TABLE 1

Characteristics of Children With Medical Complexity in Northern New England by Hospital Cohort

CharacteristicsChildren’s HospitalsaRegional HospitalsCommunity HospitalsPc
FreestandingWithin a Hospital
Hospital A, n = 885Hospital B, n = 2190Hospital C, n = 2501Hospital D, n = 1229Hospital E, n = 792Hospital F, n = 619Residual,bn = 3588
1067 py3343 py3200 py1798 py1028 py850 py4823 py
Age, y, %
 0–2 40.4540.6439.9437.3537.2547.0132.00<.001
 3–4 8.707.319.088.546.824.856.33.20
 5–9 18.7617.6319.8718.8017.1715.5117.03<.001
 10–14 21.0220.1820.6721.1621.9717.4523.52<.001
 15–17 11.0714.2510.4414.1616.7915.1921.13<.001
Girls, %46.1045.3447.0247.5248.6144.9145.35>.20
Medicaid, %40.5653.0152.0242.0738.2661.5548.30<.001
MHHI, $ (SD) 63 810 (20 239)52 037 (14 337)57 688 (15 170)56 603 (12 839)68 487 (19 910)41 752 (7709)57 247 (18 300)<.001
State of residence, %
 Maine20.6894.110.920.000.38100.0036.01<.001
 New Hampshire65.885.8479.611.6397.220.0050.17<.001
 Vermont13.450.0519.4798.372.400.0013.82<.001
Attribution method, %
 Inpatient days82.6055.3952.0247.5227.9077.7143.00<.001
 Office visits17.4044.6147.9852.4872.1022.2957.00
Qualifying diagnosisd
 Neuromuscular18.0815.3426.6318.8012.1218.2615.36<.001
 Cardiovascular41.4729.6822.9526.8525.1332.7924.74<.001
 Respiratory10.179.5010.3613.438.3310.507.38<.001
 Malignancy13.9016.9911.1615.3810.9813.0915.96<.001
 Congenital anomalies28.4723.2434.3925.7129.4223.1024.00<.001
 Other25.6524.7023.9920.8327.9023.2625.47.002
Technology dependent7.674.296.084.721.777.272.84<.001
Median travel time, min82.360.077.343.427.462.128.9
  • MHHI, median household income of zip code of patient residence; py, person-years.

  • a Freestanding and children’s hospital-within-a-hospital designation from the Children’s Hospital Association.

  • b Represents medically complex children not attributed to 1 of the 4 academic children’s hospitals or 2 regional hospitals in the northern New England region.

  • c Pearson’s χ2 goodness of fit test.

  • d Sums to >100% due to patients with comorbid conditions.