Beyond "Asian": Specific East and Southeast Asian Races or Ethnicities Associated With Jaundice Readmission.


Journal article


Michael G Bentz, N. Carmona, Manavi M Bhagwat, Lindsay M Thimmig, Jamal K Saleh, U. Eke, Jolene Kokroko, Rand Dadasovich, Brookelyn Rice, M. Cabana
Hospital Pediatrics, 2018

Semantic Scholar DOI PubMed
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APA   Click to copy
Bentz, M. G., Carmona, N., Bhagwat, M. M., Thimmig, L. M., Saleh, J. K., Eke, U., … Cabana, M. (2018). Beyond "Asian": Specific East and Southeast Asian Races or Ethnicities Associated With Jaundice Readmission. Hospital Pediatrics.


Chicago/Turabian   Click to copy
Bentz, Michael G, N. Carmona, Manavi M Bhagwat, Lindsay M Thimmig, Jamal K Saleh, U. Eke, Jolene Kokroko, Rand Dadasovich, Brookelyn Rice, and M. Cabana. “Beyond &Quot;Asian&Quot;: Specific East and Southeast Asian Races or Ethnicities Associated With Jaundice Readmission.” Hospital Pediatrics (2018).


MLA   Click to copy
Bentz, Michael G., et al. “Beyond &Quot;Asian&Quot;: Specific East and Southeast Asian Races or Ethnicities Associated With Jaundice Readmission.” Hospital Pediatrics, 2018.


BibTeX   Click to copy

@article{michael2018a,
  title = {Beyond "Asian": Specific East and Southeast Asian Races or Ethnicities Associated With Jaundice Readmission.},
  year = {2018},
  journal = {Hospital Pediatrics},
  author = {Bentz, Michael G and Carmona, N. and Bhagwat, Manavi M and Thimmig, Lindsay M and Saleh, Jamal K and Eke, U. and Kokroko, Jolene and Dadasovich, Rand and Rice, Brookelyn and Cabana, M.}
}

Abstract

OBJECTIVES Clinical practice guidelines have recognized "Asian" and "East Asian" as risk factors for newborn jaundice and readmission. We sought to identify more detailed and specific, parent-identified races or ethnicities associated with jaundice readmission.

METHODS We conducted a case control study of 653 newborn infants born (2014-2016) at a West-Coast, urban hospital to examine specific parent-described races or ethnicities that are associated with newborn hospital readmissions for hyperbilirubinemia. Parent-reported race or ethnicity was abstracted from the California Newborn Screening Test.

RESULTS Our sample included 105 infants readmitted for jaundice (cases) and 548 infants as controls. In the full cohort, 66 infants (10.1%) were Coombs positive, 39 infants (6.0%) were born before 37 weeks' gestational age, and 405 infants (62.0%) were born to first-time mothers. The parents described the 653 infants using 45 unique races and ethnicities. In a multivariable model that controlled for Coombs positivity, gestational age <37 weeks, and primiparity, infants described as "Far East Asian" (odds ratio [OR] = 3.17; 95% confidence interval [CI] = 1.94-5.18) or "Southeast Asian" (OR = 3.17; 95% CI = 1.66-6.08) had increased risk for jaundice readmission. Infants described as Southeast Asian (eg, Laotian, Cambodian, Indonesian, Vietnamese, and Filipino) and Far East Asian (eg, Chinese, Korean, Taiwanese, Japanese, and Mongolian) had an increased risk of readmission. Finally, we did not find an association between South Asian (OR = 0.79; 95% CI = 0.33-1.92) race or ethnicity and risk of jaundice readmission.

CONCLUSIONS In this study, we help clarify and move beyond the term "Asian" as a risk factor for readmission due to hyperbilirubinemia.





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