BackgroundYoung adults (YA) with childhood‐onset chronic conditions—particularly YA with cystic fibrosis (CF), congenital heart disease (CHD), and sickle cell disease (SCD)—continue to have pediatric hospital admissions. Factors associated with this continued pediatric hospital use remain underexplored.ObjectiveTo determine if pediatric hospital use by YA differed (1) across condition and (2) within each condition by sociodemographic factors.MethodsConducted a cross‐sectional analysis of admissions for YA 22–35 years with CF, CHD, and SCD from 2016 to 2020 in the National Inpatient Sample. Admissions for YA with CF, CHD, and SCD were identified by international classification of diseases, 10th revision‐clinical modification diagnosis codes. To determine if conditions or sociodemographic factors were associated with YA pediatric hospital use, we used multivariable logistic regression with separate models for the different objectives.ResultsYA with SCD had lower odds of pediatric hospital use compared to YA with CF. Relationships between sociodemographic factors and pediatric hospital use varied. Black YA with both CF and CHD had lower odds of pediatric hospital use than white YA with CF and CHD. For YA with SCD, despite 17,810 (6.5%) having rural residence, zero (0) had pediatric hospital use; whereas YA with CF living in a rural area had greater odds of pediatric hospital use compared to urban residents.ConclusionYA with SCD used pediatric hospitals less than YA with either CF or CHD. Coupled with our findings that Black YA with CF and CHD had less pediatric hospital use, these data may reflect systematic racial differences within pediatric to adult healthcare transition programs.

中文翻译：

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患有儿童期慢性疾病的年轻人向成人医疗保健过渡期间儿科医院使用的差异

背景患有儿童期慢性疾病的年轻人 (YA)，特别是患有囊性纤维化 (CF)、先天性心脏病 (CHD) 和镰状细胞病 (SCD) 的 YA，继续有儿童入院治疗。与这种持续儿科医院使用相关的因素仍未得到充分探索。目的确定 YA 的儿科医院使用情况是否存在以下差异 (1) 不同情况以及 (2) 每种情况内的社会人口统计学因素。方法对 22-35 岁 YA 入院情况进行横断面分析2016 年至 2020 年全国住院患者样本中患有 CF、CHD 和 SCD。患有 CF、CHD 和 SCD 的 YA 入院是通过国际疾病分类、第十次修订临床修改诊断代码来确定的。为了确定条件或社会人口统计学因素是否与 YA 儿科医院使用相关，我们使用多变量逻辑回归和针对不同目标的单独模型。结果与患有 CF 的 YA 相比，患有 SCD 的 YA 的儿科医院使用几率较低。社会人口因素与儿科医院使用之间的关系各不相同。同时患有 CF 和 CHD 的黑人青少年在儿科医院就诊的几率低于患有 CF 和 CHD 的白人青少年。对于患有 SCD 的青少年，尽管 17,810 人 (6.5%) 居住在农村，但零 (0) 人曾在儿科医院就诊；与城市居民相比，生活在农村地区的患有CF的青少年到儿科医院就诊的几率更高。结论患有SCD的青少年使用儿科医院的几率低于患有CF或CHD的青少年。结合我们的发现，患有 CF 和 CHD 的黑人 YA 在儿科医院的使用较少，这些数据可能反映了儿科到成人医疗保健过渡计划中的系统性种族差异。