with proxies of poor healthcare outcomes like prolonged LOS or excessive cost. Further studies are needed to validate these findings.

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Data availability

No datasets were generated or analysed during the current study.

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Authors and Affiliations

  1. Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA

    Sumaiya Sayeed, Benjamin C. Reeves, Brianna C. Theriault, Astrid C. Hengartner, Nabihah Ahsan, Michael DiLuna & Aladine A. Elsamadicy

  2. Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

    Sina Sadeghzadeh

  3. Department of Obstetrics, Gynecology, and Reproductive Sciences, Vanderbilt University, Nashville, TN, USA

    Emad A. Elsamadicy

Authors
  1. Sumaiya Sayeed
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  2. Benjamin C. Reeves
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Contributions

Sumaiya Sayeed, B.S: software, methodology, formal analysis, writing — original draft; Benjamin C. Reeves, B.A.: writing — original draft; Brianna C. Theriault, M.D., Ph.D.: writing — original draft; Astrid C. Hengartner, B.S.: writing — review and editing; Nabihah Ahsan: writing — original draft; Sina Sadeghzadeh, A.B.: writing — Review and editing; Emad A. Elsamadicy, M.D., M.S.: writing — review and editing, supervision; Michael DiLuna, M.D.: writing — review and editing, supervision; Aladine A. Elsamadicy, M.D.: conceptualization, writing — review and editing, supervision.

Corresponding author

Correspondence to Aladine A. Elsamadicy.

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Appendix

Appendix

Table 7 ICD-10 codes
Full size table

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Sayeed, S., Reeves, B.C., Theriault, B.C. et al. Reduced racial disparities among newborns with intraventricular hemorrhage. Childs Nerv Syst (2024). https://doi.org/10.1007/s00381-024-06369-w

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