Financial outcomes after pediatric critical illness among commercially insured families.
Financial outcomes after pediatric critical illness among commercially insured families.
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DOI：
10.1186/s13054-023-04493-8
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发表时间：
2023-06-08
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
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Critical illness results in subjective financial distress for families, but little is known about objective caregiver finances after a child’s pediatric intensive care unit (PICU) hospitalization. Using statewide commercial insurance claims linked to cross-sectional commercial credit data, we identified caregivers of children with PICU hospitalizations in January–June 2020 and January–June 2021. Credit data included delinquent debt, debt in collections (medical and non-medical), low credit score (< 660), and a composite of any debt or poor credit and were measured in January 2021 for all caregivers. For the 2020 cohort (“post-PICU”), credit outcomes in January 2021 were measured at least 6 months following PICU hospitalization and reflect financial status after the hospitalization. For the 2021 cohort (comparison), financial outcomes were measured prior to their child’s PICU hospitalization and therefore reflect pre-hospitalization financial status. We identified 2032 caregivers, 1017 post-PICU caregivers and 1015 comparison cohort caregivers, of which 1016 and 1014 were matched to credit data, respectively. Post-PICU caregivers had higher adjusted odds of having any delinquent debt [aOR 1.25; 95%CI 1.02–1.53; p = 0.03] and having a low credit score [aOR 1.29; 95%CI 1.06–1.58; p = 0.01]. However, there was no difference in the amount of delinquent debt or debt in collections among those with nonzero debt. Overall, 39.5% and 36.5% of post-PICU and comparator caregivers, respectively, had delinquent debt, debt in collections or poor credit. Many caregivers of critically ill children have financial debt or poor credit during hospitalization and post-discharge. However, caregivers may be at higher risk for poor financial status following their child’s critical illness. The online version contains supplementary material available at 10.1186/s13054-023-04493-8.
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影响因子：
13.8
作者：
Carlton EF;Donnelly JP;Prescott HC;Asaro LA;Barbaro RP;Watson RS;Curley MAQ;RESTORE Study Investigators
通讯作者：
RESTORE Study Investigators
影响因子：
2.4
作者：
Feudtner C;Feinstein JA;Zhong W;Hall M;Dai D
通讯作者：
Dai D
影响因子：
3.1
作者：
Clark, Maureen E.;Cummings, Brian M.;Noviski, Natan
通讯作者：
Noviski, Natan
影响因子：
26.1
作者：
Carlton, Erin F.;Becker, Nora V.;Chua, Kao-Ping
通讯作者：
Chua, Kao-Ping
影响因子：
26.1
作者：
Killien, Elizabeth Y.;Keller, Matthew R.;Hartman, Mary E.
通讯作者：
Hartman, Mary E.