Table 3.
Adjusted Poisson model results for health care utilization and change in PTDS subscales from baseline to end of study in parents of infants with CHD.
ED visits* (N=120) | Unscheduled cardiologist visits** (N=129) | Unscheduled pediatrician visitsϮ (N=93) | |||||||
---|---|---|---|---|---|---|---|---|---|
Change in PTSD | RR | 95% CI | P-value | RR | 95% CI | P-value | RR | 95% CI | P-value |
PTSD Diagnosis (No)± | REF | REF | REF | ||||||
Diminished Diagnosis | 1.24 | 0.45–3.41 | 0.673 | 2.92 | 0.66– 3.88 | 0.157 | 1.09 | 0.39–2.98 | 0.869 |
Gained Diagnosis | 2.36 | 1.31–4.25 | 0.004 | 2.95 | 1.06–3.22 | 0.039 | 1.53 | 0.86–2.71 | 0.145 |
Diagnosis (yes)± | 1.04 | 0.37–2.75 | 0.990 | 3.96 | 1.14–4.68 | 0.030 | 0.45 | 0.11–1.81 | 0.261 |
Total Symptom Severity | 0.94 | 0.93–0.98 | 0.001 | 0.90 | 0.89–0.94 | <0.001 | 0.95 | 0.92–0.97 | 0.013 |
Number of Symptoms | 0.71 | 0.55–1.02 | 0.077 | 0.72 | 0.53–1.23 | 0.427 | 0.76 | 0.56–1.08 | 0.135 |
Re-experiencing | 0.94 | 0.86–1.01 | 0.078 | 0.86 | 0.72–0.96 | 0.009 | 0.97 | 0.89–1.03 | 0.281 |
Avoidance | 0.84 | 0.79–0.92 | <0.001 | 0.81 | 0.71–0.88 | 0.004 | 0.91 | 0.85–0.99 | 0.025 |
Arousal | 0.86 | 0.82–0.93 | 0.006 | 0.78 | 0.67–0.83 | <0.001 | 0.90 | 0.85–0.95 | 0.003 |
Note.
At both time points, according to the PTDS diagnostic criteria; PTDS= Posttraumatic Diagnostic Scale (Foa, et al., 1997); RR= Relative Rate [exp(β)]; 95% CI=95% Confidence Intervals;
Models are adjusted for baseline PTDS, race and parental age;
Models are adjusted for baseline PTDS, cardiac physiology and insurance type;
Models are adjusted for baseline PTDS, race and RACHS-1 score.