TABLE 2

Characteristics of CHIC in 2010 With Persistent High Cost in 2011 or 2012 (N = 26 574)

CharacteristicsCHIC in 2010Likelihood of Persistent High Cost
No Persistent High CostPersistent High CostORa95% CIaPa
Number of patients (%)19 394 (73.0)7180 (27.0)
Age, median (IQR), y10 [5, 14]9 [4, 13]1.0[1.0–1.0]1.0
Male gender, no. (%) of patients10 175 (52.5)3773 (52.5)1.0[0.9–1.0].2
Public insuranceb9902 (51.1)4313 (60.1)1.2[1.1–1.4]<.001
Race or ethnicity
 Non-Hispanic white10 394 (53.6)3751 (52.2)Reference
 Non-Hispanic black3449 (17.8)1348 (18.8)1.0[0.9–1.1].9
 Hispanic3112 (16)1383 (19.3)1.1[0.9–1.2].3
 Asian455 (2.3)134 (1.9)0.8[0.6–1.0].03
 Other1984 (10.2)564 (7.9)0.8[0.7–1.0].007
No. of chronic conditions
 14236 (21.8)546 (7.6)Reference
 24375 (22.6)993 (13.8)1.7[0.6–4.4].3
 3+9706 (50)5595 (77.9)2.3[0.8–6.0].1
Chronic condition grouping
 None1026 (5.3)42 (0.6)Reference
 Noncomplex, chronic3654 (18.8)635 (8.8)1.3[0.5–3.6].6
 Complex, chronic14 714 (75.9)6503 (90.6)2.0[0.7–5.5].2
Complex Chronic Conditions, N (%)c
Cardiology4162 (21.5)1295 (18.0)0.8[0.7–0.9]<.001
Gastrointestinal836 (4.3)493 (6.9)1.2[1.1–1.4].005
 Hematology/immunology1038 (5.4)748 (10.4)1.4[1.3–1.6]<.001
 Malignancy3556 (18.3)1874 (26.1)1.0[0.9–1.2].6
Metabolic1545 (8.0)1019 (14.2)1.0[0.9–1.1].6
 Neurology4665 (24.1)2516 (35.0)1.2[1.1–1.3].002
 Renal749 (3.9)577 (8.0)1.5[1.4–1.7]<.001
 Respiratory781 (4.0)1127 (15.7)3.0[2.5–3.5]<.001
Technological assistance5523 (28.5)3544 (49.4)1.6[1.5–1.7]<.001
Number of hospitalizations (2010)1 [1–3]3 [2–5]1.1[1.1–1.2]<.001
Hospital bed days (2010)13 [7–24]22 [13–39]1.0[1.0–1.1]<.001
No surgical admissions in 2010d5732 [29.6]3489 [48.6]2.0[1.8–2.1]<.001
  • Non-applicable denoted by em dash (—).

  • a Obtained from multivariate regression by using GEEs clustered on hospital representing the association between the clinical, demographic, and utilization characteristic and the persistence of high inpatient costs as defined by cost ≥80th percentile in 2011 or 2012.

  • b Reference group is private insurance.

  • c Reference group is children without the CCC

  • d Reference group is children with at least one surgical admission in 2010