TY - JOUR
T1 - Acute hospital costs of pediatric trauma in the United States
T2 - How much and who pays?
AU - MacKenzie, Ellen J.
AU - Morris, John A.
AU - de Lissovoy, Gregory V.
AU - Smith, Gordon
AU - Fahey, Maureen
N1 - Funding Information:
From the Johns Hopkins University School of Hygiene and Public Health, Baltimore. MD, and Vanderbilt University School of Medicine, Nashville, TN. Supported in part by the National Highway Trajic Safety Administration (NHTSA) and Center for Disease Control (CDC) Grant No. DTNH22-88-Z-07144 and the National Center for Health Services Research and Health Technology Assessment Grant No. HSO5630-02. Presented at the 38th Annual Meeting of the Surgical Section of the American Academy of Pediatrics, Chicago, Illinois. October 21-23, 1989. Address reprint requests to Q 1990 by W.B. Saunders Company. 0022-3468/90/2509-0010$03.00/0
PY - 1990/9
Y1 - 1990/9
N2 - National estimates of the numbers and expenditures associated with hospitalization due to injury among children (aged 0 to 14) were derived using data from the 1984, 1985, and 1986 National Hospital Discharge Surveys (NHDS) and the 1980 National Medical Care Utilization and Expenditures Study (NMCUES). In this report, age- and sex-specific estimates of the numbers of hospital admissions and expenditures are reported for subgroups of patients defined by external cause of the injury and by nature and severity of the injury. In 1985, over 266,00 children sustained a traumatic injury resulting in hospitalization (rate of 51 per 10,000 children). Expenditures totaled nearly $1 billion. Over 80% of the hospitalizations and two thirds of total expenditures were for minor (Maximum AIS = 1,2) trauma. Moderate (Maximum AIS = 3) and severe (Maximum AIS = 4,5) trauma accounted for 18% and 2% of admissions and 31% and 8% of expenditures, respectively. Falls ranked first in expenditures and admissions (36% of the total). Motor vehicle-related injuries accounted for 19% of trauma admissions and 24% of expenditures. Other less common causes included bicycle injuries, penetrating injuries and injuries caused by the child being hit by an object or person. An estimated 28% of the total hospital charges were paid for by public sources (15% from federal government programs, 13% from state and local programs). An additional 63% of total expenditures were paid for by private sources, with the remaining 9% considered uninsured care. This analysis suggests that the designation of pediatric trauma centers would not appreciably affect the revenues of nontrauma centers because minor and moderate injuries representing 91% of total trauma admissions and 79% of total charges would remain in the domain of the nontrauma center hospital.
AB - National estimates of the numbers and expenditures associated with hospitalization due to injury among children (aged 0 to 14) were derived using data from the 1984, 1985, and 1986 National Hospital Discharge Surveys (NHDS) and the 1980 National Medical Care Utilization and Expenditures Study (NMCUES). In this report, age- and sex-specific estimates of the numbers of hospital admissions and expenditures are reported for subgroups of patients defined by external cause of the injury and by nature and severity of the injury. In 1985, over 266,00 children sustained a traumatic injury resulting in hospitalization (rate of 51 per 10,000 children). Expenditures totaled nearly $1 billion. Over 80% of the hospitalizations and two thirds of total expenditures were for minor (Maximum AIS = 1,2) trauma. Moderate (Maximum AIS = 3) and severe (Maximum AIS = 4,5) trauma accounted for 18% and 2% of admissions and 31% and 8% of expenditures, respectively. Falls ranked first in expenditures and admissions (36% of the total). Motor vehicle-related injuries accounted for 19% of trauma admissions and 24% of expenditures. Other less common causes included bicycle injuries, penetrating injuries and injuries caused by the child being hit by an object or person. An estimated 28% of the total hospital charges were paid for by public sources (15% from federal government programs, 13% from state and local programs). An additional 63% of total expenditures were paid for by private sources, with the remaining 9% considered uninsured care. This analysis suggests that the designation of pediatric trauma centers would not appreciably affect the revenues of nontrauma centers because minor and moderate injuries representing 91% of total trauma admissions and 79% of total charges would remain in the domain of the nontrauma center hospital.
KW - Pediatric trauma
KW - cost
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U2 - 10.1016/0022-3468(90)90240-A
DO - 10.1016/0022-3468(90)90240-A
M3 - Article
C2 - 2120416
AN - SCOPUS:0025005047
SN - 0022-3468
VL - 25
SP - 970
EP - 976
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 9
ER -