Sociodemographic determinants of non-accidental traumatic injuries in children

American Journal of Surgery
Omar Nunez LopezKanika A Bowen-Jallow

Abstract

Traumatic injuries account for 18% of child abuse cases and 1680 children die from abuse annually. We set out to determine the impact of sociodemographic characteristics on resource utilization and outcomes in nonaccidental trauma (NAT). We used the Kid's Inpatient Database to identify children with two main subgroups of child abuse diagnoses: NAT and other forms of child abuse. Income was represented by quartiles. Statistical analysis included descriptive statistics and regression analyses. We identified 5617 children requiring hospital admission due to NAT. Medicaid insurance payer status was associated with higher rates of traumatic injuries than private insurance. Black race, male sex, and high-income-quartile were independent factors associated with increased cost. We identified an increased risk of mortality in younger children and those with self-pay/uninsured status. NAT represents a prevalent cause of childhood mortality. This study identifies sociodemographic factors associated with increased occurrence, higher resource utilization, and increased mortality in NAT.

Citations

May 31, 2019·Pediatric Surgery International·Ruth Ellen JonesAlana L Beres
May 12, 2019·Pediatric Surgery International·J K LivingstonJ Nahmias
Jan 19, 2021·International Journal of Pediatrics·Taylor Goldman, Sathyaprasad Burjonrappa
Jul 19, 2021·American Journal of Surgery·Adil A ShahMikael Petrosyan
Aug 23, 2019·Pediatric Emergency Care·Patrick T DelaplainJeffry Nahmias
Aug 25, 2021·Pediatrics·Janet U SchneidermanEmily Putnam-Hornstein

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