Table 3.
Population ASD/ID | Random Sample (no ASD/ID) | ||||
---|---|---|---|---|---|
| |||||
ASD Only | ASD+ID | ID Only | MHC | ||
| |||||
OR [99% CI] | OR [99% CI] | OR [99% CI] | OR [99% CI] | ||
| |||||
Risk Factor | |||||
| |||||
1 | Living in primary care shortage areas, high | 0.87 [0.83,0.91] | 0.87 [0.83,0.91] | 0.99 [0.97,1.01]a | 1.02 [1.00,1.03]a |
2 | Living in a residential facility | 8.87 [8.29,9.50] | 58.73 [55.36,62.31] | 32.25 [31.05,33.49] | 2.77 [2.67,2.88] |
3 | Receiving services in the home regularly from outside caregivers | 3.92 [3.71,4.14] | 6.57 [6.28,6.87] | 7.02 [6.82,7.22] | 2.53 [2.47,2.60] |
4 | Had hospitalization (psychiatric or inpatient) >=30 days over 5 years | 3.28 [2.77,3.90] | 2.79 [2.41,3.23] | 3.85 [3.50,4.24] | 4.10 [3.78,4.46] |
5 | Avoidable hospitalizations | ||||
6 | Any | 2.34 [2.25,2.42] | 4.89 [4.73,5.05] | 3.51 [3.45,3.57] | 3.61 [3.56,3.65] |
7 | COPD, chronic bronchitis, asthma | 1.57 [1.50,1.64] | 1.41 [1.36,1.46] | 1.74 [1.71,1.78] | 3.26 [3.21,3.31] |
8 | Congestive heart failure | 0.98 [0.87,1.09]a | 0.82 [0.75,0.90] | 1.32 [1.27,1.37] | 1.91 [1.84,1.98] |
9 | Constipation, fecal impaction, and obstipation | 4.09 [3.78,4.42] | 9.59 [9.01,10.20] | 5.46 [5.24,5.70] | 3.15 [3.05,3.25] |
10 | Dehydration, volume depletion including acute renal failure and hyponatremia | 1.82 [1.65,1.99] | 2.46 [2.30,2.64] | 2.39 [2.30,2.49] | 2.95 [2.85,3.06] |
11 | Hypertension and hypotension | 1.86 [1.76,1.95] | 1.85 [1.77,1.92] | 1.67 [1.64,1.71] | 2.33 [2.29,2.37] |
12 | Poor glycemic control | 1.72 [1.61,1.84] | 1.46 [1.38,1.54] | 1.35 [1.32,1.39] | 1.75 [1.71,1.79] |
13 | Seizures | 3.81 [3.59,4.05] | 10.34 [9.87,10.84] | 9.17 [8.87,9.48] | 3.41 [3.30,3.51] |
14 | Urinary tract infection | 1.76 [1.66,1.86] | 3.07 [2.94,3.21] | 2.85 [2.77,2.92] | 2.56 [2.52,2.60] |
15 | Weight loss (failure to thrive) and nutritional deficiencies | 3.89 [3.51,4.31] | 9.57 [8.85,10.35] | 6.44 [6.10,6.81] | 3.25 [3.10,3.40] |
| |||||
Comorbidities | |||||
| |||||
16 | Any | 1.50 [1.44,1.56] | 1.52 [1.47,1.57] | 1.55 [1.52,1.57] | 2.56 [2.53,2.60] |
17 | Cancer | 1.54 [1.42,1.67] | 1.59 [1.49,1.69] | 1.44 [1.39,1.49] | 2.03 [1.97,2.08] |
18 | Chronic kidney disease | 0.89 [0.82,0.96] | 0.95 [0.89,1.01]a | 1.16 [1.12,1.19] | 1.87 [1.82,1.92] |
19 | Chronic lung disease | 1.37 [1.27,1.46] | 0.96 [0.90,1.02]a | 1.61 [1.56,1.65] | 3.89 [3.81,3.98] |
20 | Diabetes | 1.48 [1.40,1.56] | 1.26 [1.21,1.32] | 1.25 [1.23,1.28] | 1.64 [1.61,1.67] |
21 | Immunocompromised | 1.17 [0.88,1.54]a | 0.97 [0.76,1.22]a | 0.86 [0.75,0.98] | 2.00 [1.79,2.23] |
22 | Previous Organ Transplant Recipient | 0.29 [0.23,0.38] | 0.16 [0.13,0.21] | 0.27 [0.24,0.29] | 0.76 [0.69,0.83] |
23 | Serious Heart Conditions | 0.98 [0.89,1.09]a | 0.80 [0.74,0.87] | 1.30 [1.25,1.34] | 1.95 [1.89,2.02] |
24 | Severe Obesity | 2.37 [2.23,2.52] | 2.16 [2.05,2.28] | 1.89 [1.83,1.95] | 2.16 [2.11,2.21] |
25 | Sickle Cell Disease | 0.57 [0.37,0.90] | 0.25 [0.16,0.39] | 0.48 [0.40,0.58] | 1.50 [1.27,1.76] |
Notes: ASD=autism spectrum disorder, ID=intellectual disability, MHC=mental health conditions. Regressions control for age group, sex, race, ethnicity, eligibility type, insurance type, Medicare dual eligibility and state; comparison is to the random sample with no ID, ASD, or MHC.
p-value is not less than 0.01 (for all other estimates, p<0.01)