Omar Nunez Lopez1, Byron D Hughes2, Deepak Adhikari3, Kari Williams2, Ravi S Radhakrishnan4, Kanika A Bowen-Jallow5. 1. Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States. Electronic address: oanunezl@utmb.edu. 2. Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States. 3. Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, United States. 4. Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States; Department of Pediatrics, University of Texas Medical Branch, Galveston, TX, United States. 5. Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States. Electronic address: kabowen@utmb.edu.
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.
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.
Authors: Patrick T Delaplain; Areg Grigorian; Eugene Won; Austin R Dosch; Sebastian Schubl; Jose Covarrubias; Jeffry Nahmias Journal: Pediatr Emerg Care Date: 2021-12-01 Impact factor: 1.454
Authors: Christopher De Boer; Hassan Mk Ghomrawi; Megan E Bouchard; Samuel C Linton; Yao Tian; Fizan Abdullah Journal: J Pediatr Surg Date: 2021-07-08 Impact factor: 2.549