Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia.
School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, WA, Australia.
Dev Med Child Neurol. 2020 Apr;62(4):470-476. doi: 10.1111/dmcn.14348. Epub 2019 Sep 9.
To compare hospital admission patterns after the first year of life in Australian children with developmental disabilities and children with no known disability, according to maternal country of birth and Indigenous status.
This was a retrospective cohort study using linked data across health, disability, and hospital admission databases. The study investigated 656 174 children born in Western Australia between 1983 and 2008 with a total of 1 091 834 records of hospital admissions.
Children with no known disability born to Indigenous mothers had the highest rate of hospital admissions compared to children of non-Indigenous mothers. Children of foreign-born mothers from low-income countries had the highest rate of hospital admissions if disability was present. Children with cerebral palsy (CP) with or without associated intellectual disability had the highest rate of hospital admissions among children with developmental disability, especially if mothers were foreign-born.
Children with CP and intellectual disability, particularly from minority backgrounds (Indigenous Australian and foreign-born mothers), were at higher risk of being admitted to hospital after the first year of life.
Hospital admissions in Australian children with and without disabilities differ according to maternal country of birth. Hospital admission rates in children without a developmental disability were greatest for Australian-born Indigenous children. Disabled Australian-born children of foreign-born mothers from low-income countries had the highest hospital admission rates. Hospital admission risk was greatest for Australian-born children with cerebral palsy, especially if mothers were foreign-born.
根据母亲的出生国和土着身份，比较澳大利亚有发育障碍和无已知残疾儿童在生命第一年之后的住院模式。
这是一项使用健康、残疾和住院数据库进行的回顾性队列研究。本研究调查了 1983 年至 2008 年间在西澳大利亚出生的 656174 名儿童，共有 1091834 次住院记录。
与非土着母亲所生的儿童相比，土着母亲所生的无已知残疾儿童的住院率最高。如果存在残疾，来自低收入国家的外国出生母亲的儿童住院率最高。有或没有相关智力残疾的脑瘫儿童（CP）在发育障碍儿童中住院率最高，尤其是母亲为外国出生的儿童。
患有 CP 和智力残疾的儿童，特别是来自少数民族背景（土着澳大利亚人和外国出生的母亲）的儿童，在生命的第一年之后更有可能住院。
有和没有残疾的澳大利亚儿童的住院情况因母亲的出生国而异。在没有发育障碍的儿童中，澳大利亚土着出生的儿童的住院率最高。来自低收入国家的外国出生的母亲的残疾澳大利亚出生的儿童的住院率最高。对于患有脑瘫的澳大利亚出生的儿童，特别是母亲是外国出生的儿童，住院风险最高。
