The extent and patterns of multiple chronic conditions in low-income children.

Abstract:

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.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Clark NM,Lachance L,Benedict MB,Little R,Leo H,Awad DF,Wilkin MK

doi

10.1177/0009922815574073

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

353-8

issue

4

eissn

0009-9228

issn

1938-2707

pii

54/4/353

journal_volume

54

pub_type

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