作者: Margaret M. Gallaher , Dimitri A. Christakis , Frederick A. Connell
DOI: 10.1001/ARCHPEDI.156.3.246
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摘要: Background Although children with developmental delay are known to have increased health care use, it is unclear what proportion of that use related associated chronic conditions. Objectives To assess the prevalence isolated and determine role in controlling for Design Retrospective cohort study using Washington State Medicaid claims records from November 1, 1990, December 31, 1997, an administrative data set contains both International Classification Diseases, Ninth Revision, Clinical Modification codes billed services. Patients Setting Children born between 1992, diagnosed as having before age 5 years, enrolled within 1 month birth, continuously at least 12 months. Four control subjects per case were matched on date birth duration continuous enrollment Medicaid. Main Outcome Measures Visits physicians, emergency departments, other practitioners, or hospitals by year life. Results One thousand two hundred forty-two 5370 without included. percent those who met criteria had conditions 30% no Boys 1.6 times likely a diagnosis delay. Developmental was independently all 4 measures used. Conclusion increases apart