التفاصيل البيبلوغرافية
| العنوان: |
Rural versus urban pediatric non-accidental trauma: different patients, similar outcomes. |
| المؤلفون: |
Marek, Ashley P., Nygaard, Rachel M., Cohen, Ellie M., Polites, Stephanie F., Sirany, Anne-Marie E., Wildenberg, Sarah E., Elsbernd, Terri A., Murphy, Sherrie, Dean Potter, D., Zielinski, Martin D., Richardson, Chad J. |
| المصدر: |
BMC Research Notes; 7/28/2018, Vol. 11 Issue 1, pN.PAG-N.PAG, 1p, 3 Charts |
| مصطلحات موضوعية: |
CHILDREN'S injuries, WOUNDS & injuries, TRAUMA centers, MEDICAL care, BUSINESS insurance |
| مستخلص: |
Objective: Our aim was to compare urban and rural non-accidental trauma for trends and characterize where injury prevention efforts can be focused. Pediatric trauma patients (age 0–14 years) at two level I adult and pediatric trauma centers, one rural and one urban, were included and data from the trauma registries at each center was abstracted. Results: Of 857 pediatric admissions, 10% of injuries were considered non-accidental. The mean age for all non-accidental trauma patients was significantly lower than the overall pediatric trauma population (2.6 vs. 7.7 years, P < 0.001). Significantly more fatalities occurred in the non-accidental trauma cohort (5.7% vs. 1% P = 0.007). In nearly half of all non-accidental trauma patients, the primary insurance was government programs (49%) and 46% were commercial insurance. The proportion of government insurance in non-accidental trauma was higher in both urban and rural cohorts. There were similar rates of urban and rural patients sustaining non-accidental trauma who were uninsured (6.5 vs. 5.3%). Patients that were younger, in a rural location, and receiving government insurance were at higher risk of non-accidental trauma on univariable analysis. However, only age remained an independent predictor on multivariable analysis. [ABSTRACT FROM AUTHOR] |
|
Copyright of BMC Research Notes is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder