TY  - JOUR
PY  - 2018//
TI  - Sociodemographic determinants of non-accidental traumatic injuries in children
JO  - American journal of surgery
A1  - Nunez Lopez, Omar
A1  - Hughes, Byron D.
A1  - Adhikari, Deepak
A1  - Williams, Kari
A1  - Radhakrishnan, Ravi S.
A1  - Bowen-Jallow, Kanika A.
SP  - 1037
EP  - 1041
VL  - 215
IS  - 6
N2  - 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>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/10.1016/j.amjsurg.2018.05.009
ID  - ref1
ER  -