Uninsured Children May Be More Likely to Die in the Hospital

Study finds they have a 1.6-fold increased mortality risk compared with insured children
By Andrea Mongler
HealthDay Reporter

FRIDAY, Oct. 30 (HealthDay News) -- In-hospital all-cause mortality is higher among uninsured children than among those who have insurance, according to a study published in the October issue of the Journal of Public Health.

Fizan Abdullah, M.D., of Johns Hopkins School of Medicine in Baltimore, and colleagues analyzed data from two inpatient databases covering more than 23 million U.S. children younger than 18 years old. They classified patients as uninsured (5.4 percent) or insured -- including Medicaid and private insurance (94.6 percent) -- and adjusted for factors including age, race, gender and geographic region.

The researchers found that the adjusted mortality rate was 0.46 percent for insured children and 0.74 percent for uninsured children. A multivariate analysis determined that uninsured pediatric patients had a 1.6-fold increased mortality risk compared with insured pediatric patients. The researchers estimated that 37.8 percent of the deaths among uninsured patients might have been prevented by insurance coverage.

"In conclusion, children who were hospitalized without insurance have significantly increased all-cause in-hospital mortality as compared with children who present with insurance. Given these results and the increasing number of uninsured children, governmental and societal priorities should shift to ensure that the most vulnerable members of our society have health insurance," the authors conclude.

Abstract
Full Text (subscription or payment may be required

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events