Adverse neonatal outcomes and house prices in London
-
Theodore Dassios
,
Mazen Refaey
Abstract
Objective
To explore whether the average price of houses per postcode sector [sector house average prices (SHAP)] is related to perinatal outcomes and whether gestational age would be lower and mortality higher in the least expensive areas compared to the most expensive.
Methods
All neonatal unit admissions at King’s College Hospital from 1/1/2012 to 31/12/2016 were reviewed. The SHAP was retrieved from the Land Registry and the population was divided in equal quintiles with quintiles 1 and 5 representing the most and least expensive areas, respectively. Gestational age and birth weight z-score were collected. Mortality was defined as death before discharge from neonatal care.
Results
Three thousand three hundred and sixty infants were included and divided in quintiles consisting of 672 infants. Gestational age was lower in quintile 5 compared to all other quintiles (adjusted P<0.001). Birthweight z-score was not significantly different between the quintiles. The SHAP was lower in the infants who died before discharge (n=92) compared to the SHAP of the infants who were alive at discharge (n=3268) (P<0.001). Infants of quintile 5 had 6 times higher risk of death before discharge from neonatal care compared to infants of quintile 1.
Conclusion
Low SHAPs were associated with poorer perinatal outcomes suggesting SHAP could potentially be used in perinatal populations to determine socio-economic status and associated outcomes.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2019 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Review
- Ductus venosus agenesis and fetal malformations: what can we expect? – a systematic review of the literature
- Opinion Paper
- Abnormally invasive placenta (AIP): pre-cesarean amnion drainage to facilitate exteriorization of the gravid uterus through a transverse skin incision
- Corner of Academy
- Midwife-assisted planned home birth: an essential component of improving the safety of childbirth in Sub-Saharan Africa
- Research Articles – Obstetrics
- Maternal body height is a stronger predictor of birth weight than ethnicity: analysis of birth weight percentile charts
- Chromosomal microarray findings in pregnancies with an isolated pelvic kidney
- Serum sFlt-1/PlGF ratio has better diagnostic ability in early- compared to late-onset pre-eclampsia
- A multidisciplinary approach to pregnancy loss: the pregnancy loss prevention center
- Relationship between intercellular adhesion molecule-1 and morbidly adherent placenta
- Birth risks according to maternal height and weight – an analysis of the German Perinatal Survey
- Research Articles – Fetus
- Untimely diagnosis of fetomaternal hemorrhage: what went wrong?
- Quantification of fetal myocardial function in pregnant women with diabetic diseases and in normal controls using speckle tracking echocardiography (STE)
- Prediction of postnatal developmental disabilities using the antenatal fetal neurodevelopmental test: KANET assessment
- Research Articles – Newborn
- Regional differences of hypothermia on oxidative stress following hypoxia-ischemia: a study of DHA and hypothermia on brain lipid peroxidation in newborn piglets
- Detection of cytomegalovirus in saliva from infants undergoing sepsis evaluation in the neonatal intensive care unit: the VIRIoN-C study
- Adverse neonatal outcomes and house prices in London
- A prospective analysis of intake and composition of mother’s own milk in preterm newborns less than 32 weeks’ gestational age
- Neonatal Ogg1/Mutyh knockout mice have altered inflammatory gene response compared to wildtype mice in the brain and lung after hypoxia-reoxygenation
- From single-case analysis of neonatal deaths toward a further reduction of the neonatal mortality rate
- Short Communication
- Comparison of two different treatments in depressed pregnant women: fetal growth characteristics and neonatal outcomes
