Trends in neonatal intensive care unit admissions by race/ethnicity in the United States, 2008–2018

To examine temporal trends of NICU admissions in the U.S. by race/ethnicity, we conducted a retrospective cohort analysis using natality files provided by the National Center for Health Statistics at the U.S. Centers for Disease Control and Prevention. A total of 38,011,843 births in 2008–2018 were...

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Bibliographic Details
Published in:Scientific reports 2021-12, Vol.11 (1), p.23795-23795, Article 23795
Main Authors: Kim, Youngran, Ganduglia-Cazaban, Cecilia, Chan, Wenyaw, Lee, MinJae, Goodman, David C.
Format: Article
Language:English
Subjects:
692/700/1720/3185
692/700/1720/3186
Adolescent
Adult
Birth weight
Cultural differences
Ethnicity
Ethnicity - statistics & numerical data
Female
Health care
History, 21st Century
Humanities and Social Sciences
Humans
Infant
Infant, Newborn
Infants
Intensive Care Units, Neonatal - statistics & numerical data
Intensive Care, Neonatal - history
Intensive Care, Neonatal - statistics & numerical data
Intensive Care, Neonatal - trends
Low birth weight
Male
Maternal Age
Middle Aged
Minority & ethnic groups
multidisciplinary
Natality
Neonates
Patient Admission - statistics & numerical data
Public Health Surveillance
Race
Risk groups
Science
Science (multidisciplinary)
Statistical analysis
Trends
United States - epidemiology
United States - ethnology
Young Adult
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Summary:To examine temporal trends of NICU admissions in the U.S. by race/ethnicity, we conducted a retrospective cohort analysis using natality files provided by the National Center for Health Statistics at the U.S. Centers for Disease Control and Prevention. A total of 38,011,843 births in 2008–2018 were included. Crude and risk-adjusted NICU admission rates, overall and stratified by birth weight group, were compared between white, black, and Hispanic infants. Crude NICU admission rates increased from 6.62% (95% CI 6.59–6.65) to 9.07% (95% CI 9.04–9.10) between 2008 and 2018. The largest percentage increase was observed among Hispanic infants (51.4%) compared to white (29.1%) and black (32.4%) infants. Overall risk-adjusted rates differed little by race/ethnicity, but birth weight-stratified analysis revealed that racial/ethnic differences diminished in the very low birth weight (
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-021-03183-1