National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms.

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Abstract Text:

Joyce C Pressley,Lisa Trieu,Tiffany Kendig,Barbara Barlow,

BACKGROUND: Examination of expenditures in areas where more universal application of effective injury prevention approaches is indicated could identify specific mechanisms and age groups where effective intervention may impact public injury-related expenditures. METHODS: The Healthcare Cost and Utilization Project 2003 (KID-HCUP) contains acute care hospitalization data for U.S. children and adolescents residing in 36 states. The study population includes 240,248 unweighted (397,943 weighted) injury-related hospital discharges for ages 0 to 19 years. Injury severity was assessed using ICDMAP-90 and International Classification of Injury Severity Scores (ICISS). SUDAAN was employed to adjust variances for stratified sampling. Expenditures were weighted to represent the U.S. population. RESULTS: Injury-related hospitalizations (mean $28,137 +/- 64,420, median $10,808) were more costly than non-injury discharges, accounting for approximately 10% of all persons hospitalized (unweighted), but more than one-fifth of expenditures. Public sources were the primary payor for 37.7% of injured persons. Incidence and cost per case variations across specific injury mechanisms heavily influenced total mechanism specific expenditures. Motor vehicle crashes were the largest expenditures for private and public payors with two thirds of expenditures in teenagers - more than 40% for drivers. Medicaid covered 45.6% ($192 million) of burn expenditures and 59.2% in 0-4 year olds. Expenditures per case (mean +/- SD, median) were: firearm ($36,196 +/- 58,052, $19,020), motor vehicle driver ($33,731 +/- 50,583, $18,431), pedestrian ($31,414 +/- 57,103, $16,552); burns ($29,242 +/- 64,271, $10,739); falls ($13,069 +/- 20,225, $8,610); and poisoning ($8,290 +/- $15,462, $5,208). CONCLUSIONS: More universal application of proven injury prevention has the potential to decrease both the public and private health expenditure burden among several modifiable injury mechanisms.

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Publishing Authors By Initials

JC Pressley,L Trieu,T Kendig,B Barlow,

For similar disorders of environmental origin: wounds and injuries research abstracts see: disorders of environmental origin: wounds and injuries research

PUBMED ID PMID:

MEDLINE DATE:

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Journal of trauma

VOLUME: 63

Page Numbers: S10-9

Journal Abbreviation:

ISSN: 1529-8809

DAY: 3

MONTH: Sep

YEAR: 2007

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 376373

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Keywords Mesh Terms:

KEYWORDS: Wounds and Injuries

MESH TERMS: prevention & control

Chemical & Substance for Abstract: National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms.

AFFILIATION: Department of Epidemiology, Columbia University, New York, NY 10032, USA. JP376@columbia.edu

Country: United States

AGENCY: United States NCMHD

GRANT: 1P60MD000206

ACRONYM: MD

MEDLINETA: J Trauma

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms Related Publications

• A theory of egg-deposition by Bilharzia haematobia.
• A two-alternative, forced choice method for assessing mouse vision.
• An unusual anomaly of m. flexor digitorum longus.
• Automatic measurement of nonparticipatory stiffness in the perioral complex.
• Bis[bis-(4-alkoxyphenyl)amino] derivatives of dithienylethene, bithiophene, dithienothiophene and dithienopyrrole: palladium-catalysed synthesis and highly delocalised radical cations.
• Changing times call for changing roles.
• Characteristics of the sound systems of monolingual Vietnamese-speaking children with phonological impairment.
• Characterization of products synthesized by galactosyltransferase purified from the ascites of ovarian cancer patients.
• Coronary artery bypass grafting: Patients' and health professionals' views of recovery after hospital discharge.
• DNA variation and brain region-specific expression profiles exhibit different relationships between inbred mouse strains: implications for eQTL mapping studies.
• Do we dare use the 'S' word?
• Effective leadership is key to a winning program.
• Embryonic origin of gustatory cranial sensory neurons.
• Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report.
• Four and twenty blackbirds.
• Intracranial pressure measurement in children.
• Loss of visual and retinal function in light-stressed mice.
• Measurements of the quantum efficiency of discrimination in human scotopic vision.
• Medical negligence resulting in death.
• Modulation of the trigeminofacial pathway during syllabic speech.
• National injury-related hospitalizations in children: public versus private expenditures across preventable injury mechanisms.
• Osteoporosis guidelines.
• Parenting programmes: a systematic review and synthesis of qualitative research.
• Speed, spatial, and temporal tuning of rod and cone vision in mouse.
• Spiritual interventions in psychotherapy: evaluations by highly religious clients.
• Structure shows that a glycosaminoglycan and protein recognition site in factor H is perturbed by age-related macular degeneration-linked single nucleotide polymorphism.
• Surgical treatment of asthma.
• The validity of Barlow's 1877 case of acquired childhood aphasia: case notes versus published reports.
• Translational Mini-Review Series on Complement Factor H: Structural and functional correlations for factor H.
• Use of complementary and alternative medicine for children with brain injury in the United Kingdom.