低收入儿童多重慢性病的范围和模式。
The extent and patterns of multiple chronic conditions in low-income children.
作者信息
Clark Noreen M, Lachance Laurie, Benedict M Beth, Little Roderick, Leo Harvey, Awad Daniel F, Wilkin Margaret K
机构信息
University of Michigan, Ann Arbor, MI, USA Deceased.
University of Michigan, Ann Arbor, MI, USA
出版信息
Clin Pediatr (Phila). 2015 Apr;54(4):353-8. doi: 10.1177/0009922815574073.
BACKGROUND AND OBJECTIVES
Little is known about the magnitude of multiple chronic conditions (MCC) in children. This study describes the prevalence of and patterns of comorbidities in children receiving Medicaid assistance.
METHODS
Diagnoses from 5 years of Medicaid claims data were reviewed and identified 128,044 children with chronic conditions. The relationship between comorbidities and significant urgent health care events was analyzed using logistic regression modeling.
RESULTS
More than 15,000 children (12%) had claims for more than 1 condition. The most frequent combination was asthma and allergic rhinitis. Significant health care events ranged from 18% to 51% in children, and the odds of having a significant event increased with each additional condition. Those with ≥4 conditions had 4.5 times the odds of a significant event compared with those with 1 condition (P < .0001).
CONCLUSION
MCC are prevalent in low-income children and are associated with greater risk for urgent health care use.
背景与目的
关于儿童多重慢性病（MCC）的严重程度，人们了解甚少。本研究描述了接受医疗补助援助儿童的共病患病率及模式。
方法
回顾了5年医疗补助理赔数据中的诊断信息，识别出128,044名患有慢性病的儿童。使用逻辑回归模型分析共病与重大紧急医疗事件之间的关系。
结果
超过15,000名儿童（12%）有超过一种疾病的理赔记录。最常见的组合是哮喘和过敏性鼻炎。儿童中的重大医疗事件发生率在18%至51%之间，每增加一种疾病，发生重大事件的几率就会增加。患有≥4种疾病的儿童发生重大事件的几率是患有1种疾病儿童的4.5倍（P <.0001）。
结论
MCC在低收入儿童中很普遍，并且与紧急医疗使用的更高风险相关。
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