Timing of Co-occurring Chronic Conditions in Children With Neurologic Impairment

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dc.contributor.authorThomson, Joanna
dc.contributor.authorHall, Matt
dc.contributor.authorNelson, Katherine
dc.contributor.authorFlores, Juan Carlos
dc.contributor.authorGarrity, Brigid
dc.contributor.authorDeCourcey, Danielle D.
dc.contributor.authorAgrawal, Rishi
dc.contributor.authorGoodman, Denise M.
dc.contributor.authorFeinstein, James A.
dc.contributor.authorColler, Ryan J.
dc.contributor.authorCohen, Eyal
dc.contributor.authorKuo, Dennis Z.
dc.contributor.authorAntoon, James W.
dc.contributor.authorHoutrow, Amy J.
dc.contributor.authorBastianelli, Lucia
dc.contributor.authorBerry, Jay G.
dc.date.accessioned2025-01-20T23:53:29Z
dc.date.available2025-01-20T23:53:29Z
dc.date.issued2021
dc.description.abstractIn this study, we assess the prevalence and onset timing of co-occurring chronic conditions in a cohort of children with NI enrolled in Medicaid.
dc.description.abstractBACKGROUND: Children with neurologic impairment (NI) are at risk for developing co-occurring chronic conditions, increasing their medical complexity and morbidity. We assessed the prevalence and timing of onset for those conditions in children with NI. METHODS: This longitudinal analysis included 6229 children born in 2009 and continuously enrolled in Medicaid through 2015 with a diagnosis of NI by age 3 in the IBM Watson Medicaid MarketScan Database. NI was defined with an existing diagnostic code set encompassing neurologic, genetic, and metabolic conditions that result in substantial functional impairments requiring subspecialty medical care. The prevalence and timing of co-occurring chronic conditions was assessed with the Agency for Healthcare Research and Quality Chronic Condition Indicator system. Mean cumulative function was used to measure age trends in multimorbidity. RESULTS: The most common type of NI was static (56.3%), with cerebral palsy (10.0%) being the most common NI diagnosis. Respiratory (86.5%) and digestive (49.4%) organ systems were most frequently affected by co-occurring chronic conditions. By ages 2, 4, and 6 years, the mean (95% confidence interval [CI]) numbers of co-occurring chronic conditions were 3.7 (95% CI 3.7-3.8), 4.6 (95% CI 4.5-4.7), and 5.1 (95% CI 5.1-5.2). An increasing percentage of children had >= 9 co-occurring chronic conditions as they aged: 5.3% by 2 years, 10.0% by 4 years, and 12.8% by 6 years. CONCLUSIONS: Children with NI enrolled in Medicaid have substantial multimorbidity that develops early in life. Increased attention to the timing and types of multimorbidity in children with NI may help optimize their preventive care and case management health services.
dc.fuente.origenWOS
dc.identifier.doi10.1542/peds.2020-009217
dc.identifier.eissn1098-4275
dc.identifier.issn0031-4005
dc.identifier.urihttps://doi.org/10.1542/peds.2020-009217
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94969
dc.identifier.wosidWOS:000617998600044
dc.issue.numero2
dc.language.isoen
dc.revistaPediatrics
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTiming of Co-occurring Chronic Conditions in Children With Neurologic Impairment
dc.typeartículo
dc.volumen147
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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