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一项针对重症毛细支气管炎婴儿的多中心研究中电话随访成功的预测因素。

Predictors of successful telephone follow-up in a multicenter study of infants with severe bronchiolitis.

作者信息

Wu Vickie, Abo-Sido Nora, Espinola Janice A, Tierney Courtney N, Tedesco Kathleen T, Sullivan Ashley F, Camargo Carlos A

机构信息

Albany Medical College, Albany, NY.

Harvard Medical School, Boston, MA.

出版信息

Ann Epidemiol. 2017 Jul;27(7):454-458.e1. doi: 10.1016/j.annepidem.2017.05.018. Epub 2017 Jun 5.

Abstract

PURPOSE

To identify the characteristics that predict successful telephone follow-up with parents of infants with severe bronchiolitis.

METHODS

We analyzed data from a 17-center, prospective cohort study of infants (age <1 year) hospitalized with bronchiolitis during three consecutive fall/winter seasons. Participant contact information and clinical data were collected during the index hospitalization. Parents were called at 6-month intervals (based on the child's age) after discharge to assess respiratory problems. The primary outcome was age 12-month telephone interview status. Participants were classified as unreachable after 28 days of unsuccessful attempts.

RESULTS

798 of 916 children (87%) completed the age 12-month telephone interview. In unadjusted analyses, factors associated with successful follow-up included: private health insurance, annual household income $60,000 or more, and residing in the Northeast, Midwest, or West. Follow-up was less common among non-Hispanic blacks, Hispanics, and households with 3 or more children. In multivariable analyses, follow-up was more likely among parents of females, and, compared with the South, in the Northeast and Midwest (all P < .05). Compared with non-Hispanic whites, non-Hispanic blacks and Hispanics remained less likely to complete the interview as did households with 3 or more children (all P < .05).

CONCLUSION

Sociodemographic and geographic factors predict successful telephone follow-up, even among parents of infants with severe illness.

摘要

目的

确定能够预测对重症细支气管炎婴儿家长进行电话随访成功的特征。

方法

我们分析了一项针对17个中心的前瞻性队列研究的数据,该研究对象为连续三个秋冬季节因细支气管炎住院的婴儿(年龄<1岁)。在首次住院期间收集了参与者的联系信息和临床数据。出院后每隔6个月(根据孩子的年龄)给家长打电话,以评估呼吸问题。主要结局是12个月龄时的电话访谈状态。在经过28天的不成功尝试后仍无法联系到的参与者被归类为无法联系到。

结果

916名儿童中有798名(87%)完成了12个月龄时的电话访谈。在未经调整的分析中,与随访成功相关的因素包括:私人医疗保险、家庭年收入6万美元或以上,以及居住在东北部、中西部或西部。非西班牙裔黑人、西班牙裔以及有3个或更多孩子的家庭进行随访的情况较少。在多变量分析中,女性家长更有可能接受随访,并且与南部相比,东北部和中西部的家长更有可能接受随访(所有P<0.05)。与非西班牙裔白人相比,非西班牙裔黑人和西班牙裔完成访谈的可能性仍然较小,有3个或更多孩子的家庭也是如此(所有P<0.05)。

结论

社会人口统计学和地理因素可预测电话随访的成功,即使是重症患儿的家长也是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d30c/5550350/4f5e5af7bd15/nihms882176f1.jpg

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