For infants born extremely preterm, redirection-of-care discussions occurred less often for Black, Hispanic infants<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
<\/b><\/p>\n
TUESDAY, March 12, 2024 (HealthDay News) — For infants born extremely preterm, redirection-of-care discussions occur less often for Black and Hispanic infants, according to a study published online March 11 in JAMA Pediatrics<\/em>.<\/p>\n Jane E. Brumbaugh, M.D., from the Mayo Clinic in Rochester, Minnesota, and colleagues examined associations between maternal social determinants of health and redirection-of-care discussions in a retrospective analysis of a prospective cohort of infants born at less than 29 weeks of gestation. The infants received active treatment at birth.<\/p>\n The researchers found that 15 percent of the 15,629 infants from 13,643 mothers had documented redirection-of-care discussions. The percentage of infants with redirection-of-care discussions did not differ significantly by race (15 percent Black; 15 percent White) or ethnicity (14 percent Hispanic; 15 percent non-Hispanic) in unadjusted comparisons. After adjustment for maternal and neonatal factors, infants whose mothers identified as Black or Hispanic were less likely than those who identified as White or non-Hispanic to have documented redirection-of-care discussions (adjusted odds ratios, 0.84 and 0.72, respectively). There was no difference seen in redirection-of-care discussion occurrence by maternal education level or insurance type.<\/p>\n “Our findings suggest the possibility that race and ethnicity may be relevant to goals of care discussions and end-of-life care in the neonatal intensive care setting, and further study in this area is needed,” the authors write.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n