Table 2 Health and health care characteristics of patients identified by correctional/family keywords and all patients (ages 0–21) in electronic health record (EHR) database from February 2006–2020
Health Diagnoses, Health Characteristics, and Health Care Use | Patients with Correctional Keywords in the EHR n = 51,855 | All Patients in Database N = 2,337,632 | % of All Patients with Correctional Keyword* (na/nb) | ||
|---|---|---|---|---|---|
na | % | nb | % | % | |
Physical Health | |||||
Acute upper respiratory infection-related | 20,740 | 40.00% | 194,575 | 8.30% | 10.66% |
Allergic rhinitis-related | 11,572 | 22.32% | 86,781 | 3.70% | 13.33% |
Anemia-related | 6636 | 12.80% | 18,682 | 0.80% | 35.52% |
Mild intermittent asthma-related | 12,781 | 24.65% | 120,353 | 5.10% | 10.62% |
Cardiac murmur-related | 2533 | 4.88% | 28,589 | 1.20% | 8.86% |
Congenital heart disease-related | 222 | 0.43% | 2732 | 0.12% | 8.13% |
Dermatitis-related | 16,559 | 31.93% | 130,379 | 5.60% | 12.70% |
Developmental disorders of speech and language - related | 261 | 0.50% | 1537 | < 0.001 | 16.98% |
Elevated blood-pressure reading –related | 3625 | 6.99% | 21,724 | 0.92% | 16.69% |
Failure to thrive - related | 3456 | 6.66% | 27,336 | 1.20% | 12.64% |
Obesity- related | 8514 | 16.42% | 65,976 | 2.80% | 12.90% |
Otitis media-related | 19,232 | 37.09% | 215,198 | 9.20% | 8.94% |
Overweight- related | 3995 | 7.70% | 28,613 | 1.20% | 13.96% |
Psychiatric Health | |||||
Alcohol disorder-related | 191 | 0.37% | 445 | 0.02% | 42.92% |
Adjustment disorder-related disorders | 4567 | 8.81% | 15,916 | 0.68% | 28.69% |
Anxiety related disorders | 11,799 | 22.75% | 64,224 | 2.70% | 18.37% |
Attention-deficit & hyper related disorders | 13,151 | 25.36% | 57,886 | 2.50% | 22.72% |
Bipolar -related | 1884 | 3.63% | 6921 | 0.30% | 27.22% |
Cannabis disorder -related | 672 | 1.30% | 1015 | 0.04% | 66.21% |
Conduct disorder- related | 5952 | 11.48% | 18,254 | 0.80% | 32.61% |
Major depressive- related | 7194 | 13.87% | 25,048 | 1.10% | 28.72% |
Nicotine disorder -related | 79 | 0.15% | 167 | 0.01% | 47.31% |
Psychosis related | 836 | 1.61% | 2222 | 0.10% | 37.62% |
Post-traumatic stress-related | 4121 | 7.95% | 8618 | 0.37% | 47.82% |
Substance use disorder - related | 173 | 0.33% | 321 | 0.01% | 53.89% |
Suicide or suicidal - related | 7021 | 13.54% | 21,408 | 0.92% | 32.80% |
Trauma-related disorder -related | 1260 | 2.43% | 2431 | 0.10% | 51.83% |
Social and Environmental | |||||
Exposure to environmental tobacco smoke (Z77.22) | 4291 | 8.27% | 21,042 | 0.90% | 20.39% |
Screening for STIs (Z11.3) | 2284 | 4.40% | 18,309 | 0.80% | 12.47% |
Encounter for routine child health examination with abnormal findings (Z00.121) | 4944 | 9.53% | 32,805 | 1.40% | 15.07% |
Unspecified lack of expected physiological development (R62.50) | 2895 | 5.58% | 21,739 | 0.90% | 13.32% |
Child in welfare custody (Z62.21) | 1836 | 3.54% | 4424 | 0.20% | 41.50% |
Caregiver refusal of immunization (Z28.82) | 1329 | 2.56% | 8144 | 0.30% | 16.32% |
Health Care Use** | |||||
Level 4 Office Visit (CPT 99214)- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of the 3 CPT qualifying components. | 30,139 | 58.14% | 292,761 | 12.5% | 10.29% |
Level 5 Emergency Department Visit (CPT 99285): Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient’s clinical condition and/or mental status. | 20,825 | 40.17% | 161,713 | 6.90% | 12.88% |