Multicenter Evaluation of Emergency Department Treatment for Children and Adolescents With Crohn's Disease According to Race/Ethnicity and Insurance Payor Status

Inflammatory Bowel Diseases
Jennifer L DotsonWallace V Crandall

Abstract

Racial and socioeconomic disparities exist in the treatment and outcomes of children and adults with Crohn's disease (CD). This study investigated the impact of race and insurance status on emergency department (ED) evaluation and treatment among children with CD in the United States. Data from the Pediatric Health Information System included ED visits between January 2007 and December 2013 for patients aged ≤21 years with a primary diagnosis of CD, or a secondary diagnosis of CD plus a primary CD-related diagnosis. Analyses were performed using mixed-effects logistic regression. Subjects included 2618 unique patients (black, 612 [23%]; white, 2006 [77%]) with 3779 visits from 38 hospitals, a median age of 14.0 ± 4.0 years, and 50% male. White children had a higher median neighborhood income and were more likely to have private insurance (57% vs 30%; P < 0.001). Emergency department visits for privately insured patients had higher odds of complete blood count (odds ratio [OR], 1.43; 95% CI, 1.08-1.90) and C-reactive protein/erythrocyte sedimentation rate (OR, 1.39; 95% CI, 1.06-1.82) vs Medicaid insured. Visits for white children had higher odds of receiving antiemetics (OR, 1.52; 95% CI, 1.06-2.17) vs black children. The propo...Continue Reading

References

Mar 7, 1996·The New England Journal of Medicine·J V SelbyB E Swain
Dec 1, 1996·Pediatric Emergency Care·D S DiekemaL Quan
Aug 3, 1999·Academic Medicine : Journal of the Association of American Medical Colleges·A S Elstein
Dec 15, 2000·Archives of Family Medicine·K PhelpsS Puczynski
Aug 3, 2002·Journal of the National Medical Association·Alan Nelson
Apr 20, 2004·International Journal of Health Services : Planning, Administration, Evaluation·Joel Lexchin, Paul Grootendorst
Mar 22, 2005·Medical Care·Amber E BarnatoAmitabh Chandra
Jun 20, 2006·Annals of Emergency Medicine·Kelly A HuntMichael L Callaham
Apr 27, 2007·Journal of Pediatric Gastroenterology and Nutrition·Alexandra P EidelweinMaria Oliva-Hemker
Dec 17, 2008·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Anne BerryGlenn Flores
May 21, 2010·The American Journal of Gastroenterology·Geoffrey C NguyenSteven R Brant
May 25, 2012·Inflammatory Bowel Diseases·Justin L Sewell, Fernando S Velayos
Jan 30, 2014·Emergency Medicine Journal : EMJ·Deborah T VintonAdit A Ginde
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elizabeth R AlpernUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Mar 6, 2015·Inflammatory Bowel Diseases·Jennifer L DotsonWallace V Crandall

❮ Previous
Next ❯

Citations

Oct 26, 2020·Gastroenterology·Edward L BarnesMichael D Kappelman
Jan 5, 2021·Diseases of the Colon and Rectum·Caroline NordenvallOla Olén
May 27, 2021·Inflammatory Bowel Diseases·Julia J Liu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

JDR Clinical and Translational Research
H H LeeC M McKinney
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Charlene Babcock IrvinBradley Smude
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Lauren E SchlichtingPatrick M Vivier
© 2022 Meta ULC. All rights reserved