TABLE 1.
Demographic and Clinical Characteristics of Children With Neurologic Impairment Admitted for Pneumonia to 40 Freestanding Children’s Hospitals
Characteristic | Overall Cohort (n = 27455) | Aspiration Pneumonia (n =2659) | Nonaspiration Pneumonia (n = 24796) | P a | |||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
Male | 14 414 | 52.5 | 1445 | 54.3 | 12 969 | 52.3 | .050 |
Age | <.001 | ||||||
1–4 y | 15 375 | 56.0 | 1252 | 47.1 | 14 123 | 57.0 | |
5–9 y | 6701 | 24.4 | 606 | 22.8 | 6095 | 24.6 | |
10–18 y | 5379 | 19.6 | 801 | 30.1 | 4578 | 18.5 | |
Race/ethnicity | .320 | ||||||
Non-Hispanic white | 13 020 | 47.4 | 1287 | 48.4 | 11 733 | 47.3 | |
Non-Hispanic black | 4440 | 16.2 | 405 | 15.2 | 4035 | 16.3 | |
Hispanic | 6647 | 24.2 | 621 | 23.4 | 6026 | 24.3 | |
Primary source of payment | <.001 | ||||||
Government | 14 999 | 54.6 | 1649 | 62.0 | 13 350 | 53.8 | |
Private | 9705 | 35.3 | 834 | 31.4 | 8871 | 35.8 | |
Other | 2751 | 10.0 | 176 | 6.6 | 2575 | 10.4 | |
NI category | |||||||
Static neurologic disease | 21 717 | 79.1 | 1742 | 65.5 | 19 975 | 80.6 | <.001 |
Epilepsy | 5073 | 18.5 | 1503 | 56.5 | 3570 | 14.4 | <.001 |
Genetic or metabolic condition | 4045 | 14.7 | 635 | 23.9 | 3410 | 13.8 | <.001 |
Anatomic abnormality | 3361 | 12.2 | 926 | 34.8 | 2435 | 9.8 | <.001 |
Not otherwise specified/other | 2205 | 8.0 | 716 | 26.9 | 1489 | 6.0 | <.001 |
Peripheral neurologic disease | 1373 | 5.0 | 251 | 9.4 | 1122 | 4.5 | <.001 |
Behavioral | 669 | 2.4 | 54 | 2.0 | 615 | 2.5 | .200 |
Cerebrovascular disease | 299 | 1.1 | 78 | 2.9 | 221 | 0.9 | <.001 |
Progressive neurologic disease | 252 | 0.9 | 88 | 3.3 | 164 | 0.7 | <.001 |
CCC | |||||||
Gastrointestinal | 6092 | 22.2 | 1699 | 63.9 | 4393 | 17.7 | <.001 |
Congenital/genetic defect | 5187 | 18.9 | 974 | 36.6 | 4213 | 17.0 | <.001 |
Respiratory | 2780 | 10.1 | 481 | 18.1 | 2299 | 9.3 | <.001 |
Cardiovascular | 2260 | 8.2 | 348 | 13.1 | 1912 | 7.7 | <.001 |
Metabolic | 1239 | 4.5 | 232 | 8.7 | 1007 | 4.1 | <.001 |
Neonatal | 1182 | 4.3 | 222 | 8.3 | 960 | 3.9 | <.001 |
Hematology/immunodeficiency | 870 | 3.2 | 58 | 2.2 | 812 | 3.3 | .002 |
Renal | 741 | 2.7 | 123 | 4.6 | 618 | 2.5 | <.001 |
Malignancy | 670 | 2.4 | 79 | 3.0 | 591 | 2.4 | .060 |
Transplant | 320 | 1.2 | 20 | 0.8 | 300 | 1.2 | .040 |
Nonneurologic CCC count | <.001 | ||||||
0 | 15 138 | 55.1 | 372 | 14.0 | 14 766 | 59.5 | |
1 | 4131 | 15.0 | 358 | 13.5 | 3773 | 15.2 | |
2+ | 8186 | 29.8 | 1929 | 72.5 | 6257 | 25.2 | |
Assistance with medical technology | 7261 | 26.4 | 1856 | 69.8 | 5405 | 21.8 | <.001 |
Gastrointestinal | 5929 | 21.6 | 1692 | 63.6 | 4237 | 17.1 | <.001 |
Respiratory | 1898 | 6.9 | 311 | 11.7 | 1587 | 6.4 | <.001 |
Neurologic/neuromuscular | 1179 | 4.3 | 285 | 10.7 | 894 | 3.6 | <.001 |
Cardiovascular | 204 | 0.7 | 29 | 1.1 | 175 | 0.7 | .030 |
Renal | 143 | 0.5 | 23 | 0.9 | 120 | 0.5 | .009 |
Other | 872 | 3.2 | 160 | 6.4 | 703 | 2.8 | <.001 |
Noncomplex medical comorbidities | |||||||
Reflux | 3629 | 13.2 | 1142 | 42.9 | 2487 | 10.0 | <.001 |
Constipation | 1685 | 6.1 | 365 | 13.7 | 1320 | 5.3 | <.001 |
Scoliosis | 1578 | 5.7 | 427 | 16.4 | 1151 | 4.6 | <.001 |
Osteopenia/osteoporosis | 328 | 1.2 | 90 | 3.4 | 238 | 1.0 | <.001 |
Diabetes insipidus | 166 | 0.6 | 38 | 1.4 | 128 | 0.5 | <.001 |
P value for χ2 test for categorical variables and for Wilcoxon rank sum test for continuous variables.