Sociodemographic determinants of non-accidental traumatic injuries in children

Omar Nunez Lopez, Byron D. Hughes, Deepak Adhikari, Kari Williams, Ravi S. Radhakrishnan, Kanika A. Bowen-Jallow

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Background: 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). Methods: 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. Results: 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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)1037-1041
Number of pages5
JournalAmerican Journal of Surgery
Issue number6
StatePublished - Jun 2018


  • Child abuse
  • Child maltreatment
  • Non-accidental trauma
  • Pediatric trauma
  • Resource utilization
  • Traumatic injuries
  • Treatment cost

ASJC Scopus subject areas

  • Surgery


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