Critical care resource use, cost, and mortality associated with firearm-related injuries in US children's hospitals.

Journal of Pediatric Surgery
Pradip P KamatJocelyn R Grunwell

Abstract

To assess trends and resource use attributable to firearm-related injuries in US pediatric intensive care units (PICUs). Retrospective data from Pediatric Health Information Systems (PHIS) database from 2004 to 2017. Of 5,984,938 admissions to 28 children's hospitals, 3707 were for firearm injuries. A total of 1088 of 3707 hospitalizations (29.9%) required PICU admission. Median PICU length of stay was 2 days (IQR, 1-6 days), and the median cost for PICU patients was $37,569.31 (IQR, $19,243.83-$77,856.32). Use of mechanical ventilation (674/1088 admissions [61.9%]), surgical procedures (744/1088 admissions [68.3%]), blood transfusions (429/1088 admissions [39.9%]), and intracranial pressure monitoring devices (30/1088 admissions [2.8%]) increased in PICU patients. Computed tomography showed an overall increase (197/287 [68.6%] to 138/177 [78%], P = .037) from 2004 to 2007 to 2016-2017. Mortality among PICU patients (140/1058 [13.23%]) attributable to firearm-related injuries increased insignificantly (34/285 (11.93%] to 25/172 [14.53%], P = .746). Using PHIS data, we found a significant increase in median cost per hospitalization and an increase in critical care resource use, including the frequency of invasive mechanical vent...Continue Reading

Citations

Nov 8, 2020·Journal of Pediatric Surgery·Eva M UrrechagaChad M Thorson
Mar 28, 2021·The American Journal of Emergency Medicine·Diana M BongiornoMonika K Goyal
Feb 19, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kiesha Fraser DohClaudia R Morris
Nov 5, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Deanna M Behrens, Katherine E M Hoops
Jun 7, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Dayanand BagdureAna Lia Graciano

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