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Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among children in the United States.
Arch Pediatr Adolesc Med. 2007 Sep; 161(9):889-95.AP

Abstract

OBJECTIVES

To calculate national estimates of motor vehicle crash (MVC)-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system-related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States.

DESIGN

Data from the 2003 Healthcare Cost and Utilization Project Kids' Inpatient Database were used.

SETTING

Pediatric inpatient care in 3438 hospitals in 36 US states. Patients Patients 20 years and younger hospitalized with MVC-related injuries.

MAIN OUTCOME MEASURES

National estimates of MVC-associated hospitalizations, rates, resource use, Injury Severity Scores, and demographics were calculated. Potentially significant covariate associations were studied using hospital charges and LOS.

RESULTS

Sixty-two thousand eight hundred eighty MVC-related hospitalizations occurred among patients 20 years and younger in the United States in 2003, resulting in more than $2.0 billion (SD = $1.2 million) in inpatient charges and 304 196 days (SD = 55,113 days) of hospitalization. Mean (SD) hospital charges and LOS were $33,440 ($55,113) and 4.8 (7.7) days, respectively. The mean (SD) Injury Severity Score was 10.3 (11.4). Adolescents aged 18 through 20 years had the highest hospitalization rates (197 cases per 100,000 children). Older age, being male, urban hospital location, mortality during hospitalization, higher injury severity, and longer LOS were significantly associated with higher total charges. Longer LOS was significantly associated with older age, urban hospital location, higher injury severity, and mortality.

CONCLUSION

Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.

Authors+Show Affiliations

College of Medicine, The Ohio State University, Columbus, OH 43205, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17768290

Citation

Gardner, Ricky, et al. "Factors Associated With Hospital Length of Stay and Hospital Charges of Motor Vehicle Crash Related Hospitalizations Among Children in the United States." Archives of Pediatrics & Adolescent Medicine, vol. 161, no. 9, 2007, pp. 889-95.
Gardner R, Smith GA, Chany AM, et al. Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among children in the United States. Arch Pediatr Adolesc Med. 2007;161(9):889-95.
Gardner, R., Smith, G. A., Chany, A. M., Fernandez, S. A., & McKenzie, L. B. (2007). Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among children in the United States. Archives of Pediatrics & Adolescent Medicine, 161(9), 889-95.
Gardner R, et al. Factors Associated With Hospital Length of Stay and Hospital Charges of Motor Vehicle Crash Related Hospitalizations Among Children in the United States. Arch Pediatr Adolesc Med. 2007;161(9):889-95. PubMed PMID: 17768290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among children in the United States. AU - Gardner,Ricky, AU - Smith,Gary A, AU - Chany,Anne-Marie L, AU - Fernandez,Soledad A, AU - McKenzie,Lara B, PY - 2007/9/5/pubmed PY - 2007/10/10/medline PY - 2007/9/5/entrez SP - 889 EP - 95 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 161 IS - 9 N2 - OBJECTIVES: To calculate national estimates of motor vehicle crash (MVC)-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system-related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States. DESIGN: Data from the 2003 Healthcare Cost and Utilization Project Kids' Inpatient Database were used. SETTING: Pediatric inpatient care in 3438 hospitals in 36 US states. Patients Patients 20 years and younger hospitalized with MVC-related injuries. MAIN OUTCOME MEASURES: National estimates of MVC-associated hospitalizations, rates, resource use, Injury Severity Scores, and demographics were calculated. Potentially significant covariate associations were studied using hospital charges and LOS. RESULTS: Sixty-two thousand eight hundred eighty MVC-related hospitalizations occurred among patients 20 years and younger in the United States in 2003, resulting in more than $2.0 billion (SD = $1.2 million) in inpatient charges and 304 196 days (SD = 55,113 days) of hospitalization. Mean (SD) hospital charges and LOS were $33,440 ($55,113) and 4.8 (7.7) days, respectively. The mean (SD) Injury Severity Score was 10.3 (11.4). Adolescents aged 18 through 20 years had the highest hospitalization rates (197 cases per 100,000 children). Older age, being male, urban hospital location, mortality during hospitalization, higher injury severity, and longer LOS were significantly associated with higher total charges. Longer LOS was significantly associated with older age, urban hospital location, higher injury severity, and mortality. CONCLUSION: Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/17768290/Factors_associated_with_hospital_length_of_stay_and_hospital_charges_of_motor_vehicle_crash_related_hospitalizations_among_children_in_the_United_States_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.161.9.889 DB - PRIME DP - Unbound Medicine ER -