Identifying Local Hot Spots of Pediatric Chronic Diseases Using Emergency Department Surveillance.

ABSTRACT:

Objective

To use novel geographic methods and large-scale claims data to identify the local distribution of pediatric chronic diseases in New York City.

Methods

Using a 2009 all-payer emergency claims database, we identified the proportion of unique children aged 0 to 17 with diagnosis codes for specific medical and psychiatric conditions. As a proof of concept, we compared these prevalence estimates to traditional health surveys and registry data using the most geographically granular data available. In addition, we used home addresses to map local variation in pediatric disease burden.

Results

We identified 549,547 New York City children who visited an emergency department at least once in 2009. Though our sample included more publicly insured and uninsured children

SUBMITTER: Lee DC 

PROVIDER: S-EPMC5385887 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature