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Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury
OBJECTIVE: Describe the association of health insurance coverage with the odds of mortality in an emergency department (ED) or hospital for adult victims of a motor vehicle crash. METHODS: This cross‐sectional study pooled and averaged 6 years of data, 2009–2014, from the Nationwide Emergency Depart...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795214/ https://www.ncbi.nlm.nih.gov/pubmed/35128533 http://dx.doi.org/10.1002/emp2.12652 |
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author | Stimpson, Jim P. Becker, Alec W. Shea, Lindsay Wilson, Fernando A. |
author_facet | Stimpson, Jim P. Becker, Alec W. Shea, Lindsay Wilson, Fernando A. |
author_sort | Stimpson, Jim P. |
collection | PubMed |
description | OBJECTIVE: Describe the association of health insurance coverage with the odds of mortality in an emergency department (ED) or hospital for adult victims of a motor vehicle crash. METHODS: This cross‐sectional study pooled and averaged 6 years of data, 2009–2014, from the Nationwide Emergency Department Sample (NEDS). Our analysis was restricted to patients 20–85 years old that were treated in an ED for an injury sustained from a motor vehicle traffic crash (N = 2,203,407 average annual hospital discharges). The outcome variables were whether the motor vehicle crash victim died in the ED or hospital. The predictor variable was health insurance status that was measured as uninsured, Medicare, Medicaid, private insurance, and other health insurance. RESULTS: Most patients that died had some form of health insurance with less than a quarter classified as uninsured (23%). Nearly half of the patients that died had private insurance (48%) followed by Medicare (13%), Medicaid (9%), and other insurance (8%). Compared to the uninsured, the multivariate adjusted odds ratios (ORs) for death were significantly (P < 0.001) lower for Medicare (OR = 0.83, 95% confidence interval [CI] = 0.76–0.92), Medicaid (OR = 0.76, 95% CI = 0.69–0.84), private insurance (OR = 0.63, 95% CI = 0.58–0.68), and other insurance (OR = O.61, 95% CI = 0.54–0.70). CONCLUSION: After accounting for hospital and patient characteristics, lack of health insurance was associated with a higher likelihood of death for patients admitted to an ED or hospital for injuries sustained from a motor vehicle crash. |
format | Online Article Text |
id | pubmed-8795214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87952142022-02-04 Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury Stimpson, Jim P. Becker, Alec W. Shea, Lindsay Wilson, Fernando A. J Am Coll Emerg Physicians Open Health Policy OBJECTIVE: Describe the association of health insurance coverage with the odds of mortality in an emergency department (ED) or hospital for adult victims of a motor vehicle crash. METHODS: This cross‐sectional study pooled and averaged 6 years of data, 2009–2014, from the Nationwide Emergency Department Sample (NEDS). Our analysis was restricted to patients 20–85 years old that were treated in an ED for an injury sustained from a motor vehicle traffic crash (N = 2,203,407 average annual hospital discharges). The outcome variables were whether the motor vehicle crash victim died in the ED or hospital. The predictor variable was health insurance status that was measured as uninsured, Medicare, Medicaid, private insurance, and other health insurance. RESULTS: Most patients that died had some form of health insurance with less than a quarter classified as uninsured (23%). Nearly half of the patients that died had private insurance (48%) followed by Medicare (13%), Medicaid (9%), and other insurance (8%). Compared to the uninsured, the multivariate adjusted odds ratios (ORs) for death were significantly (P < 0.001) lower for Medicare (OR = 0.83, 95% confidence interval [CI] = 0.76–0.92), Medicaid (OR = 0.76, 95% CI = 0.69–0.84), private insurance (OR = 0.63, 95% CI = 0.58–0.68), and other insurance (OR = O.61, 95% CI = 0.54–0.70). CONCLUSION: After accounting for hospital and patient characteristics, lack of health insurance was associated with a higher likelihood of death for patients admitted to an ED or hospital for injuries sustained from a motor vehicle crash. John Wiley and Sons Inc. 2022-01-27 /pmc/articles/PMC8795214/ /pubmed/35128533 http://dx.doi.org/10.1002/emp2.12652 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Health Policy Stimpson, Jim P. Becker, Alec W. Shea, Lindsay Wilson, Fernando A. Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title | Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title_full | Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title_fullStr | Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title_full_unstemmed | Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title_short | Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
title_sort | association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury |
topic | Health Policy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795214/ https://www.ncbi.nlm.nih.gov/pubmed/35128533 http://dx.doi.org/10.1002/emp2.12652 |
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