Sociodemographic determinants of non-accidental traumatic injuries in children - 13/06/18
, Byron D. Hughes a, Deepak Adhikari a, b, Kari Williams a, Ravi S. Radhakrishnan a, c, Kanika A. Bowen-Jallow a, ⁎ Abstract |
Background |
Traumatic injuries account for 18% of child abuse cases and 1680 children die from abuse annually. We set out to determine the impact of sociodemographic characteristics on resource utilization and outcomes in nonaccidental trauma (NAT).
Methods |
We used the Kid's Inpatient Database to identify children with two main subgroups of child abuse diagnoses: NAT and other forms of child abuse. Income was represented by quartiles. Statistical analysis included descriptive statistics and regression analyses.
Results |
We identified 5617 children requiring hospital admission due to NAT. Medicaid insurance payer status was associated with higher rates of traumatic injuries than private insurance. Black race, male sex, and high-income-quartile were independent factors associated with increased cost. We identified an increased risk of mortality in younger children and those with self-pay/uninsured status.
Conclusion |
NAT represents a prevalent cause of childhood mortality. This study identifies sociodemographic factors associated with increased occurrence, higher resource utilization, and increased mortality in NAT.
Le texte complet de cet article est disponible en PDF.Keywords : Non-accidental trauma, Child abuse, Child maltreatment, Pediatric trauma, Traumatic injuries, Resource utilization, Treatment cost
Plan
Vol 215 - N° 6
P. 1037-1041 - juin 2018 Retour au numéro
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