Sociodemographic determinants of non-accidental traumatic injuries in children

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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
Volume215
Issue number6
DOIs
StatePublished - Jun 1 2018

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Child Abuse
Wounds and Injuries
Mortality
Insurance Coverage
Medicaid
Insurance
Inpatients
Regression Analysis
Databases
Costs and Cost Analysis

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Sociodemographic determinants of non-accidental traumatic injuries in children. / Nunez Lopez, Omar; Hughes, Byron D.; Adhikari, Deepak; Williams, Kari; Radhakrishnan, Ravi; Bowen-Jallow, Kanika.

In: American Journal of Surgery, Vol. 215, No. 6, 01.06.2018, p. 1037-1041.

Research output: Contribution to journalArticle

Nunez Lopez, Omar ; Hughes, Byron D. ; Adhikari, Deepak ; Williams, Kari ; Radhakrishnan, Ravi ; Bowen-Jallow, Kanika. / Sociodemographic determinants of non-accidental traumatic injuries in children. In: American Journal of Surgery. 2018 ; Vol. 215, No. 6. pp. 1037-1041.
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