Authors
Subashan Vadibeler, Khurram Mustafa, Tatendashe Bernadette Dondo, Hannah K Mitchell, Sarah E Seaton, Richard Feltbower
Published in
Archives of disease in childhood. Sep 11, 2026. Epub Sep 11, 2026.
Abstract
To investigate the association between sociodemographic disparities and area-level smoking with paediatric intensive care unit (PICU) respiratory admission risk and outcomes.
Retrospective cohort study.
English PICUs.
Children aged <16 years admitted with respiratory illness between January 2014 and December 2023.
Crude incidence of PICU admission and incidence rate ratios (IRRs). ORs for in-PICU mortality.
Analysis included 41 859 admissions for 30 442 children. The respiratory admission IRRs were higher in children of Asian and Black ethnicity and in children from the most deprived areas compared with children of White ethnicity and those from the least deprived areas (IRR 1.5, 95% CI 1.3 to 1.7; IRR 1.7, 95% CI 1.4 to 1.9; adjusted IRR 1.7, 95% CI 1.4 to 2.2). Children living in areas with the highest cigarette smoke exposure had a higher respiratory admission IRR (adjusted IRR 1.3, 95% CI 1.1 to 1.5) compared with those in areas with the lowest exposure. Children of Asian ethnicity and those from the most deprived areas had a higher in-PICU mortality compared with children of White ethnicity and those from the least deprived areas (OR 2.1, 95% CI 1.8 to 2.5 and adjusted OR 1.6, 95% CI 1.2 to 2.0).
Ethnicity and deprivation were associated with higher PICU respiratory admission incidence and poorer outcomes. Children from areas with higher cigarette smoke were more likely to require PICU admission for respiratory diseases. Community-focused tobacco control measures to reduce population-level smoking can benefit child respiratory health.
PMID:
42727988
Bibliographic data and abstract were imported from PubMed on 12 Sep 2026.
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