Table 4.
Comparing the change in healthcare utilization 1-year pre-OSA diagnosis and post-OSA treatment vs. 1-year pre and post-OSA diagnosis among no care, non-surgical care, and surgical care groups
(A) Surgical care group | (B) Non-surgical care group | (C) No care group | |||||||
---|---|---|---|---|---|---|---|---|---|
Pre mean (SD) | Post mean (SD) | Adjusted difference, beta (SE)a | Pre mean (SD) | Post mean (SD) | Adjusted difference, beta (SE)a | Pre mean (SD) | Post mean (SD) | Adjusted difference, beta (SE)a | |
Outpatient visits | 3.12 (4.82) | 2.55 (4.30) | −.21 (.01) *** | 4.77 (7.03) | 4.65 (6.37) | −.04 (.02) | 2.64 (4.46) | 2.33 (4.26) | −.14 (.01) *** |
ER visits and inpatient hospitalizations | 0.89 (1.57) | 0.66 (1.21) | −.29 (.02) *** | 0.78 (1.51) | 0.71 (1.40) | −.09 (.04) * | 0.88 (1.62) | 0.70 (1.44) | −.20 (.02) *** |
p<0.001,
p<0.05.
Multilevel mixed-effects negative binomial regression model to compare the number of healthcare utilization by OSA treatment after adjusting for child gender, age, insurance type, any CCCs and obesity during 1-year prior to and at time of OSA diagnosis. Bold indicates significant associations. ER= Emergency room. The drops in both healthcare utilization outcomes among the Surgical care group were significantly larger than those in the No care group (outpatient p<0.001, ER and inpatient p=0.003) and Non-surgical care group (outpatient p=0.003, ER and inpatient p<0.001).
Surgical care group: Patient that followed the Surgical care + PSG or Surgical care only treatment pathways.
Non-surgical care group: Patients that followed the Specialty care only or PAP care treatment pathways.
No care group: Patients that followed the No care pathway.