UK Pediatric Admission Higher in Deprived and South Asians

But south Asian mortality higher, particularly in less deprived

MONDAY, Dec. 29 (HealthDay News) -- Admission rates to pediatric intensive care units and mortality are higher in more-deprived children and in south Asian children in the United Kingdom, though less-deprived south Asian children have higher mortality, according to study findings published online Dec. 23 in the Archives of Disease in Childhood.

Roger C. Parslow, M.D., from the University of Leeds in the United Kingdom, and colleagues examined the association between socioeconomic status and ethnicity and the incidence rate for admission and mortality among 40,303 children (under 16 years old) receiving pediatric intensive care in England and Wales. Of these, 10.8 percent were classified as south Asian.

The investigators found that the incidence of admission was higher in south Asian children (incidence rate ratio 1.36). The age-sex standardized incidence per 100,000 ranged from 65 in the least-deprived fifth of the population to 124 in the most-deprived fifth, the researchers report. In south Asian children, the risk-adjusted odds ratio for mortality was 1.36 overall, but rose to 2.40 in the least-deprived fifth, the report indicates.

"In England and Wales, the admission rate to pediatric intensive care is higher for children from more-deprived areas and 36 percent higher for children from the south Asian population," Parslow and colleagues conclude. "Risk-adjusted mortality increases in south Asian children as deprivation decreases."

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