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Predictors of Successful Telephone Follow-Up in a Multicenter Study of Infants With Severe Bronchiolitis

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2019-03-25

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Abo-Sido, Nora. 2018. Predictors of Successful Telephone Follow-Up in a Multicenter Study of Infants With Severe Bronchiolitis. Doctoral dissertation, Harvard Medical School.

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Abstract

Purpose: To identify the characteristics that predict successful telephone follow-up with parents of in- fants with severe bronchiolitis. Methods: We analyzed data from a 17-center, prospective cohort study of infants (age <1 year) hospi- talized with bronchiolitis during three consecutive fall/winter seasons. Participant contact information and clinical data were collected during the index hospitalization. Parents were called at 6-month in- tervals (based on the child’s age) after discharge to assess respiratory problems. The primary outcome was age 12-month telephone interview status. Participants were classified as unreachable after 28 days of unsuccessful attempts. Results: 798 of 916 children (87%) completed the age 12-month telephone interview. In unadjusted analyses, factors associated with successful follow-up included: private health insurance, annual household income $60,000 or more, and residing in the Northeast, Midwest, or West. Follow-up was less common among non-Hispanic blacks, Hispanics, and households with 3 or more children. In multivar- iable analyses, follow-up was more likely among parents of females, and, compared with the South, in the Northeast and Midwest (all P < .05). Compared with non-Hispanic whites, non-Hispanic blacks and Hispanics remained less likely to complete the interview as did households with 3 or more children (all P < .05). Conclusion: Sociodemographic and geographic factors predict successful telephone follow-up, even among parents of infants with severe illness.

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Bronchiolitis, Cohort studies, Follow-up, Infant

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