背景:胎儿酒精谱系障碍(FASDs)是可能发生在产前酒精暴露人群中的终生疾病。虽然研究使用密集,对选定社区儿童的面对面评估发现,对患有FASD的儿童的估计高于对医疗保健索赔数据的研究,基于索赔的研究提供了有关来自不同人群的公认FASD个体的更多最新信息。我们估计了两个大型医疗保健索赔数据库中行政报告FASD的儿童比例。
方法:我们分析了Merative™MarketScan®商业和医疗补助索赔数据库,其中包括来自雇主赞助的健康计划和8-10个州的医疗补助计划的全国数据,分别。对于每个数据库,我们估计了0-17岁儿童有行政报告的FASD的比例,在2015年至2021年的整个7年期间以及每年期间,由一名住院患者或两名门诊医生确定产前酒精暴露或胎儿酒精综合征。
结果:在2015-2021年期间,每10,000名商业保险儿童中有1.2名和每10,000名医疗补助保险儿童中有6.1名行政报告的FASD;估计因性别而异,地理,和其他可用的人口统计数据。在有商业保险的儿童中,2015年每10,000人中有0.5人,2021年每10,000名儿童中有0.6人有行政报告的FASD;在医疗补助保险中,2015年每10,000人中有1.2人和2021年每10,000名儿童中有2.1人在行政上报告了FASD。
结论:尽管低估了FASD儿童的真实人群,通过人口统计学的行政报告FASD的模式与以前的研究一致.医疗保健索赔研究可以提供及时,正在进行的有关公认的FASD儿童的信息,以补充人员研究。
BACKGROUND: Fetal alcohol spectrum disorders (FASDs) are lifelong conditions that can occur in a person with prenatal alcohol exposure. Although studies using intensive, in-person assessments of children in selected communities have found higher estimates of children with FASDs than studies of healthcare claims data, claims-based studies provide more current information about individuals with recognized FASDs from diverse populations. We estimated the proportion of children with administratively reported FASDs in two large healthcare claims databases.
METHODS: We analyzed Merative™ MarketScan® commercial and Medicaid claims databases, that include nationwide data from employer-sponsored health plans and from Medicaid programs in 8-10 states, respectively. For each database, we estimated the proportion of children aged 0-17 years with administratively reported FASDs, identified by one inpatient or two outpatient codes for prenatal alcohol exposure or fetal alcohol syndrome during the entire seven-year period from 2015 to 2021 and during each year.
RESULTS: During 2015-2021, 1.2 per 10,000 commercially-insured and 6.1 per 10,000 Medicaid-insured children had an administratively reported FASD; estimates varied by sex, geography, and other available demographics. Among commercially-insured children, 0.5 per 10,000 in 2015 and 0.6 per 10,000 children in 2021 had an administratively reported FASD; among Medicaid-insured, 1.2 per 10,000 in 2015 and 2.1 per 10,000 children in 2021 had an administratively reported FASD.
CONCLUSIONS: Although an underestimate of the true population of children with FASDs, patterns in administratively reported FASDs by demographics were consistent with previous studies. Healthcare claims studies can provide timely, ongoing information about children with recognized FASDs to complement in-persons studies.