Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease.

Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Research Abstract Details 

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Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Abstract Text:

Angela M Ellison,Howard Bauchner,

OBJECTIVE: To examine the association between socioeconomic status and length of hospital stay for vaso-occlusive crises in children with sickle cell disease. METHODS: 19,174 discharges (aged 1-20 years), with a primary diagnosis of sickle cell disease with crisis were analyzed from the Healthcare Cost and Utilization Project Kid Inpatient Database 2000. Socioeconomic status was assessed using an area-based measure, median household income by ZIP code and an individual-level measure, insurance status. We adjusted for age, gender, hospital location/teaching status, presence of pneumonia, number of diagnoses on record and number of procedures performed. Negative binomial regression models using generalized estimating equations (GEE) were used to assess length of stay. RESULTS: Socioeconomic status as measured by income was not associated with length of stay (incidence rate ratio (highest versus lowest category) = 1.04 (95% CI: 0.98, 1.11)). In contrast, socioeconomic status as measured by insurance was associated with length of stay [adjusted incidence rate ratio = 1.04 (95% CI: 1.01, 1.08)), although the magnitude of this difference is small and not likely to be clinically important. CONCLUSIONS: We found no evidence to suggest that socioeconomic status has any clinically important effect on length of hospital stay in children with vaso-occlusive crises in sickle cell disease.

Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Publishing Authors By Initials

AM Ellison,H Bauchner,

For similar persons: vulnerable populations research abstracts see: persons: vulnerable populations research

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Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of the National Medical Association

VOLUME: 99

Page Numbers: 192-6

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ISSN: 0027-9684

DAY: 3

MONTH: Mar

YEAR: 2007

Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Information

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LANGUAGE: eng

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Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease. Keywords Mesh Terms:

KEYWORDS: Vulnerable Populations

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Socioeconomic status and length of hospital stay in children with vaso-occlusive crises of sickle cell disease.

AFFILIATION: Division of Emergency Medicine, Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., South Tower, A-level, Philadelphia, PA 19104, USA. ellisona@email.chop.edu

Country: United States

AGENCY: United States PHS

GRANT: T32HP10014

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MEDLINETA: J Natl Med Assoc

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