Table 1.
Individuals with SCD | Matched Controls | |||||
---|---|---|---|---|---|---|
n | 20 891 | 33 588 | ||||
Follow-up, yr | 4.4 (SD 2.8) | NA | ||||
Age (yr),∗ % | 25.7 (SD 17.4) | 24.7 (17.0) | ||||
Male | 42.0 | 42.8 | ||||
Region, % | ||||||
Northeast | 19.2 | 21.2 | ||||
Northcentral | 15.2 | 15.8† | ||||
South | 55.6 | 56.2 | ||||
West | 8.3 | 6.7 | ||||
Unknown | 1.7 | — | ||||
Calendar year,∗% | ||||||
2007-2009 | 51.0 | 46.5 | ||||
2010-2012 | 21.6 | 20.5 | ||||
2013-2015 | 19.0 | 22.9 | ||||
2016-2018 | 8.5 | 10.1 | ||||
Plan type, % | ||||||
HMO | 14.6 | 17.8 | ||||
Other‡ | 85.4 | 78.6 | ||||
Unknown | — | 3.6 | ||||
Healthcare Services Use (Mean [SE] Visits/Yr) | ||||||
Age at enrollment | 0-18 (n = 8 512) | 19-30 (n = 4 156) | 31-64 (n = 8 223) | 0-18 (n = 8 871) | 19-30 (n = 6 103) | 31-64 (n = 18 614) |
Office visits§ | 4.55 (0.03) | 4.51 (0.04) | 6.49 (0.04) | 2.42 (0.11) | 2.39 (0.15) | 3.72 (0.12) |
Outpatient & urgent care visitsǁ | 4.86 (0.04) | 4.73 (0.08) | 4.77 (0.05) | 0.08 (0.01) | 0.15 (0.05) | 0.32 (0.02) |
Ambulance use | 0.05 (0.003) | 0.09 (0.005) | 0.12 (0.007) | 0.002 (0.001) | 0.005 (0.001) | 0.004 (0.001) |
Emergency department visits | 1.32 (0.01) | 1.90 (0.04) | 1.12 (0.02) | 0.14 (0.009) | 0.20 (0.01) | 0.18 (0.007) |
Inpatient admissions | 0.57 (0.007) | 0.69 (0.013) | 0.46 (0.006) | 0.04 (0.008) | 0.07 (0.01) | 0.07 (0.004) |
Prescription fills | 8.02 (0.07) | 9.77 (0.13) | 15.94 (0.12) | 1.57 (0.09) | 2.38 (0.13) | 8.45 (0.25) |
HMO, health maintenance organization; EPO, exclusive provider organization; POS, point-of-service; CDHP, consumer directed health plan; HDHP, high deductible health plan.
Determined at enrollment.
Midwest region.
Other plan types are comprehensive, EPO, POS, POS with capitation, CDHP, and HDHP.
Visits to physicians’ offices outside of hospitals.
Visits to outpatient facilities adjoining hospital facilities.