Increased Hospital Encounters in Individuals With Spina Bifida Compared to the General Population: Statewide Healthcare Utilization in California From 1995-2017

No AccessUrology PracticeClinical Research21 Aug 2024Increased Hospital Encounters in Individuals With Spina Bifida Compared to the General Population: Statewide Healthcare Utilization in California From 1995-2017 Mohamed Hisham Siddeek, Coral Castro, Debbie E. Goldberg, Isabel E. Allen, Adrian M. Fernandez, Rory Grant, Than S. Kyaw, Hiren V. Patel, Lindsay A. Hampson, and Hillary L. Copp Mohamed Hisham SiddeekMohamed Hisham Siddeek https://orcid.org/0000-0001-9700-3520 School of Medicine, University of California San Francisco, San Francisco, California , Coral CastroCoral Castro School of Medicine, Universidad Central del Caribe, Puerto Rico , Debbie E. GoldbergDebbie E. Goldberg Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California , Isabel E. AllenIsabel E. Allen Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California , Adrian M. FernandezAdrian M. Fernandez Department of Urology, University of California San Francisco, San Francisco, California , Rory GrantRory Grant Department of Urology, University of California San Francisco, San Francisco, California , Than S. KyawThan S. Kyaw School of Medicine, University of California San Francisco, San Francisco, California , Hiren V. PatelHiren V. Patel Department of Urology, University of California San Francisco, San Francisco, California , Lindsay A. HampsonLindsay A. Hampson Department of Urology, University of California San Francisco, San Francisco, California Department of Urology, San Francisco Veterans Affairs Medical Center, San Francisco, California , and Hillary L. CoppHillary L. Copp Corresponding Author: Hillary L. Copp ( ([email protected]) ). View All Author Informationhttps://doi.org/10.1097/UPJ.0000000000000700AboutPDF Cite Export CitationSelect Citation formatNLMAMAIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack Citations ShareFacebookLinked InTwitterEmail Abstract Purpose: To understand healthcare utilization by comparing hospital encounters among individuals with Spina Bifida and the general population and to identify the factors associated with utilization. Method: Using the Department of Health Care Access and Information database (1995-2017), individuals with Spina Bifida were identified and matched to controls by birth year. The primary outcome measures were the number of hospital encounters (stratified as ≤ 2 vs ≥ 3 encounters) and the time between the first and second encounters. Univariate, multivariate and sub-group analyses were performed to identify factors associated with ≥ 3 encounters. Results: When compared to controls, individuals with Spina Bifida had more ≥ 3 hospital encounters (69% vs 29%), spent more days in the hospital (58 days vs 13 days), and had a higher average charge per hospital stay ($433,537 vs $99,975) (P < .001 for all). After adjusting for covariates, we found that having Spina Bifida was associated with increased hospital encounters compared to controls (OR = 3.95, 95% CI = 3.77, 4.14, P < .001). Individuals with Spina Bifida were found to have less time between their first and second encounters (2.5 vs 3.3 years, P < .001). Within the Spina Bifida population, sex, race, ethnicity, comorbidities, and non-private insurance were associated with ≥ 3 encounters. Conclusions: Spina Bifida is associated with more hospital encounters and fewer days between first and second encounters compared to the general population. These findings highlight factors driving increased utilization of resources thereby empowering providers to better support this vulnerable population. © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.KeywordsSpina Bifidahospital encountershealthcare utilizationcostMetrics Author Information Mohamed Hisham Siddeek School of Medicine, University of California San Francisco, San Francisco, California More articles by this author Coral Castro School of Medicine, Universidad Central del Caribe, Puerto Rico More articles by this author Debbie E. Goldberg Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California More articles by this author Isabel E. Allen Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California More articles by this author Adrian M. Fernandez Department of Urology, University of California San Francisco, San Francisco, California More articles by this author Rory Grant Department of Urology, University of California San Francisco, San Francisco, California More articles by this author Than S. Kyaw School of Medicine, University of California San Francisco, San Francisco, California More articles by this author Hiren V. Patel Department of Urology, University of California San Francisco, San Francisco, California More articles by this author Lindsay A. Hampson Department of Urology, University of California San Francisco, San Francisco, California Department of Urology, San Francisco Veterans Affairs Medical Center, San Francisco, California Denotes co-last authors if allowed by journal. More articles by this author Hillary L. Copp Corresponding Author: Hillary L. Copp ( ([email protected]) ). Denotes co-last authors if allowed by journal. More articles by this author Expand All Advertisement PDF downloadLoading ...