|Title||Factors associated with follow-up of infants with hypoxic-ischemic encephalopathy in a high-risk infant clinic in California.|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Authors||Pai VV, Kan P, Lu T, Gray EE, Bennett M, Jocson MAL, Lee HC, Carmichael SL, Hintz SR|
|Date Published||2020 Dec 12|
OBJECTIVE: To determine the rates of high-risk infant follow-up (HRIF) attendance and the characteristics associated with follow-up among infants with hypoxic-ischemic encephalopathy (HIE) in California.
STUDY DESIGN: Using population-based datasets, 1314 infants with HIE born in 2010-2016 were evaluated. The characteristics associated with follow-up were identified through multivariable logistic regression.
RESULTS: 73.9% of infants attended HRIF by age 1. Follow-up rates increased and variation in follow-up by clinic decreased over time. Female infants; those born to African-American, single, less than college-educated, or publicly insured caregivers; and those referred to high-volume or regional programs had lower follow-up rates. In multivariable analysis, Asian and Pacific Islander race/ethnicity had lower odds of follow-up; infants with college- or graduate school-educated caregivers or referred to mid-volume HRIF programs had greater odds.
CONCLUSION: Sociodemographic and program-level characteristics were associated with lack of follow-up among HIE infants. Understanding these characteristics may improve the post-discharge care of HIE infants.
|Alternate Journal||J Perinatol|
|Grant List||F32 HD096778-01 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /|