Racial/ethnic differences in hospital use and cost among a statewide population of children with Down syndrome.

摘要: Children with Down syndrome (DS) use hospital services more often than children without DS, but data on racial/ethnic variations are limited. This study generated population-based estimates of and cost to 3 years age by race/ethnicity among DS in Massachusetts using birth certificates linked defects registry discharge from 1999 2004. Hospital (≥1 post-birth hospitalization median days hospitalized post-birth) reasons for were compared across maternal relative risk (RR) Wilcoxon rank sums tests, as appropriate. Costs calculated 2011 United States dollars. Greater was observed Hispanic vs. Non-Hispanic White (NHW) mothers (post-birth hospitalization: RR 1.4; hospitalized: 20.0 11.0, respectively). congenital heart Black (NHB) had significantly greater their NHW counterparts (24.0 16.0, Respiratory diagnoses listed (50.0% 29.1%, respectively), NHBs cardiac (34.1% 21.5%, The mean total nine times higher ($40,075) ($4053), costs attributable almost $18 million. Median $22,781 Hispanics, $18,495 NHBs, $13,947 NHWs. Public health interventions should address the rates hospitalizations respiratory diseases minority Massachusetts.