The cumulative incidence of youngsters with medical complexity (CMC)-defining diagnoses in military-connected youngsters is 12.0% by age 60 months, based on a research revealed on-line April 8 in Pediatrics.
JoAnna Okay. Leyenaar, M.D., Ph.D., M.P.H., from Dartmouth Well being Kids’s in Lebanon, New Hampshire, and colleagues recognized CMC born between 2005 and 2015 and identified from beginning till age 60 months. The cumulative incidence of medical complexity was estimated and associations between beginning outcomes and CMC-defining diagnoses had been calculated.
The researchers discovered that the estimated cumulative incidence of CMC-defining diagnoses by age 60 months was 12.0% amongst 975,233 dwell births, with one-third and two-thirds identified through the neonatal interval and through infancy, respectively. The very best dangers had been seen for kids born with versus with out congenital anomalies, these born very preterm versus nonpreterm, and people with very low birthweight versus regular/excessive birthweight (adjusted hazard ratios, 25.2, 17.6, and 13.7, respectively).
“Although preterm birth, low birthweight, and congenital anomalies were strong risk factors for medical complexity, most CMC identified in this study did not experience these birth outcomes,” the authors write. “These results provide valuable data to justify early intervention services as well as other programs and policies that support health care access, regularly scheduled health assessments, and care coordination for military-connected children.”
Extra info:
JoAnna Okay. Leyenaar et al, Incidence of Medical Complexity in Navy-Related Kids, Pediatrics (2025). DOI: 10.1542/peds.2024-069653
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Medical complexity seen in 12% of military-connected youngsters (2025, April 11)
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