...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of Emergency Medicine >CHARACTERISTICS AND COSTS OF PEDIATRIC EMERGENCY DEPARTMENT VISITS FOR SPORTS- AND RECREATION-RELATED CONCUSSIONS, 2006-2014
【24h】

CHARACTERISTICS AND COSTS OF PEDIATRIC EMERGENCY DEPARTMENT VISITS FOR SPORTS- AND RECREATION-RELATED CONCUSSIONS, 2006-2014

机译：儿科急诊部门参观的特征和成本与娱乐相关脑震荡，2006 - 2014年

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Although concussion-related emergency department (ED) visits increased after the passage of concussion laws, little is known about how the laws may disproportionately impact ED utilization and associated health care costs among children in different demographic groups. Objective: Our aim was to examine the patient and clinical characteristics of pediatric ED visits and associated health care costs for sports-and recreation-related concussions (SRRCs) before and after concussion law enactment. Methods: We retrospectively analyzed ED visits for SRRCs by children ages 5-18 years between 2006 and 2014 in the Pediatric Health Information System database (n = 123,220). ED visits were categorized as "prelaw,'' "immediate post-law,'' and "post-law'' according to the respective state concussion law's effective date. Multinomial logistic regression models were used to assess the impact of the law on ED utilization. Results: The majority of visits were by males (n = 83,208; 67.6%), children aged 10-14 years (n = 49,863; 40.9%), and privately insured patients (n = 62,376; 50.6%). Female sex, older age, and insured by Medicaid/Medicare were characteristics associated with increased ED visits during the immediate post-law and post-law periods compared to their counterparts. A significant decrease in proportion of imaging use was observed from pre-law to post-law (adjusted odds ratio 0.49; 95% confidence interval 0.47-0.50; p < 0.0001). While annual adjusted costs per ED visits decreased, annual total adjusted costs per hospital for SRRCs increased from pre-law to post-law (p < 0.0001). Conclusions: Concussion laws might have impacted pediatric concussion-related ED utilization, with increased annual total adjusted costs. These results may have important implications for policy interventions and their effects on health care systems. (C) 2019 Elsevier Inc. All rights reserved.
机译：背景：虽然脑震荡相关的急救署（ED）访问后，呼查范围后，令人难以置信的是，关于法律如何在不同人口群体中的儿童中遭受不成比例地影响ED利用和相关的医疗保健费用。目的：我们的宗旨是在呼吁法规颁布之前和之后审查儿科ED访问和相关医疗脑脑卒中（SRRC）的患者和临床特征。方法：我们回顾性分析了在儿科卫生信息系统数据库（N = 123,220）中的2006年至2014年5-18岁之间的5-18岁儿童审查局的审查局。 ED访问被归类为“PRELAW”，“立即律法，”和“法律后”，根据各自的呼查法的生效日期。多项式物流回归模型用于评估法律对ED的影响利用率。结果：大多数访问是男性（n = 83,208; 67.6％），10-14岁儿童（n = 49,863; 40.9％）和私下被保险的患者（n = 62,376; 50.6％）。女性性别，Medicaid / Medicare的年龄较大，保险是与同行相比立即审法和法律后期的ed次数相关的特征。从寄生到后，观察到成像使用比例的显着降低。法律（调整的赔率比0.49; 95％置信区间0.47-0.50; P <0.0001）。虽然每张审查的年度调整后的成本减少，SRRC每医院的年度总额调整成本从税前向后加增加（P <0.0001 ）。结论：脑脑法可能影响了儿科呼查 - rel ED利用率，年度总计成本增加。这些结果可能对政策干预的重要意义及其对医疗保健系统的影响。 （c）2019 Elsevier Inc.保留所有权利。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号