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Understanding paediatric laryngomalacia: a study of social determinants and associated diseases

Published online by Cambridge University Press:  04 November 2024

Dean G. Kennedy*
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
Amos M. Mwaura
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
Nicholas R. Wilson
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
Jonathan M. Carnino
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
Jessica R. Levi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA
*
Corresponding author: Dean G. Kennedy; Email: dgkenn@bu.edu

Abstract

Objective

This study investigated the influence of socioeconomic factors on the incidence of laryngomalacia in paediatric in-patients.

Methods

Data from the 2016 Healthcare Cost and Utilization Project Kid Inpatient Database were analysed. Variables included zip code median income, race and/or ethnicity, primary expected payer and associated International Statistical Classification of Diseases and Related Health Problems 10th Revision codes in admission.

Results

Lower median income zip codes showed a 6.4 per cent increase in laryngomalacia admissions, while higher-income zip codes had an 8.0 per cent decrease. Black patients exhibited a 24.5 per cent increase and Asian or Pacific Islander patients showed a 42.5 per cent decrease in laryngomalacia admissions. Medicaid and other government programme payers had a 22.1 per cent increase, while Medicare, private insurance and self-pay patients had decreases of 35.5, 20.9 and 55.7 per cent, respectively. Laryngomalacia was associated with a number of disease processes from a multitude of organ systems in a statistically significant manor.

Conclusion

Socioeconomic status, race, primary expected payer and co-morbid disease process significantly impact laryngomalacia admissions.

Information

Type
Main Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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