Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury
Abstract 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...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-02-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12652 |
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| author | Jim P. Stimpson Alec W. Becker Lindsay Shea Fernando A. Wilson |
| author_facet | Jim P. Stimpson Alec W. Becker Lindsay Shea Fernando A. Wilson |
| author_sort | Jim P. Stimpson |
| collection | DOAJ |
| description | Abstract 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 | Article |
| id | doaj-art-b34c4cbc2cc748959da6a009dde62ed4 |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-b34c4cbc2cc748959da6a009dde62ed42025-08-20T02:54:50ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-02-0131n/an/a10.1002/emp2.12652Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injuryJim P. Stimpson0Alec W. Becker1Lindsay Shea2Fernando A. Wilson3Drexel University, Dornsife School of Public Health Philadelphia Pennsylvania USADrexel University, A.J. Drexel Autism Institute Philadelphia Pennsylvania USADrexel University, Dornsife School of Public Health Philadelphia Pennsylvania USAUniversity of Utah, Matheson Center for Health Care Studies Salt Lake City Utah USAAbstract 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.https://doi.org/10.1002/emp2.12652emergency careemergency medicinehealth insurancemortalitymotor vehicleuninsured |
| spellingShingle | Jim P. Stimpson Alec W. Becker Lindsay Shea Fernando A. Wilson Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury Journal of the American College of Emergency Physicians Open emergency care emergency medicine health insurance mortality motor vehicle uninsured |
| 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 | emergency care emergency medicine health insurance mortality motor vehicle uninsured |
| url | https://doi.org/10.1002/emp2.12652 |
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