Jennifer L. Dotson|Michael D. Kappelman|Deena J. Chisolm|Wallace Crandall
Racial Disparities in Readmission, Complications, and Procedures in Children with Crohn?s Disease
Nationwide Children's Hospital|Center for Innovation|University of North Carolina at Chapel Hill|Nationwide Children's Hospital|Center for Innovation|Nationwide Children's Hospital
racial disparities care outcomes contribute mortality morbidity children however role pediatric crohns disease unclear study compared cohorts black white children crohns disease determine extent race associated differences readmissions complications procedures among hospitalizations united states data extracted pediatric health information system january 1 2004june 30 2012 patients 21 years younger hospitalized diagnosis crohns disease white black cohorts randomly selected 21 ratio hospital primary outcome time index hospital discharge readmission frequent complications procedures evaluated race 4377 patients black children shorter time first readmission higher probability readmission p 0009 16 increase risk readmission compared white children p 001 black children longer length stay higher frequency overall late 30d 12mo postdischarge readmissions p 0001 index hospitalization black children perianal disease anemia p 0001 hospitalization black children higher incidence perianal disease anemia vitamin deficiency greater number perianal procedures endoscopies blood product transfusion p 0001 differences hospital readmissions complications procedures among hospitalized children related race unclear whether differences due genetic differences worse intrinsic disease adherence access treatment treatment disparities