Details:

Alternative Title:
Child Maltreat
Publisher's site:
http://dx.doi.org/10.1177/1077559515583549
Personal Author:
Peterson, Cora ; Xu, Likang ; Florence, Curtis ; Parks, Sharyn E.
Peterson, Cora ; Xu, Likang ; Florence, Curtis ; Parks, Sharyn E. Less -
Description:
We estimated the frequency and direct medical cost from the provider perspective of U.S. hospital visits for pediatric abusive head trauma (AHT). We identified treat-and-release hospital emergency department (ED) visits and admissions for AHT among patients aged 0-4 years in the Nationwide Emergency Department Sample and Nationwide Inpatient Sample (NIS), 2006-2011. We applied cost-to-charge ratios and estimated professional fee ratios from Truven Health MarketScan(®) to estimate per-visit and total population costs of AHT ED visits and admissions. Regression models assessed cost differences associated with selected patient and hospital characteristics. AHT was diagnosed during 6,827 (95% confidence interval [CI] [6,072, 7,582]) ED visits and 12,533 (95% CI [10,395, 14,671]) admissions (28% originating in the same hospital's ED) nationwide over the study period. The average medical cost per ED visit and admission were US$2,612 (error bound: 1,644-3,581) and US$31,901 (error bound: 29,266-34,536), respectively (2012 USD). The average total annual nationwide medical cost of AHT hospital visits was US$69.6 million (error bound: 56.9-82.3 million) over the study period. Factors associated with higher per-visit costs included patient age <1 year, males, coexisting chronic conditions, discharge to another facility, death, higher household income, public insurance payer, hospital trauma level, and teaching hospitals in urban locations. Study findings emphasize the importance of focused interventions to reduce this type of high-cost child abuse.
Subjects:
[+]
Article Child, Preschool Child Abuse Cost-Benefit Analysis Craniocerebral Trauma Emergency Service, Hospital Female Health Care Costs Hospitalization Humans Infant Infant, Newborn Male Regression Analysis
Source:
Child Maltreat. 20(3):162-169.
Pubmed ID:
25911437
Pubmed Central ID:
PMC4675617
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:aae2f00ccb9dfb101b88ec1602800e27e59c6725ea9eab82ea319b1c4665ec96
Download URL:
https://stacks.cdc.gov/view/cdc/36797/cdc_36797_DS1.pdf
File Type:

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