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Characteristics of Traumatically Injured Pediatric Assault Patients: A Statewide Assesment in Ohio. J Registry Manag 2017;44(4):136-142

Date

01/01/2017

Pubmed ID

30133429

Scopus ID

2-s2.0-85053895414

Abstract

BACKGROUND: Assault is the most common form of intentional injury resulting in pediatric death. This large retrospective study analyzed statewide data from the Ohio Trauma Registry (87% of the state's hospitals) to describe risk factors of assault for pediatric trauma patients.

METHODS: Of 16,938 pediatric trauma patients younger than 16 years in the state trauma registry, assault was identified in 758 patients. Patients with assault injuries and nonassault injuries were compared using χ2 tests. Multiple logistic regression evaluated associations between assault and mortality, adjusting for potential confounders. Results of the regression analyses are reported as odds ratios (OR) with 95% confidence intervals.

RESULTS: Children younger than 1 year were 5 times more likely to be assaulted (OR, 5.34; 95% CI, 4.14-6.88) compared to children 14 to 15 years old, and black children had 3 times the risk compared to white children (OR, 3.36; 95% CI, 2.79-4.04). Children with government insurance were 3 times more likely to be assaulted compared to children with commercial insurance (OR, 3.00; 95% CI, 2.23-4.04). Assault victims were twice as likely arrive at the first hospital of care over 24 hours after injury (OR, 1.95; 95% CI, 1.44-2.66). Assault victims were more likely to die after adjusting for injury severity.

CONCLUSION: Assault victims experience delays in care and had twice the mortality rate after adjusting for injury severity. The worse outcomes for pediatric assault victims highlight the importance of accurately diagnosing and intervening.

Author List

Ertl A, Groner J, Tarima S, Cassidy L

Authors

Laura Cassidy PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Child Abuse
Child, Preschool
Crime Victims
Female
Glasgow Coma Scale
Humans
Infant
Infant, Newborn
Injury Severity Score
Male
Ohio
Registries
Retrospective Studies
Risk Factors
Violence
Vulnerable Populations
Wounds and Injuries
jenkins-FCD Prod-480 9a4deaf152b0b06dd18151814fff2e18f6c05280