Wu Vickie, Abo-Sido Nora, Espinola Janice A, Tierney Courtney N, Tedesco Kathleen T, Sullivan Ashley F, Camargo Carlos A
Albany Medical College, Albany, NY.
Harvard Medical School, Boston, MA.
Ann Epidemiol. 2017 Jul;27(7):454-458.e1. doi: 10.1016/j.annepidem.2017.05.018. Epub 2017 Jun 5.
To identify the characteristics that predict successful telephone follow-up with parents of infants with severe bronchiolitis.
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.
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).
Sociodemographic and geographic factors predict successful telephone follow-up, even among parents of infants with severe illness.
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。
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。
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)。
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。