Table 3.
Medical Conditions Most Frequently Associated With Inpatient Admissions in 2012 for Medicaid-Insured Adults With Intellectual and Developmental Disabilities
| Rank for Cohort | CCS Code | CCS Description | Total Admissions | Rate per 1000 | Relative Riska | 95% Confidence Interval |
|---|---|---|---|---|---|---|
| 1 | 659 | Schizophrenia and other psychotic disorders | 1871 | 25.8 | 15.0 | 14.2-15.5 |
| 2 | 83 | Epilepsy/convulsions | 1497 | 20.6 | 25.1 | 23.5-26.1 |
| 3 | 82 | Paralysis | 1454 | 20.0 | 816.2 | 760.8-854.3 |
| 4 | 657 | Mood disorders | 1447 | 19.9 | 5.8 | 5.5-6.1 |
| 5 | 2 | Septicemia (except in labor) | 750 | 10.3 | 4.6 | 4.2-4.9 |
| 6 | 122 | Pneumonia | 669 | 9.2 | 5.5 | 5.1-5.9 |
| 7 | 50 | Diabetes mellitus with complications | 520 | 7.2 | 3.9 | 3.5-4.2 |
| 8 | 197 | Skin and subcutaneous tissue infections | 496 | 6.8 | 3.6 | 3.3-3.9 |
| 9 | 159 | Urinary tract infection | 408 | 5.6 | 6.6 | 5.9-7.1 |
| 10 | 102 | Nonspecific chest pain | 384 | 5.3 | 3.6 | 3.2-3.9 |
| 11 | 660 | Alcohol-related disorders | 362 | 5.0 | 4.1 | 3.6-4.5 |
| 12 | 129 | Aspiration pneumonitis | 351 | 4.8 | 24.7 | 21.9-27.1 |
| 13 | 55 | Fluid and electrolyte disorders | 330 | 4.5 | 5.9 | 5.2-6.5 |
| 14 | 237 | Implant/graft complication | 280 | 3.9 | 2.3 | 2.0-2.6 |
| 15 | 155 | Other gastrointestinal disorders | 222 | 3.1 | 6.2 | 5.3-6.9 |
Abbreviation: CCS, Clinical Classifications Software.
a
All 15 diagnoses in Medicaid claims were associated with significantly higher relative risk of inpatient admission (P < .0001) in the cohort of adults with intellectual and developmental disabilities than in the benchmark population of US adults (HCUP-NIS; HCUP, 2012).