@article{ref1,
title="Sociodemographic determinants of non-accidental traumatic injuries in children",
journal="American journal of surgery",
year="2018",
author="Nunez Lopez, Omar and Hughes, Byron D. and Adhikari, Deepak and Williams, Kari and Radhakrishnan, Ravi S. and Bowen-Jallow, Kanika A.",
volume="215",
number="6",
pages="1037-1041",
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). <br><br>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. <br><br>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. <br><br>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.<br><br>Copyright © 2018. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2018.05.009",
url="http://dx.doi.org/10.1016/j.amjsurg.2018.05.009"
}