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National Trends in Emergency Department Visits for Child Maltreatment, 2007–2014
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4 01 2022
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Source: Pediatr Emerg Care. 38(4):153-156
[PDF-356.94 KB]
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Alternative Title:Pediatr Emerg Care
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Description:Objective:
To understand the prevalence of child maltreatment-related ED visits in the U.S, we examined data from the 2007–2014 Nationwide Emergency Department Sample (NEDS).
Methods:
Based on existing literature, ICD-9 CM ED discharge codes for children less than 10 years of age were characterized as specified child maltreatment, defined as visits with an explicit maltreatment ICD-9 or E-code. The prevalence of child maltreatment visits per 100,000 children in the United States (based on CDC WONDER estimates) overall and by socio-demographic factors was examined, and tests for trends over time were evaluated with Cochrane-Armitage tests. Analyses were conducted in 2019.
Results:
The prevalence of child maltreatment based in ICD-9 discharge codes ED visits dropped from 69.2 visits per 100,000 in 2007 to 65.9 visits per 100,000 in 2014; this trend was statistically significant. The prevalence was lowest in 2010 (60.1 visits per 100,000 children). There were increases observed for some demographic groups in this time period. Throughout the eight-year period examined, the prevalence of child maltreatment visits was highest for physical abuse compared to other forms of maltreatment, higher for boys compared to girls; highest for children less than one year old, and higher for children living in neighborhoods with the lowest median income compared to children in higher income neighborhoods.
Conclusion:
The NEDS dataset is a valuable surveillance tool for examining trends in child maltreatment. Future studies should explore what factors may explain variations in child maltreatment over time to best develop prevention strategies.
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Pubmed ID:34910419
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Pubmed Central ID:PMC9347219
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