N J Harper, C Lim, H Alqallaf, P J Naylor
A case study exploring the 'real world' process of 'naturalizing' school playgrounds
International journal of environmental health research
examine risk increased health care utilization hu linked individual sleep disorders children chronic medical conditions medicaid claims data cohort 16325 children enrolled coordinated healthcare complex kids check project used sleep disorders chronic medical conditions identified using international classification diseases ninth 10th revision codes three hu groups identified based participants prior hospitalizations emergency department ed visits 12 months prior enrollment low hospitalization ed visit medium 12 hospitalizations 13 ed visits high 3 hospitalizations 4 ed visits odds increased hu group associated specific sleep disorders controlling confounding factors examined children chronic medical conditions sleep disorder nearly twice odds odds ratio 183 95 confidence interval 167201 increased hu group compared without sleep disorder odds increased hu group varied among sleep disorders sleepdisordered breathing odds ratio 151 95 confidence interval 117195 insomnia odds ratio 146 95 confidence interval 106202 circadian rhythm sleep disorder odds ratio 245 95 confidence interval 107564 increased odds younger age white also linked increased hu sleep disorders associated increased risk heightened hu ed visits andor hospitalizations children chronic medical conditions risk varies specific sleep disorders findings indicate need careful evaluation management sleep disorders highrisk cohort adavadkar pa brooks l pappalardo aa schwartz rasinski k martin association sleep disorders health care utilization children chronic medical conditions medicaid claims data analysis j clin sleep med 2024204595601