Details:

Alternative Title:
J Pediatr
Publisher's site:
http://dx.doi.org/10.1016/j.jpeds.2015.05.047
Personal Author:
Macy, Michelle L. ; Zonfrillo, Mark R. ; Cook, Lawrence J. ; Funai, Tomohiko ; Goldstick, Jason ; ... More +
Macy, Michelle L. ; Zonfrillo, Mark R. ; Cook, Lawrence J. ; Funai, Tomohiko ; Goldstick, Jason ; Stanley, Rachel M. ; Chamberlain, James M. ; Cunningham, Rebecca M. ; Lipton, Robert ; Alpern, Elizabeth R. Less -
Description:
Objective

To examine pediatric emergency department (ED) visits over 5 years, trends in injury severity, and associations between injury-related ED visit outcome and patient and community-level socio-demographic characteristics.

Study design

Retrospective analysis of administrative data provided to the Pediatric Emergency Care Applied Research Network Core Data Project, 2004–2008. Home addresses were geocoded to determine census block group and associated socio-demographic characteristics. Maximum Abbreviated Injury Scale severity and Severity Classification System scores were calculated. Generalized estimating equations were used to test for associations between socio-demographic characteristics and admission or transfer among injury-related ED visits.

Results

Overall ED visits and injury-related visits increased from 2004 to 2008 at study sites. Of 2,833,676 successfully geocoded visits, 700,821 (24.7%) were injury-related. The proportion of higher severity injury-related visits remained consistent. Nearly 10% of injury-related visits resulted in admission or transfer each year. After adjusting for age, sex, payer, and injury severity, odds of admission or transfer were lower among minority children and children from areas with moderate and high prevalence of poverty.

Conclusions

Pediatric injury-related ED visits to included sites increased over the study period while injury severity, anticipated resource utilization, and visit outcomes remained stable, with low rates of admission or transfer. Socio-demographic differences in injury-related visits and ED disposition were apparent. ED-based injury surveillance is essential to understand disparities, inform targets for prevention programs, and reduce the overall burden of childhood injuries.


Subjects:
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Abbreviated Injury Scale Child Child, Preschool Emergency Service, Hospital Female Humans Infant Infant, Newborn Insurance, Health Male Medically Uninsured Minority Groups Patient Admission Patient Transfer Poverty Racial Groups Retrospective Studies Severity Of Illness Index Wounds And Injuries
Source:
J Pediatr. 167(3):711-718.e4.
Pubmed ID:
26141551
Pubmed Central ID:
PMC4554798
Document Type:
Journal Article
Funding:
5K08HD073241-02/HD/NICHD NIH HHS/United States ; K08 HD073241/HD/NICHD NIH HHS/United States ; K23 HD070913/HD/NICHD NIH HHS/United States ; R49CE002099/CE/NCIPC CDC HHS/United States ; U03MC00001/PHS HHS/United States ; ... More +
5K08HD073241-02/HD/NICHD NIH HHS/United States ; K08 HD073241/HD/NICHD NIH HHS/United States ; K23 HD070913/HD/NICHD NIH HHS/United States ; R49CE002099/CE/NCIPC CDC HHS/United States ; U03MC00001/PHS HHS/United States ; U03MC00003/PHS HHS/United States ; U03MC00006/PHS HHS/United States ; U03MC00007/PHS HHS/United States ; U03MC00008/PHS HHS/United States ; U03MC22684/PHS HHS/United States ; U03MC22685/PHS HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:37cd5e288fdab05b69495ec94d8008418adac6db5f4397ac649cef53a5a4b883
Download URL:
https://stacks.cdc.gov/view/cdc/35672/cdc_35672_DS1.pdf
File Type:

Supporting Files

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