OBJECTIVES: We investigated socioeconomic disparities in injury hospitalization rates and severity-adjusted mortality for pediatric trauma. METHODS: We used 10 years of pediatric trauma data from Sacramento County, Calif, to compare trauma hospitalization rates, trauma mechanism and severity, and standardized hospital mortality across socioeconomic strata (median household income, proportion of households in poverty, insurance). RESULTS: Children from lower-socioeconomic status (SES) communities had higher injury hospitalization and mortality rates, and presented more frequently with more lethal mechanisms of injury (pedestrian, firearm), but did not have higher severity-adjusted mortality. CONCLUSIONS: Higher injury mortality rates among children of lower SES in Sacramento County are explained by a higher incidence of trauma and more fatal mechanisms of injury, not by greater injury severity or poorer inpatient care.
OBJECTIVES: We investigated socioeconomic disparities in injury hospitalization rates and severity-adjusted mortality for pediatric trauma. METHODS: We used 10 years of pediatric trauma data from Sacramento County, Calif, to compare trauma hospitalization rates, trauma mechanism and severity, and standardized hospital mortality across socioeconomic strata (median household income, proportion of households in poverty, insurance). RESULTS:Children from lower-socioeconomic status (SES) communities had higher injury hospitalization and mortality rates, and presented more frequently with more lethal mechanisms of injury (pedestrian, firearm), but did not have higher severity-adjusted mortality. CONCLUSIONS: Higher injury mortality rates among children of lower SES in Sacramento County are explained by a higher incidence of trauma and more fatal mechanisms of injury, not by greater injury severity or poorer inpatient care.
Authors: Kimon L H Ioannides; Avi Baehr; David N Karp; Douglas J Wiebe; Brendan G Carr; Daniel N Holena; M Kit Delgado Journal: Acad Emerg Med Date: 2018-05-31 Impact factor: 3.451
Authors: Byron D Hughes; Claire B Cummins; Yong Shan; Hemalkumar B Mehta; Ravi S Radhakrishnan; Kanika A Bowen-Jallow Journal: J Pediatr Surg Date: 2020-02-20 Impact factor: 2.545
Authors: Ben L Zarzaur; Martin A Croce; Timothy C Fabian; Peter Fischer; Louis J Magnotti Journal: J Am Coll Surg Date: 2010-06-08 Impact factor: 6.113
Authors: Colleen D Acosta; M Kit Delgado; Michael A Gisondi; Amritha Raghunathan; Peter A D'Souza; Gregory Gilbert; David A Spain; Patrice Christensen; N Ewen Wang Journal: Acad Emerg Med Date: 2010-12 Impact factor: 3.451
Authors: Susanne M Cabrera; Nayan T Srivastava; Jennifer M Behzadi; Tina M Pottorff; Linda A Dimeglio; Emily C Walvoord Journal: Diabetes Educ Date: 2013-02-20 Impact factor: 2.140
Authors: Sandra S Albrecht; Elena V Kuklina; Pooja Bansil; Denise J Jamieson; Maura K Whiteman; Athena P Kourtis; Samuel F Posner; William M Callaghan Journal: Diabetes Care Date: 2010-01-12 Impact factor: 17.152