@article{ref1,
title="Implications of non-accidental trauma on resource utilization and outcomes",
journal="Pediatric surgery international",
year="2018",
author="Litz, Cristen N. and Amankwah, Ernest K. and Danielson, Paul D. and Chandler, Nicole M.",
volume="34",
number="6",
pages="635-639",
abstract="PURPOSE: The purpose was to compare the resource utilization and outcomes between patients with suspected (SUSP) and confirmed (CONF) non-accidental trauma (NAT). <br><br>METHODS: The institutional trauma registry was reviewed for patients aged 0-18 years presenting from 2007 to 2012 with a diagnosis of suspicion for NAT. Patients with suspected and confirmed NAT were compared. <br><br>RESULTS: There were 281 patients included. CONF presented with a higher heart rate (142 ± 27 vs 128 ± 23 bpm, p < 0.01), lower systolic blood pressure (100 ± 18 vs 105 ± 16 mm Hg, p = 0.03), and higher Injury Severity Score (15 ± 11 vs 9 ± 5, p < 0.01). SUSP received fewer consultations (1.6 ± 0.7 vs 2.4 ± 1.1, 95% CI - 0.58 to - 0.09, p < 0.01) and had a shorter length of stay (1.6 ± 1.3 vs 7.8 ± 9.8 days, 95% CI - 4.58 to - 0.72, p < 0.01). SUSP were more often discharged home (OR 94.22, 95% CI: 21.26-417.476, p < 0.01). CONF had a higher mortality rate (8.2 vs 0%, p < 0.01). <br><br>CONCLUSIONS: Patients with confirmed NAT present with more severe injuries and require more hospital resources compared to patients in whom NAT is suspected and ruled out.<p /> <p>Language: en</p>",
language="en",
issn="0179-0358",
doi="10.1007/s00383-018-4254-0",
url="http://dx.doi.org/10.1007/s00383-018-4254-0"
}