Medication and healthcare use, parent knowledge and cough in children: A cohort study

2021 ◽  
Author(s):  
Joan Cheng ◽  
Amelia Mackie ◽  
Anne B. Chang ◽  
Keith Grimwood ◽  
Mark Scott ◽  
...  
Keyword(s):  
Cohort Study ◽  
Healthcare Use ◽  
Parent Knowledge

Changes in quality of life, healthcare use, and substance use in HIV/hepatitis C coinfected patients after hepatitis C therapy: a prospective cohort study

2015 ◽  
Vol 16 (3) ◽  
pp. 100-110 ◽  
Author(s):  
Man Wah Yeung ◽  
Jim Young ◽  
Erica Moodie ◽  
Kathleen C. Rollet-Kurhajec ◽  
Kevin Schwartzman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Cohort Study ◽  
Hepatitis C ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Healthcare Use ◽  
Hepatitis C Therapy

scholarly journals Queensland Cardiovascular Data Linkage (QCard): A population-based cohort study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 282 ◽  
Author(s):  
Joshua Byrnes ◽  
Son Nghiem ◽  
Clifford Afoakwah ◽  
Paul A. Scuffham
Keyword(s):  
Cohort Study ◽  
Demographic Data ◽  
Healthcare Utilisation ◽  
Population Based ◽  
Environmental Data ◽  
Cardiac Patients ◽  
Hospital Inpatient ◽  
Healthcare Use ◽  
The Impact

Queensland is Australia's hotspot for cardiovascular disease (CVD). Critically, beyond modifiable lifestyle risk factors; socio-demographic differences and environmental factors account for significant variations in healthcare use and outcomes among cardiac patients across the country. To better understand the impacts of these factors on the health of cardiac patients, there is a need for a comprehensive and robust longitudinal cohort study that can unpack the underlying dynamics. This paper describes the protocol for the Queensland Cardiovascular Linkage (QCard) Study. The QCard is a longitudinal linkage cohort study of cardiac patients who were first hospitalised with any cardiac condition in 2010, with follow up hospitalisations until December 2015. The primary aim of the QCard is to identify and characterise the nature and impact of socio-demographic inequality among those presenting for the first time with the most common form of CVD in Australia (heart disease) in Queensland from 2010 with minimum 5-years follow-up of subsequent healthcare utilisation and outcomes. A secondary aim is to undertake an exploration of the impact of environmental and specific health service factors on healthcare use and survival time in the same QCard cohort. Administrative public and private hospital inpatient, outpatient and emergency department data for all of Queensland will be linked with individual primary care data and pharmaceutical data. These data will also be linked to regional socio-demographic data and environmental data, as well as data that describes the features of each hospital in the region. The findings from the study will provide critical information for cardiac patients, clinicians and health policymakers. Such information ranges from identifying most vulnerable cardiac patients who may require targeted needs to providing estimates for cost-effective ways of evaluating healthcare interventions that seek to improve the health of cardiac patients.

scholarly journals Maternal depression and primary healthcare use for children: a population-based cohort study in Denmark

2018 ◽  
Vol 69 (680) ◽  
pp. e182-e189 ◽  
Author(s):  
Bente K Lyngsøe ◽  
Dorte Rytter ◽  
Trine Munk-Olsen ◽  
Claus H Vestergaard ◽  
Kaj S Christensen ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Maternal Depression ◽  
Population Based ◽  
Secondary Outcome ◽  
Birth Cohort Study ◽  
Healthcare Use ◽  
Primary Health

BackgroundDepression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness.AimThis study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring.Design and settingA population-based birth cohort study in Danish primary care using Danish national registers.MethodAll Danish children born between 1 January 2000 and 31 December 2013 (n = 869 140 children) were included in the study. The primary outcome was number and type of annual contacts with the GP. The secondary outcome was specific services used by the GP to assess inflammatory and infectious disease in the children. Exposure was maternal depression of four categories: non-depressed, recent, previous, and past depression. The association was expressed as adjusted incidence rate ratios (IRR) with 95% confidence intervals (CI).ResultsMaternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19–24% more positive infectious-related tests were found in this group.ConclusionExposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.

scholarly journals Development of healthcare use across contemporary retirement pathways: results from a register based cohort study

2021 ◽  
pp. 140349482199890
Author(s):  
Stefanie König ◽  
Susanne Kelfve ◽  
Andreas Motel-Klingebiel ◽  
Martin Wetzel
Keyword(s):  
Cluster Analysis ◽  
Cohort Study ◽  
Register Data ◽  
Healthcare Use ◽  
And Cluster Analysis

Aim: We aimed to understand the interplay between retirement pathways and healthcare use in the postponed and structurally changing context of retirement. Methods: Based on Swedish register data on income and healthcare use, we applied combined sequence and cluster analysis to identify typical pathways into retirement and analysed their relation to healthcare use developments. Results: We detected five distinct pathways into retirement. Level of healthcare use was significantly higher for the pathway via disability pensions. We saw an overall increase in healthcare use across the retirement process that was related to age rather than to the different pathways. Conclusions: Level of healthcare use at the beginning of the retirement process may be related to selection into different pathways of retirement. We did not find clear evidence across several healthcare measures that different pathways lead to different developments in healthcare use.

scholarly journals Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Efthymios Kouppis ◽  
Charlotte Björkenstam ◽  
Bengt Gerdin ◽  
Lisa Ekselius ◽  
Emma Björkenstam
Keyword(s):  
Cohort Study ◽  
Personality Disorder ◽  
Mortality Risk ◽  
Cox Regression ◽  
Population Based ◽  
Lower Mortality ◽  
Healthcare Use ◽  
Nulliparous Women ◽  
Hazard Ratios ◽  
Risk Of Mortality

Background People with a personality disorder have a higher mortality and reduced life expectancy than the general population. Childbearing is thought to have a protective effect on morbidity and mortality. Yet, there are no studies on whether childbearing is related to a lower mortality among women with personality disorder. Aims This study examined associations between childbearing and mortality among women with personality disorder. Our hypothesis was that parity would be associated with lower mortality. Method This register-based cohort study included 27 412 women treated for personality disorder in in-patient or specialised out-patient care between 1990 and 2015. We used nationwide population-based registers to obtain information on sociodemographics, child delivery, healthcare use and mortality. Mortality risk estimates were calculated as hazard ratios (HRs) with 95% CIs using Cox regression. Adjustments were made for year of birth, educational level, age at diagnosis, comorbidity and severity of personality disorder. Results Nulliparous women had a nearly twofold increased mortality risk (adjusted HR = 1.78, 95% CI 1.50–2.12) compared with parous women and over twofold mortality risk (adjusted HR = 2.29, 95% CI 1.72–3.04) compared with those giving birth after their first personality disorder diagnosis. Those giving birth before their first personality disorder diagnosis had a 1.5-fold higher risk of mortality than those giving birth after their first personality disorder diagnosis (adjusted HR = 1.48, 95% CI 1.06–2.07). There was a threefold risk of suicide in nulliparous women compared with those giving birth after their first personality disorder diagnosis (adjusted HR = 2.90, 95% CI 1.97–4.26). Conclusions Childbearing history should be an integral part of the clinical evaluation of women with personality disorder.

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