Hospitalizations and emergency department use in Mayo Clinic Biobank participants within the employee and community health medical home. Academic Article uri icon

Overview

MeSH

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Minnesota
  • Proportional Hazards Models
  • Risk Factors
  • Sex Factors
  • Young Adult

MeSH Major

  • Databases, Factual
  • Emergency Service, Hospital
  • Hospitalization
  • Patient-Centered Care

abstract

  • To evaluate the participants in the Mayo Clinic Biobank for their representativeness to the entire Employee and Community Health program (ECH) primary care population with regard to hospital utilization. Participants enrolled in the Mayo Clinic Biobank from April 1, 2009, to December 31, 2010, were linked to the ECH population. These individuals were categorized into risk tiers (0-4) on the basis of the number of health conditions present as of December 31, 2010. Outcomes were ascertained through December 31, 2011. Hazard ratios (HRs) and 95% CIs for risk of hospitalization, emergency department (ED) visits, and for risk of hospitalization and emergency department (ED) visits were estimated. The 8927 Biobank participants were part of ECH (N=84,872). Compared with the entire ECH population, the Biobank-ECH participants were more likely to be female (64.3% vs 54.6%), older (median age, 58 years vs 47 years), and categorized to tier 0 (6.4% vs 24.0%). There were strong positive associations between tier (tier 4 vs combined tiers 0 and 1) and risk of hospitalization (HR, 5.8; 95% CI, 4.6-7.5) and ED visits (HR, 5.4; 95% CI, 4.2-6.8) among Biobank-ECH participants. Similar associations for risk of hospitalization (HR, 8.5; 95% CI, 7.8-9.3) and ED visits (HR, 6.9; 95% CI, 6.4-7.5) were observed for the entire ECH population. Although the Biobank-ECH participants were older and had more chronic conditions compared with the overall ECH population, the associations of risk tier with utilization outcomes were similar, supporting the use of the Biobank participants to assess biomarkers for health care outcomes in the primary care setting. Copyright © 2013 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

publication date

  • September 2013

has subject area

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Databases, Factual
  • Emergency Service, Hospital
  • Female
  • Hospitalization
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Minnesota
  • Patient-Centered Care
  • Proportional Hazards Models
  • Risk Factors
  • Sex Factors
  • Young Adult

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC4151531

Digital Object Identifier (DOI)

  • 10.1016/j.mayocp.2013.06.015

PubMed ID

  • 24001488

Additional Document Info

start page

  • 963

end page

  • 969

volume

  • 88

number

  • 9