Health services use among children diagnosed with medium-chain acyl-CoA dehydrogenase deficiency through newborn screening: a cohort study in Ontario, Canada

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dc.contributor.authorKaraceper, Maria D
dc.contributor.authorKhangura, Sara D
dc.contributor.authorWilson, Kumanan
dc.contributor.authorCoyle, Doug
dc.contributor.authorBrownell, Marni
dc.contributor.authorDavies, Christine
dc.contributor.authorDodds, Linda
dc.contributor.authorFeigenbaum, Annette
dc.contributor.authorFell, Deshayne B
dc.contributor.authorGrosse, Scott D
dc.contributor.authorGuttmann, Astrid
dc.contributor.authorHawken, Steven
dc.contributor.authorHayeems, Robin Z
dc.contributor.authorKronick, Jonathan B
dc.contributor.authorLaberge, Anne-Marie
dc.contributor.authorLittle, Julian
dc.contributor.authorMhanni, Aizeddin
dc.contributor.authorMitchell, John J
dc.contributor.authorNakhla, Meranda
dc.contributor.authorPotter, Murray
dc.contributor.authorPrasad, Chitra
dc.contributor.authorRockman-Greenberg, Cheryl
dc.contributor.authorSparkes, Rebecca
dc.contributor.authorStockler, Sylvia
dc.contributor.authorUeda, Keiko
dc.contributor.authorVallance, Hilary
dc.contributor.authorWilson, Brenda J
dc.contributor.authorChakraborty, Pranesh
dc.contributor.authorPotter, Beth K
dc.date.accessioned2019-04-01T05:57:21Z
dc.date.issued2019-03-22
dc.date.updated2019-04-01T05:57:21Z
dc.description.abstractAbstract Background We describe early health services utilization for children diagnosed with medium-chain acyl-CoA dehydrogenase (MCAD) deficiency through newborn screening in Ontario, Canada, relative to a screen negative comparison cohort. Methods Eligible children were identified via newborn screening between April 1, 2006 and March 31, 2010. Age-stratified rates of physician encounters, emergency department (ED) visits and inpatient hospitalizations to March 31, 2012 were compared using incidence rate ratios (IRR) and incidence rate differences (IRD). We used negative binomial regression to adjust IRRs for sex, gestational age, birth weight, socioeconomic status and rural/urban residence. Results Throughout the first few years of life, children with MCAD deficiency (nā€‰=ā€‰40) experienced statistically significantly higher rates of physician encounters, ED visits, and hospital stays compared with the screen negative cohort. The highest rates of ED visits and hospitalizations in the MCAD deficiency cohort occurred from 6 months to 2 years of age (ED use: 2.1ā€“2.5 visits per child per year; hospitalization: 0.5ā€“0.6 visits per child per year), after which rates gradually declined. Conclusions This study confirms that young children with MCAD deficiency use health services more frequently than the general population throughout the first few years of life. Rates of service use in this population gradually diminish after 24 months of age.
dc.identifier.citationOrphanet Journal of Rare Diseases. 2019 Mar 22;14(1):70
dc.identifier.urihttps://doi.org/10.1186/s13023-019-1001-0
dc.identifier.urihttp://hdl.handle.net/1993/33805
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s).
dc.titleHealth services use among children diagnosed with medium-chain acyl-CoA dehydrogenase deficiency through newborn screening: a cohort study in Ontario, Canada
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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