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  1. Childhood victims of violence : Hospital utilization by children with intentional injuries.

    Article - En anglais

    Objective 

    To describe the utilization of hospital resources by children admitted with intentional injuries.

    Methods 

    A sample of medical records for patients 14 years old and younger admitted to a pediatric tertiary care teaching hospital with a level I pediatric trauma center between January 1,1991, and December 31,1992, with intentional injuries (external cause codes E950 to E969) and unintentional injuries (E800 to E949) were reviewed after identification from the trauma center and hospital discharge registries.

    Results 

    Of 1495 patients admitted for injuries, 95 had intentional injuries.

    Among these, 36% were caused by child abuse, 37% were caused by assaults, and the remainder were associated with suicide attempts.

    Compared with all unintentionally injured patients, those with intentional injuries were similar in gender and race but were significantly older (P<. 001).

    Compared with a randomly selected sample of unintentionally injured patients matched for age, gender, and race, intentionally injured patients had longer mean hospital stays (P<. 001), had more medical consultations (P<. 001), were more likely to be discharged to sites other than home (P<. 001), and had higher hospital charges (P=007).

    While intentionally injured children had higher Injury Severity Scores (P=002), their longer hospital stays were independent of injury severity.

    Conclusions 

    Intentionally injured children use more hospital resources and consequently incur higher hosp...

    Mots-clés Pascal : Traumatisme infantile, Blessure, Intention, Enfant maltraité, Tentative suicide, Hospitalisation, Coût, Soin, Hôpital, Economie santé, Enfant, Adolescent, Etats Unis, Homme, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Early traumatism, Injury, Intention, Child abuse, Suicide attempt, Hospitalization, Costs, Care, Hospital, Health economy, Child, Adolescent, United States, Human, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0215589

    Code Inist : 002B30A03B. Création : 199608.