Table 2.
Health care utilization following Kawasaki disease diagnosis
| Type of health care utilization | 0–1 year following diagnosis | 1–5 years following diagnosis | 5+ years following diagnosis | ||||
|---|---|---|---|---|---|---|---|
| KD Case | Comparator | KD Case | Comparator | KD Case | Comparator | ||
| Hospital admissions | N | N=4,597 | N=459,700 | N=4,576 | N=446,620 | N=3,571 | N=334,460 |
| Patients with ≥1 encounter | 717 (15.6%) | 12,140 (2.6%) | 441 (9.6%) | 22,418 (5.0%) | 463 (13.0%) | 33,496 (10.0%) | |
| Encounter rate (per 1000py) | 210.3 | 35.4 | 45.4 | 21.1 | 28.3 | 20.7 | |
| Adjusted rate ratio (95% CI) | 5.68 (5.57–5.78) | Ref | 1.64 (1.52–1.76) | Ref | 1.15 (1.04–1.26) | Ref | |
| Outpatient visits | N | N=4,597 | N=459,700 | N=4,576 | N=446,620 | N=3,571 | N=334,460 |
| Patients with ≥1 encounter | 4,587 (99.8%) | 393,683 (85.6%) | 4,447 (97.2%) | 404,126 (90.5%) | 3,389 (94.9%) | 296,710 (88.7%) | |
| Encounter rate (per 1000py) | 13,131.5 | 5,658.7 | 6,329.3 | 4,206.0 | 4,743.6 | 3,778.4 | |
| Adjusted rate ratio (95% CI) | 1.92 (1.89–1.94) | Ref | 1.18 (1.16–1.21) | Ref | 1.10 (1.06–1.13) | Ref | |
| ED visits | N | N=3,723 | N=372,141 | N=3,709 | N=363,349 | N=2,727 | N=257,503 |
| Patients with ≥1 encounter | 1,695 (45.5%) | 105,297 (28.3%) | 2,129 (57.4%) | 171,122 (47.1%) | 1,668 (61.2%) | 139,141 (54.0%) | |
| Encounter rate (per 1000py) | 877.0 | 486.6 | 492.1 | 349.7 | 358.0 | 314.3 | |
| Adjusted rate ratio (95% CI) | 1.52 (1.46–1.58) | Ref | 1.20 (1.16–1.25) | Ref | 1.07 (1.01–1.12) | Ref | |
Ref: reference group, for calculation of adjusted rate ratio.