The burden of noncompliance with seat belt use on a trauma center

The Journal of Trauma
Andrew J KerwinEric R Frykberg

Abstract

It is well-known that noncompliance with seat belt use results in worse injury. The impact of noncompliance on hospital resource consumption and hospital charges is less well known. This study was carried out to examine the economic burden of noncompliance with seat belt use. Trauma registry data were reviewed for patients involved in motor vehicle crashes in 2003 and 2004. Routine demographic data were analyzed. Outcome data included hospital length of stay, intensive care unit length of stay, number of ventilator days, and mortality. Hospital charges, rate of collection, hospital use (measured by need for admission), operating room use, and intensive care unit use were calculated to determine the burden of noncompliance with seat belt use. There were 3,426 patients identified for analysis. Of these patients, 1,744 (51%) were compliant with seat belt use (SEAT) while 1,682 were not compliant (NO SEAT). Patients in the NO SEAT group were significantly younger (31.2 versus 37.4 years old) and significantly more severely injured (Injury Severity Score of 11 versus 7) than those in the SEAT group. Patients in the NO SEAT group had a significantly longer hospital length of stay (4.4 versus 2.2 days) and intensive care unit length o...Continue Reading

References

Jan 1, 1991·The American Journal of Emergency Medicine·B H Kaplan, R A Cowley
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Nov 3, 2001·American Journal of Preventive Medicine·T B Dinh-ZarrUNKNOWN Task Force on Community Preventive Services
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Jun 5, 2004·The Journal of Trauma·Jesse MetzgerLoring W Rue

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Citations

Jul 24, 2013·BMC Health Services Research·Hassan Haghparast-BidgoliMarie Hasselberg
Sep 1, 2015·Injury·Conor DeasyUNKNOWN Major Trauma Audit Governance Committee, National Office of Clinical Audit, Ireland
Mar 4, 2009·Preventive Medicine·Akiko TamakoshiUNKNOWN JACC Study Group
May 31, 2008·Injury·Lynne Moore, David E Clark
Jul 19, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cody S OlsenLawrence J Cook
Aug 4, 2019·The American Journal of Emergency Medicine·Catherine A MarcoJoycelyn Akamune

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