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Journal Article

Citation

Garnett A, Browne G. J. Trauma Nurs. 2016; 23(4): 215-226.

Affiliation

School of Nursing, McMaster University, HSC 2J20, 1280 Main St. W, Hamilton, ON L8S 4K1, Canada.

Copyright

(Copyright © 2016, Society of Trauma Nurses)

DOI

10.1097/JTN.0000000000000219

PMID

27414144

Abstract

To increase understanding of relationships between general traumatic injury in children and long-term use of resources in the health care and social services (HSS) sectors by these children and their families 8-10 years after traumatic injury. This study was a cross-sectional retrospective cohort study of prognosis from 2001 to 2003 that quantified recent expenditures on and use of HSS by children and also by their parents. Forty-eight cases of children were selected from the Hamilton Health Sciences pediatric trauma database in the period from January 2001 to December 2003 after incurring a traumatic injury with Injury Severity Score greater than 12. The average total cost to the HSS system per child's family was $4,326.62 during the preceding 6 months. During the same period, average use of HSS was 7 visits. Total service costs incurred by caregivers of injured children increased with severity of the traumatic injury (p=.009). Caregiver HSS use was higher when the injury was caused by a motor vehicle accident than by other types of accidents (p<.001) and increased with the injury severity (p<.001). HSS use by children was related to gender (p<.001), injury mechanism (p<.001), age at accident (p<.001), and time since accident (p=.012), among other factors. Pediatric trauma appears to have long-term effects on expenditures on and use of HSS by the affected children and their families. The findings emphasize the need for long-term assessment and possible delivery of services to the families of the injured children.


Language: en

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