Matches in SemOpenAlex for { <https://semopenalex.org/work/W4328107722> ?p ?o ?g. }
Showing items 1 to 90 of
90
with 100 items per page.
- W4328107722 abstract "Individuals with spina bifida (SB) may experience negative health outcomes because of an informal transition from pediatric to adult care that results in using the emergency room (ER ) for non-acute health problems.We conducted a retrospective, population-based cohort study of all people with SB in Ontario, Canada turning 18 years old between 2002 and 2011. These patients were followed for five years before and after age 18. Primary outcome was the annual rate of ER visits. Secondary outcomes included rates of hospitalization, surgery, primary care, and specialist outpatient care. We estimated the association between age and primary and secondary outcomes using negative binomial growth curve models, adjusting for patient-level baseline covariates.Among the 1215 individuals with SB, there was no trend of ER visits seen with increasing age (relative risk [RR ] 0.99, 95% confidence interval [CI] 0.98-1.02); however, there was a significant increase in the rate of ER visits associated with turning 18 years (RR 1.14, 95% CI 1.03-1.27). Turning 18 years old was also associated with a decreased rate of hospital admissions (RR 0.79, 95% CI 0.66-0.95) and no change in surgeries (RR 0.80, 95% CI 0.64-1.02). Visits to primary care physicians remained stable over the same period (RR 0.96, 95% CI 0.90-1.01), while visits to SB-focused specialists decreased after age 18 (RR 0.81, 95% CI 0.75-0.87).In patients with SB, the rate of ER visits increased significantly at 18 years old, while hospital admissions and specialist physician visits decreased at the same time. Models of transitional care can aim to reduce non-urgent ER visits and facilitate regular specialist care." @default.
- W4328107722 created "2023-03-22" @default.
- W4328107722 creator A5018171722 @default.
- W4328107722 creator A5025431226 @default.
- W4328107722 creator A5032232847 @default.
- W4328107722 creator A5044162475 @default.
- W4328107722 creator A5047781154 @default.
- W4328107722 creator A5057470239 @default.
- W4328107722 creator A5072713409 @default.
- W4328107722 creator A5084045976 @default.
- W4328107722 creator A5089569850 @default.
- W4328107722 creator A5090167552 @default.
- W4328107722 creator A5091477558 @default.
- W4328107722 date "2023-03-20" @default.
- W4328107722 modified "2023-09-30" @default.
- W4328107722 title "Healthcare utilization during transition to adult care in patients with spina bifida" @default.
- W4328107722 cites W100013426 @default.
- W4328107722 cites W1977080063 @default.
- W4328107722 cites W1991503677 @default.
- W4328107722 cites W1997676399 @default.
- W4328107722 cites W2033013045 @default.
- W4328107722 cites W2039879370 @default.
- W4328107722 cites W2050990205 @default.
- W4328107722 cites W2054699490 @default.
- W4328107722 cites W2075205721 @default.
- W4328107722 cites W2083099818 @default.
- W4328107722 cites W2100668176 @default.
- W4328107722 cites W2123619785 @default.
- W4328107722 cites W2147559725 @default.
- W4328107722 cites W2584967025 @default.
- W4328107722 cites W2588540068 @default.
- W4328107722 cites W2767214297 @default.
- W4328107722 cites W2889187643 @default.
- W4328107722 cites W4293105723 @default.
- W4328107722 doi "https://doi.org/10.5489/cuaj.8247" @default.
- W4328107722 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36952301" @default.
- W4328107722 hasPublicationYear "2023" @default.
- W4328107722 type Work @default.
- W4328107722 citedByCount "0" @default.
- W4328107722 crossrefType "journal-article" @default.
- W4328107722 hasAuthorship W4328107722A5018171722 @default.
- W4328107722 hasAuthorship W4328107722A5025431226 @default.
- W4328107722 hasAuthorship W4328107722A5032232847 @default.
- W4328107722 hasAuthorship W4328107722A5044162475 @default.
- W4328107722 hasAuthorship W4328107722A5047781154 @default.
- W4328107722 hasAuthorship W4328107722A5057470239 @default.
- W4328107722 hasAuthorship W4328107722A5072713409 @default.
- W4328107722 hasAuthorship W4328107722A5084045976 @default.
- W4328107722 hasAuthorship W4328107722A5089569850 @default.
- W4328107722 hasAuthorship W4328107722A5090167552 @default.
- W4328107722 hasAuthorship W4328107722A5091477558 @default.
- W4328107722 hasBestOaLocation W43281077221 @default.
- W4328107722 hasConcept C126322002 @default.
- W4328107722 hasConcept C167135981 @default.
- W4328107722 hasConcept C187212893 @default.
- W4328107722 hasConcept C194828623 @default.
- W4328107722 hasConcept C201903717 @default.
- W4328107722 hasConcept C2778478650 @default.
- W4328107722 hasConcept C44249647 @default.
- W4328107722 hasConcept C71924100 @default.
- W4328107722 hasConcept C82789193 @default.
- W4328107722 hasConceptScore W4328107722C126322002 @default.
- W4328107722 hasConceptScore W4328107722C167135981 @default.
- W4328107722 hasConceptScore W4328107722C187212893 @default.
- W4328107722 hasConceptScore W4328107722C194828623 @default.
- W4328107722 hasConceptScore W4328107722C201903717 @default.
- W4328107722 hasConceptScore W4328107722C2778478650 @default.
- W4328107722 hasConceptScore W4328107722C44249647 @default.
- W4328107722 hasConceptScore W4328107722C71924100 @default.
- W4328107722 hasConceptScore W4328107722C82789193 @default.
- W4328107722 hasIssue "6" @default.
- W4328107722 hasLocation W43281077221 @default.
- W4328107722 hasLocation W43281077222 @default.
- W4328107722 hasLocation W43281077223 @default.
- W4328107722 hasOpenAccess W4328107722 @default.
- W4328107722 hasPrimaryLocation W43281077221 @default.
- W4328107722 hasRelatedWork W1623566526 @default.
- W4328107722 hasRelatedWork W1975389766 @default.
- W4328107722 hasRelatedWork W2091731949 @default.
- W4328107722 hasRelatedWork W2106675636 @default.
- W4328107722 hasRelatedWork W2130094035 @default.
- W4328107722 hasRelatedWork W2544797227 @default.
- W4328107722 hasRelatedWork W2552678540 @default.
- W4328107722 hasRelatedWork W2615997229 @default.
- W4328107722 hasRelatedWork W2782322644 @default.
- W4328107722 hasRelatedWork W3128580337 @default.
- W4328107722 hasVolume "17" @default.
- W4328107722 isParatext "false" @default.
- W4328107722 isRetracted "false" @default.
- W4328107722 workType "article" @default.