Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004

Stephen J. Pont, L. Rand Carpenter, Marie R. Griffin, Timothy F. Jones, William Schaffner, Judith A. Dudley, Patrick G. Arbogast, William O. Cooper

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To determine current diarrhea-associated healthcare usage rates and associated sociodemographic factors. These data can be used to determine the impact of the rotavirus vaccine. Study design: Using discharge diagnosis codes, we determined diarrhea-associated visit rates for children aged 0 to 18 years enrolled in Tennessee Medicaid, 1995-2004. Poisson regression compared data across time and within strata. The winter residual excess method estimated the rotavirus burden. Results: Analyzing approximately 500 000 person-years annually, outpatient and hospitalization rates remained stable from 1995 to 2004; emergency department (ED) rates approximately doubled, incidence rate ratio (IRR): 1.92 (1.81-2.04). White children used healthcare at greater rates than black children: outpatient IRR 1.90: (1.85-1.95), ED IRR: 1.69 (1.64-1.74), and inpatient IRR: 1.82 (1.73-1.92); and rural children greater than urban: outpatient IRR 1.66 (1.62-1.70), ED IRR 1.14 (1.11-1.17), inpatient IRR 1.88 (1.80-1.97). Children aged 0 to 35 months experienced 1627 outpatient and 792 ED visits, and 148 hospitalizations per 10 000 child-years; rotavirus may have affected up to 40% of these hospitalizations. Conclusions: Diarrhea-associated ED visit rates nearly doubled from 1995 to 2004. Future studies could explore factors resulting in increased healthcare usage by white children and those living in rural areas and document the rotavirus vaccine's impact after its release.

Original languageEnglish (US)
JournalJournal of Pediatrics
Volume153
Issue number6
DOIs
StatePublished - Dec 2008

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Diarrhea
Delivery of Health Care
Hospital Emergency Service
Incidence
Outpatients
Rotavirus Vaccines
Hospitalization
Rotavirus
Inpatients
Medicaid

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pont, S. J., Carpenter, L. R., Griffin, M. R., Jones, T. F., Schaffner, W., Dudley, J. A., ... Cooper, W. O. (2008). Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004. Journal of Pediatrics, 153(6). https://doi.org/10.1016/j.jpeds.2008.06.037

Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004. / Pont, Stephen J.; Carpenter, L. Rand; Griffin, Marie R.; Jones, Timothy F.; Schaffner, William; Dudley, Judith A.; Arbogast, Patrick G.; Cooper, William O.

In: Journal of Pediatrics, Vol. 153, No. 6, 12.2008.

Research output: Contribution to journalArticle

Pont, SJ, Carpenter, LR, Griffin, MR, Jones, TF, Schaffner, W, Dudley, JA, Arbogast, PG & Cooper, WO 2008, 'Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004', Journal of Pediatrics, vol. 153, no. 6. https://doi.org/10.1016/j.jpeds.2008.06.037
Pont SJ, Carpenter LR, Griffin MR, Jones TF, Schaffner W, Dudley JA et al. Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004. Journal of Pediatrics. 2008 Dec;153(6). https://doi.org/10.1016/j.jpeds.2008.06.037
Pont, Stephen J. ; Carpenter, L. Rand ; Griffin, Marie R. ; Jones, Timothy F. ; Schaffner, William ; Dudley, Judith A. ; Arbogast, Patrick G. ; Cooper, William O. / Trends in Healthcare Usage Attributable to Diarrhea, 1995-2004. In: Journal of Pediatrics. 2008 ; Vol. 153, No. 6.
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