4% after disenrollment, with a crude mean difference of ?6.2% (95% CI?=??6.6% to ?5.8%; p?<?0.0001). <a href="http://www.selleckchem.com/products/MLN8237.html
This mean difference remained significant after adjusting for the time trend and seasonality in the piecewise cubic time trend model. This piecewise cubic model provided excellent fit for the data with a high R2 of 0.977. The rate of ED visits by TennCare beneficiaries decreased after disenrollment began. After adjusting for the piecewise cubic time trend, the mean difference pre- vs. postdisenrollment was ?0.091 ED visits/person/year (95% CI = ?0.136 to ?0.046; p = 0.001), or 91 fewer ED visits per 1,000 persons/year after disenrollment (Table?2). In contrast to TennCare beneficiaries, both the proportion and the rate of ED visits among the uninsured increased significantly after disenrollment (Table?2). The proportion of uninsured visits increased by 5.3% (95% CI?=?4.9% to 5.7%; p?<?0.0001) and the rate of uninsured visits increased by 0.132 ED visits/person/year (95% CI?=?0.120 to 0.144; p?<?0.0001), or 132 more ED visits per 1,000 persons/year. These differences were 1.1% (95% CI?=?0.7% to 1.5%; p?<?0.0001) and 0.038 ED visits/person/year (95% CI?=?0.011 to 0.065; p?��?0.007), or 38 more ED visits per 1,000 persons/year, respectively, after adjusting for the piecewise cubic time trend. Figure?2 shows the raw weekly number <a href="http://www.selleckchem.com/products/wnt-c59-c59.html
">click here of ED visits with an ultimate disposition of hospital admission among TennCare beneficiaries and the uninsured across the study period, providing similar conclusions as seen in Table?1. Further analysis of ED visits resulting in hospital admission between the pre- and postdisenrollment period is shown in Table?3. First, using total ED visits that resulted in hospital admission as the denominator, the proportion of admissions represented by TennCare beneficiaries fell from 17.6% to 13.4% and the proportion of admissions represented by the uninsured rose from 4.9% to 8.7%. As with other visit results presented above, all models provided the same conclusion. When we examined the proportion of ED visits in each payer class that led to hospital admission, the proportion of all TennCare ED visits that resulted in hospital admission did not change significantly between time periods Aldosterone
in any model (Table?3). However, the proportion of all uninsured ED visits that resulted in hospital admission increased: before disenrollment, 7.4% of ED visits by uninsured patients led to hospital admission, while this proportion rose to 9.4% in the postdisenrollment period. As also shown in Table?3, the rate of ED visits resulting in hospital admission decreased for TennCare beneficiaries and increased for the uninsured after disenrollment. Based on the piecewise cubic model, the adjusted mean difference for the rate of ED visits resulting in hospital admission was ?0.008 per person/year (95% CI?=??0.014 to ?0.002; p?=?0.0117), or eight less per 1,000 persons/year for TennCare beneficiaries, and 0.006 per person/year (95% CI?=?0.002 to 0.