Lifetime Cost of Abusive Head Trauma at Ages 0–4, USA

Miller, Ted R.; Steinbeigle, Ryan; Lawrence, Bruce A.; Peterson, Cora; Florence, Curtis; Barr, Marilyn; Barr, Ronald G.

doi:10.1007/s11121-017-0815-z

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

i

Lifetime Cost of Abusive Head Trauma at Ages 0–4, USA

8 2018
By Miller, Ted R. ; Steinbeigle, Ryan ; Lawrence, Bruce A. ; ...
http://dx.doi.org/10.1007/s11121-017-0815-z
Source: Prev Sci. 19(6):695-704

English

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Miller, Ted R. ; Steinbeigle, Ryan ; Lawrence, Bruce A. ; Peterson, Cora ; Florence, Curtis ; ... More +

Miller, Ted R. ; Steinbeigle, Ryan ; Lawrence, Bruce A. ; Peterson, Cora ; Florence, Curtis ; Barr, Marilyn ; Barr, Ronald G. Less -
Description:

This paper aims to estimate lifetime costs resulting from abusive head trauma (AHT) in the USA and the break-even effectiveness for prevention. A mathematical model incorporated data from Vital Statistics, the Healthcare Cost and Utilization Project Kids' Inpatient Database, and previous studies. Unit costs were derived from published sources. From society's perspective, discounted lifetime cost of an AHT averages $5.7 million (95% CI $3.2-9.2 million) for a death. It averages $2.6 million (95% CI $1.0-2.9 million) for a surviving AHT victim including $224,500 for medical care and related direct costs (2010 USD). The estimated 4824 incident AHT cases in 2010 had an estimated lifetime cost of $13.5 billion (95% CI $5.5-16.2 billion) including $257 million for medical care, $552 million for special education, $322 million for child protective services/criminal justice, $2.0 billion for lost work, and $10.3 billion for lost quality of life. Government sources paid an estimated $1.3 billion. Out-of-pocket benefits of existing prevention programming would exceed its costs if it prevents 2% of cases. When a child survives AHT, providers and caregivers can anticipate a lifetime of potentially costly and life-threatening care needs. Better effectiveness estimates are needed for both broad prevention messaging and intensive prevention targeting high-risk caregivers.
Subjects:

[+]

Child Child, Preschool Child Abuse Cost Of Illness Craniocerebral Trauma Humans Infant Models, Statistical Shaken Baby Syndrome
Keywords:

[+]

Breakeven Child Abuse DALY Economic Analysis Shaken Baby Syndrome
Source:

Prev Sci. 19(6):695-704
Pubmed ID:

28685210
Pubmed Central ID:

PMC5756522
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHSUnited States/
Volume:

19
Issue:

6
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:01e2ce68b9ba8a0618c1245c253ba528f7e4ba715c78e960a48457333d133987
Download URL:

https://stacks.cdc.gov/view/cdc/50756/cdc_50756_DS1.pdf
File Type:

[PDF-99.85 KB]

nihms891713.nxml

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