National Injury-Related Hospitalizations in Children: Public Versus Private Expenditures Across Preventable Injury Mechanisms
Specific mechanisms and age groups with public injury-related expenditures which could be impacted through effective intervention could be identified by examining expenditures in areas where more universal effective injury prevention approach application is indicated. Acute care hospitalization data for U.S. adolescent and child residents of 36 states are contained in the Healthcare Cost and Utilization Project 2003 (KID-HCUP). In the 0 to 19 year range, 240,248 unweighted (397, 943 weighted) injury-related hospital discharges are included in the study population. ICDMAP-90 and International Classification of Injury Severity Scores (ICISS) were used to assess injury severity. Stratified sampling variance was adjusted through use of SUDAAN. The authors found that non-injury discharges were not as costly as injury-related hospitalizations (mean $28,137 ± 64,420, median $10,808), the latter of which accounts for approximately 10% of all hospitalized individuals (unweighted) and more than 20% of expenditures. In 37.7% of injured person, the primary payors were public sources. Total mechanism specific expenditures were heavily influenced by variations across specific injury mechanism in incidence and cost per case. For private and public payors with teenagers making up two thirds of expenditures, motor vehicle crashes were the largest expenditures, with more than 40% for drivers. In 59.2% of 0-4 year olds and 45.6% ($192 million) of burns, expenditures were covered by Medicaid. Per case expenditures (mean ± SD, median) were: poisoning ($8,290 ± $15,462, $5,208); falls ($13,069 ± 20,225, $8,610); burns ($29,242 ± 64,271, $10,739); pedestrian ($31,414 ± 57,103; $16,552); motor vehicle driver ($33,731 ± 50,583, $18,431); and firearm ($36,196 ± 58,052, $19,020). The authors conclude that applying proven injury prevention more universally may potentially decrease, among several modifiable injury mechanisms, both private and public health expenditure burdens.
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Availability:
- Find a library where document is available. Order URL: http://worldcat.org/issn/00225282
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Authors:
- Pressley, Joyce C
- Trieu, Lisa
- Kendig, Tiffany
- Barlow, Barbara
- Publication Date: 2007-9
Language
- English
Media Info
- Media Type: Print
- Edition: Supplement
- Features: Figures; References; Tables;
- Pagination: pp S10-S19
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Serial:
- Journal of Trauma, Injury, Infection and Critical Care
- Volume: 63
- Issue Number: 3
- Publisher: Lippincott Williams & Wilkins
- ISSN: 0022-5282
Subject/Index Terms
- TRT Terms: Adolescents; Age groups; Burns; Children; Costs; Crash injuries; Drivers; Expenditures; Expenses; Falls; Firearms; Governments; Hospitals; Injuries; Injury causes; Injury severity; Motor vehicles; Pedestrians; Poisoning; Poisons; Prevention; Private enterprise
- Identifier Terms: Medicaid
- Uncontrolled Terms: Hospitalization; Interventions; Preventable accidents
- Geographic Terms: United States
- Subject Areas: Finance; Highways; Pedestrians and Bicyclists; Safety and Human Factors; Security and Emergencies; Society;
Filing Info
- Accession Number: 01079923
- Record Type: Publication
- Files: TRIS
- Created Date: Oct 25 2007 10:26AM