Patient characteristics of pediatric inpatients with sensorineural hearing loss: Insights from the 2016 KID database

Am J Otolaryngol. 2024 Jan-Feb;45(1):104077. doi: 10.1016/j.amjoto.2023.104077. Epub 2023 Oct 11.

Abstract

This study examines how patient demographics impact pediatric sensorineural hearing loss (SNHL) prevalence using the 2016 Kids' Inpatient Database (KID). By analyzing age, gender, race, income, insurance, and region, the study provides insights for early intervention and diagnosis. Multivariate regression analysis reveals associations between these factors and SNHL occurrence.

Objective: This study aims to assess the influence of patient demographics on pediatric SNHL prevalence, offering guidance for early detection and intervention strategies.

Study design: Using 2016 KID data, this retrospective analysis investigates how patient factors like age, gender, race, income, insurance, and region relate to SNHL prevalence. Multivariate regression is employed to control for potential confounders.

Methods: Data from 6,266,285 patient discharges, including 9997 hearing loss cases, are analyzed. SNHL prevalence is calculated, and demographic variables are examined. Weighted odds ratios and multivariate regression are used to assess associations.

Results: The study finds an overall SNHL prevalence of 101.67 cases per 100,000 discharges in 2016. Non-Hispanic White patients show the highest prevalence. Black patients are more likely to be diagnosed, while Hispanic patients are less likely. Multivariate analysis highlights race, income, insurance, region, age, and sex as significant confounders.

Conclusion: This study underscores the impact of patient demographics on pediatric SNHL prevalence. Factors like race, income, insurance, and region play a role. These findings aid in risk assessment, early identification, and tailored interventions. Further research can uncover socioeconomic disparities and underlying mechanisms.

Keywords: KID database; Patient demographics; Pediatric hearing loss; Pediatric inpatients; Sensorineural hearing loss.

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Databases, Factual*
  • Female
  • Hearing Loss, Sensorineural* / diagnosis
  • Hearing Loss, Sensorineural* / epidemiology
  • Humans
  • Income / statistics & numerical data
  • Infant
  • Infant, Newborn
  • Inpatients* / statistics & numerical data
  • Male
  • Multivariate Analysis
  • Prevalence
  • Retrospective Studies
  • Sex Factors
  • United States / epidemiology