Implications of non-accidental trauma on resource utilization and outcomes. Pediatr Surg Int 2018 Jun;34(6):635-639
Date
04/13/2018Pubmed ID
29644452DOI
10.1007/s00383-018-4254-0Scopus ID
2-s2.0-85047196058 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
PURPOSE: The purpose was to compare the resource utilization and outcomes between patients with suspected (SUSP) and confirmed (CONF) non-accidental trauma (NAT).
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.
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).
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.
Author List
Litz CN, Amankwah EK, Danielson PD, Chandler NMAuthor
Ernest Amankwah PhD Director, Associate Professor in the Clinical and Translational Science Institute department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChild Abuse
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Injury Severity Score
Intensive Care Units, Pediatric
Length of Stay
Male
Patient Discharge
Referral and Consultation
Registries
Retrospective Studies
Surgical Procedures, Operative
United States
Wounds and Injuries
