Abstract：
UNASSIGNED: Our goal was to better understand the health care utilization of patients with spina bifida (SB) by evaluating length of hospital stay (LOS) as well as identifying what characteristics within the SB population are contributing to shorter or longer LOS.
UNASSIGNED: By querying the Department of Health Care Access and Information database of all encounters at California-licensed hospitals from January 1995 through December 2017, this study analyzed LOS as a measure of health care utilization. Patients with SB were identified using the International Classification of Diseases-9 and -10 coding system, and the data collected for both SB and control cohorts were compared using linear and logistic regression models.
UNASSIGNED: Patients with SB spent a mean LOS of 7.3 days compared to 4.7 days among the control cohort (P < .001). In multivariable analysis, SB was found to be an independent predictor of longer LOS. Within the SB encounters, increasing comorbidities and nonprivate insurance were associated with longer LOS, while being female and Hispanic were associated with a shorter LOS.
UNASSIGNED: SB is an independent predictor of longer LOS when compared to the control cohort. These findings highlight the importance of understanding the preventive health care access and needs of the vulnerable SB population to decrease hospital utilization rates.
UNASSIGNED: By querying the Department of Health Care Access and Information database of all encounters at California-licensed hospitals from January 1995 through December 2017, this study analyzed LOS as a measure of health care utilization. Patients with SB were identified using the International Classification of Diseases-9 and -10 coding system, and the data collected for both SB and control cohorts were compared using linear and logistic regression models.
UNASSIGNED: Patients with SB spent a mean LOS of 7.3 days compared to 4.7 days among the control cohort (P < .001). In multivariable analysis, SB was found to be an independent predictor of longer LOS. Within the SB encounters, increasing comorbidities and nonprivate insurance were associated with longer LOS, while being female and Hispanic were associated with a shorter LOS.
UNASSIGNED: SB is an independent predictor of longer LOS when compared to the control cohort. These findings highlight the importance of understanding the preventive health care access and needs of the vulnerable SB population to decrease hospital utilization rates.
摘要：
■我们的目标是通过评估住院时间（LOS）以及确定SB人群中哪些特征有助于缩短或延长LOS，从而更好地了解脊柱裂（SB）患者的医疗保健利用情况。
通过查询1995年1月至2017年12月在加利福尼亚州许可医院的所有遭遇的医疗保健访问和信息数据库，本研究分析了LOS作为医疗保健利用的衡量标准。使用国际疾病分类-9和-10编码系统识别SB患者，使用线性和逻辑回归模型比较了SB和对照组的数据。
■SB患者的平均LOS为7.3天，而对照组为4.7天（P<.001）。在多变量分析中，SB被发现是较长LOS的独立预测因子。在SB遭遇中，增加的合并症和非私人保险与更长的LOS相关，虽然是女性和西班牙裔，但LOS较短。与对照组相比，
■SB是LOS更长的独立预测因子。这些发现强调了了解弱势SB人群的预防性医疗保健获取和需求以降低医院利用率的重要性。
通过查询1995年1月至2017年12月在加利福尼亚州许可医院的所有遭遇的医疗保健访问和信息数据库，本研究分析了LOS作为医疗保健利用的衡量标准。使用国际疾病分类-9和-10编码系统识别SB患者，使用线性和逻辑回归模型比较了SB和对照组的数据。
■SB患者的平均LOS为7.3天，而对照组为4.7天（P<.001）。在多变量分析中，SB被发现是较长LOS的独立预测因子。在SB遭遇中，增加的合并症和非私人保险与更长的LOS相关，虽然是女性和西班牙裔，但LOS较短。与对照组相比，
■SB是LOS更长的独立预测因子。这些发现强调了了解弱势SB人群的预防性医疗保健获取和需求以降低医院利用率的重要性。
