What question did this study set out to answer?

To determine the extent to which patients with sickle cell disease concentrate their acute care visits at a single hospital versus dispersing them across multiple facilities.

December 16, 2011Pediatric Blood & Cancer

Concentration of hospital care for acute sickle cell disease‐related visits

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Authors

JPJA Panepinto OPOwens Pl AMAL Mosso

Discussion

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Overview

Retrospective cohort study reveals lower hospital care concentration in adults and publicly insured individuals with sickle cell disease, indicating fragmented acute healthcare.

Key Points

To determine the extent to which patients with sickle cell disease concentrate their acute care visits at a single hospital versus dispersing them across multiple facilities.
Retrospective cohort study analyzing 2005–2006 data from the Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases.
Included individuals with sickle cell disease aged ≥ 1 year who recorded ≥ 2 acute care visits (N=13,533).
Assessed the primary outcome of the proportion of patients receiving all acute disease-related care at a single hospital.
Among 5,030 children, 77.3% used the same hospital for all acute visits, compared to only 51.3% of 8,503 adults.
Adolescents were significantly more likely to concentrate visits at a single hospital than adults (adjusted relative risk [ARR] 1.40, 95% CI 1.35–1.45).
Publicly insured patients (ARR 0.96, 95% CI 0.94–0.99) and uninsured patients (ARR 0.83, 95% CI 0.79–0.88) had a significantly lower probability of using only one hospital.

Cite This Study

Panepinto et al. (2011) studied this question.

synapsesocial.com/papers/6a1d5de133e2df9c962f64c2 https://doi.org/10.1002/pbc.24028

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December 16, 2011Pediatric Blood & Cancer

Concentration of hospital care for acute sickle cell disease‐related visits

View Full Paper

Ask AI

Bookmark

Authors

JPJA Panepinto OPOwens Pl AMAL Mosso

Discussion

Member takes

Overview

Retrospective cohort study reveals lower hospital care concentration in adults and publicly insured individuals with sickle cell disease, indicating fragmented acute healthcare.

Key Points

To determine the extent to which patients with sickle cell disease concentrate their acute care visits at a single hospital versus dispersing them across multiple facilities.
Retrospective cohort study analyzing 2005–2006 data from the Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases.
Included individuals with sickle cell disease aged ≥ 1 year who recorded ≥ 2 acute care visits (N=13,533).
Assessed the primary outcome of the proportion of patients receiving all acute disease-related care at a single hospital.
Among 5,030 children, 77.3% used the same hospital for all acute visits, compared to only 51.3% of 8,503 adults.
Adolescents were significantly more likely to concentrate visits at a single hospital than adults (adjusted relative risk [ARR] 1.40, 95% CI 1.35–1.45).
Publicly insured patients (ARR 0.96, 95% CI 0.94–0.99) and uninsured patients (ARR 0.83, 95% CI 0.79–0.88) had a significantly lower probability of using only one hospital.

Cite This Study

Panepinto et al. (2011) studied this question.

synapsesocial.com/papers/6a1d5de133e2df9c962f64c2 https://doi.org/10.1002/pbc.24028

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