Implications of non-accidental trauma on resource utilization and outcomes

Cristen N. Litz, Ernest Amankwah, Paul D. Danielson, Nicole M. Chandler

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)635-639
Number of pages5
JournalPediatric Surgery International
Volume34
Issue number6
DOIs
StatePublished - Jun 1 2018

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Wounds and Injuries
Blood Pressure
Injury Severity Score
Registries
Length of Stay
Referral and Consultation
Heart Rate
Mortality

Keywords

  • Child abuse
  • Non-accidental trauma
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Implications of non-accidental trauma on resource utilization and outcomes. / Litz, Cristen N.; Amankwah, Ernest; Danielson, Paul D.; Chandler, Nicole M.

In: Pediatric Surgery International, Vol. 34, No. 6, 01.06.2018, p. 635-639.

Research output: Contribution to journalArticle

Litz, Cristen N. ; Amankwah, Ernest ; Danielson, Paul D. ; Chandler, Nicole M. / Implications of non-accidental trauma on resource utilization and outcomes. In: Pediatric Surgery International. 2018 ; Vol. 34, No. 6. pp. 635-639.
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