Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
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- Greater distance from hospital correlates with increased bloodstream infections in pediatric short bowel syndrome patients
- Lower parental education level associated with higher central line infection rates in intestinal rehabilitation programs
- Social determinants of health significantly impact enteral autonomy achievement in children with short bowel syndrome
- Geographic and educational barriers require targeted support interventions for families in intestinal rehabilitation
- Routine assessment of social determinants should inform care planning for pediatric short bowel syndrome management
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Can a child's zip code actually change their short bowel syndrome outcomes? I'm Lizzie Lee from Cincinnati Children's, and this is an article you should know about. This was a retrospective cohort study of children with short bowel syndrome in an intestinal rehabilitation program, followed from 2006 to 2019. They asked this question, Do social determinants of health predict outcomes like bloodstream infections? Liver disease and achieving internal autonomy? And the answer was yes, in very real ways. Distance from the hospital was a big one. Kids who lived farther away had higher risks of serious complications. Parental education showed up too. It was linked with fewer central line infections. So the takeaway is that we do need to consider social determinants so that we can support families better. Let us know what you think below.