Evidence map›Paper›PMID 25911437›Full record

ArticleChild maltreatment2015

Annual Cost of U.S. Hospital Visits for Pediatric Abusive Head Trauma.

Cora Peterson, Likang Xu, Curtis Florence, Sharyn E Parks

Abstract read
In one paragraph

Article in Child maltreatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic Review of Per Person Violence Costs.American journal of preventive medicine · 2024
    Pooled it
  2. Article
  3. Article
  4. Repetitive mild traumatic brain injuries in children of abuse.Annals of the Child Neurology Society · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021
    Article
  9. Trends, Diagnoses, and Hospitalization Costs of Child Abuse and Neglect in the United States of America.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Average medical cost of fatal and non-fatal injuries by type in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Cora PetersonCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control, Atlanta, GA, USA cora.peterson@cdc.hhs.gov.
Likang XuCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control, Atlanta, GA, USA.
Curtis FlorenceCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control, Atlanta, GA, USA.
Sharyn E ParksCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

We estimated the frequency and direct medical cost from the provider perspective of U.S. hospital visits for pediatric abusive head trauma (AHT). We identified treat-and-release hospital emergency department (ED) visits and admissions for AHT among patients aged 0-4 years in the Nationwide Emergency Department Sample and Nationwide Inpatient Sample (NIS), 2006-2011. We applied cost-to-charge ratios and estimated professional fee ratios from Truven Health MarketScan(®) to estimate per-visit and total population costs of AHT ED visits and admissions. Regression models assessed cost differences associated with selected patient and hospital characteristics. AHT was diagnosed during 6,827 (95% confidence interval [CI] [6,072, 7,582]) ED visits and 12,533 (95% CI [10,395, 14,671]) admissions (28% originating in the same hospital's ED) nationwide over the study period. The average medical cost per ED visit and admission were US$2,612 (error bound: 1,644-3,581) and US$31,901 (error bound: 29,266-34,536), respectively (2012 USD). The average total annual nationwide medical cost of AHT hospital visits was US$69.6 million (error bound: 56.9-82.3 million) over the study period. Factors associated with higher per-visit costs included patient age <1 year, males, coexisting chronic conditions, discharge to another facility, death, higher household income, public insurance payer, hospital trauma level, and teaching hospitals in urban locations. Study findings emphasize the importance of focused interventions to reduce this type of high-cost child abuse.

Indexed as

Child AbuseChild, PreschoolCost-Benefit AnalysisCraniocerebral TraumaEmergency Service, HospitalFemaleHealth Care CostsHospitalizationHumansInfantInfant, NewbornMaleRegression AnalysisUnited Stateschild abusecosts and cost analysiseconomicshospitalshaken baby syndrome

Identifiers

PMID25911437
PMCPMC4675617

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.