{"id":19593,"date":"2024-04-29T14:44:44","date_gmt":"2024-04-29T18:44:44","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=19593"},"modified":"2024-04-29T14:44:45","modified_gmt":"2024-04-29T18:44:45","slug":"sociodemographic-factors-and-trends-in-bronchiolitis","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/sociodemographic-factors-and-trends-in-bronchiolitis\/","title":{"rendered":"Sociodemographic factors and trends in bronchiolitis-related emergency department visit and hospitalization rates"},"content":{"rendered":"<p><strong>Importance<\/strong> \u2014 Bronchiolitis is the most common and most cumulatively expensive condition in pediatric hospital care. Few population-based studies have examined health inequalities in bronchiolitis outcomes over time.<\/p>\n<p><strong>Objective<\/strong> \u2014 To examine trends in bronchiolitis-related emergency department (ED) visit and hospitalization rates by sociodemographic factors in a universally funded health care system.<\/p>\n<p><strong>Design, Setting, and Participants<\/strong> &mdash; This repeated cross-sectional cohort study was performed from April 1, 2004, to March 31, 2022, using population-based health administrative data from children younger than 2 years in Ontario, Canada.<\/p>\n<p><strong>Main Outcome and Measures<\/strong> \u2014 Bronchiolitis ED visit and hospitalization rates per 1000 person-years reported for the equity stratifiers of sex, residence location (rural vs urban), and material resources quintile. Trends in annual rates by equity stratifiers were analyzed using joinpoint regression and estimating the average annual percentage change (AAPC) with 95% CI and the absolute difference in AAPC with 95% CI from April 1, 2004, to March 31, 2020.<\/p>\n<p><strong>Results<\/strong> \u2014 Of 2\u202f921\u202f573 children included in the study, 1\u202f422\u202f088 (48.7%) were female and 2\u202f619\u202f139 (89.6%) lived in an urban location. Emergency department visit and hospitalization rates were highest for boys, those with rural residence, and those with least material resources. There were no significant between-group absolute differences in the AAPC in ED visits per 1000 person-years by sex (female vs male; 0.22; 95% CI, \u22120.92 to 1.35; <em>P<\/em>\u2009=\u2009.71), residence (rural vs urban; \u22120.31; 95% CI \u22121.70 to 1.09; <em>P<\/em>\u2009=\u2009.67), or material resources (quintile 5 vs 1; \u22121.17; 95% CI, \u22122.57 to 0.22; <em>P<\/em>\u2009=\u2009.10). Similarly, there were no significant between-group absolute differences in the AAPC in hospitalizations per 1000 person-years by sex (female vs male; 0.53; 95% CI, \u22121.11 to 2.17; <em>P<\/em>\u2009=\u2009.53), residence (rural vs urban; \u22120.62; 95% CI, \u22122.63 to 1.40; <em>P<\/em>\u2009=\u2009.55), or material resources (quintile 5 vs 1; \u22120.93; 95% CI \u22123.80 to 1.93; <em>P<\/em>\u2009=\u2009.52).<\/p>\n<p><strong>Conclusions and Relevance<\/strong> \u2014 In this population-based cohort study of children in a universally funded health care system, inequalities in bronchiolitis ED visit and hospitalization rates did not improve over time.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Importance \u2014 Bronchiolitis is the most common and most cumulatively expensive condition in pediatric hospital care. Few population-based studies have examined health inequalities in bronchiolitis outcomes over time. Objective \u2014 To examine trends in bronchiolitis-related emergency department (ED) visit and hospitalization rates by sociodemographic factors in a universally funded health care system. Design, Setting, and [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,62,52],"migration-helper-qa-sample-set":[],"class_list":["post-19593","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-health-services-research","topic-lung-health"],"acf":{"citation":"Mahant S, Borkhoff CM, Parkin PC, Imsirovic H, Tuna M, Macarthur C, To T, Gill PJ; Canadian Paediatric Inpatient Research Network (PIRN). 2024; 7(4):e248976. Epub 2024 Apr 29.","source_url":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.8976","ices_scientist":[1111,23221,23938],"site":[6734],"research_program":[6746],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Sociodemographic factors and trends in bronchiolitis-related emergency department visit and hospitalization rates<\/title>\n<meta name=\"description\" content=\"Importance \u2014 Bronchiolitis is the most common and most cumulatively expensive condition in pediatric hospital care. Few population-based studies have Have inequalities based on sex, residence location, and material resources in bronchiolitis emergency department visits and hospitalizations improved over time?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/sociodemographic-factors-and-trends-in-bronchiolitis\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Sociodemographic factors and trends in bronchiolitis-related emergency department visit and hospitalization rates\" \/>\n<meta property=\"og:description\" content=\"Importance \u2014 Bronchiolitis is the most common and most cumulatively expensive condition in pediatric hospital care. 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