Preadmission Diet and Zip Code Influences the Pediatric Critical Care Clinical Course for Infants with Severe Respiratory Illness ( N = 187)

Mara L Leimanis Laurens; Amina M Jaji; Jessica Montgomery; Jennifer Jess; Karen Ferguson; Jessica Parker; Dominic Sanfilippo; Surender Rajasekaran

doi:10.1055/s-0040-1712920

Preadmission Diet and Zip Code Influences the Pediatric Critical Care Clinical Course for Infants with Severe Respiratory Illness ( N = 187)

J Pediatr Intensive Care. 2020 Dec;9(4):277-883. doi: 10.1055/s-0040-1712920. Epub 2020 May 28.

Authors

Mara L Leimanis Laurens^{1

2}, Amina M Jaji^{2

3}, Jessica Montgomery², Jennifer Jess², Karen Ferguson³, Jessica Parker³, Dominic Sanfilippo^{1

2}, Surender Rajasekaran^{1

2}

Affiliations

¹ Pediatric Critical Care Unit, Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States.
² Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, United States.
³ Spectrum Health, Grand Rapids, Michigan, United States.

Abstract

We examined preadmission diet and zip code in infants with severe respiratory illness in the pediatric critical care unit. Patients aged 0 to 5 months admitted to the Helen DeVos Children's Hospital from January 2011 to May 2017 ( N = 187), as exclusively formula, exclusively breastfed or mixed diet were included. Formula-fed infants ( n = 88; 47%) clustered to zip codes with lower median incomes (<0.005), used public insurance as their payer type ( p < 0.005), and were prescribed more ranitidine ( p < 0.05) on admission.

Keywords: diet; median household income; pediatric critical care unit; severe respiratory illness; zip code.

Grants and funding

Funding M.L. and S.R. are recipients of the Spectrum Health Office of Research grant (#RI0027-19), researching dietary influences in the infant population.