Evidence map›Paper›PMID 31888976›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021

Average medical cost of fatal and non-fatal injuries by type in the USA.

Cora Peterson, Likang Xu, Curtis Florence

Erratum issuedAbstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Systematic Review of Per Person Violence Costs.American journal of preventive medicine · 2024
    Pooled it
  2. Costs attributable to criminal justice involvement in injuries: a systematic review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023
    Pooled it
  3. Article
  4. Medical and work loss costs of violence, self-harm, unintentional and traumatic brain injuries per injured person in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
  5. Validation of the Oklahoma predictor model for discharge destination in patients with major traumatic injury: a cross-sectional study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Economic Cost of U.S. Suicide and Nonfatal Self-harm.American journal of preventive medicine · 2024
    Article
  10. The Health and Economic Impact of Youth Violence by Injury Mechanism.American journal of preventive medicine · 2024
    Article
  11. Article
  12. Article
  13. Economic Burden of Trauma-Related Injuries in Iran in 2019.Bulletin of emergency and trauma · 2024
    Article
  14. WISQARS Cost of Injury for public health research and practice.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023
    Article
  15. Non-fatal injury data: characteristics to consider for surveillance and research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022
    Article
  16. Economic Cost of Injury - United States, 2019.MMWR. Morbidity and mortality weekly report · 2021
    Article
  17. State-Level Economic Costs of Fatal Injuries - United States, 2019.MMWR. Morbidity and mortality weekly report · 2021
    Article
  18. Average lost work productivity due to non-fatal injuries by type in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Cora PetersonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA cora.peterson@cdc.hhs.gov.ORCID 0000-0001-7955-0977
Likang XuNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Curtis FlorenceNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo estimate the average medical care cost of fatal and non-fatal injuries in the USA comprehensively by injury type.

methodsThe attributable cost of injuries was estimated by mechanism (eg, fall), intent (eg, unintentional), body region (eg, head and neck) and nature of injury (eg, fracture) among patients injured from 1 October 2014 to 30 September 2015. The cost of fatal injuries was the multivariable regression-adjusted average among patients who died in hospital emergency departments (EDs) or inpatient settings as reported in the Healthcare Cost and Utilization Project Nationwide Emergency Department Sample and National Inpatient Sample, controlling for demographic (eg, age), clinical (eg, comorbidities) and health insurance (eg, Medicaid) factors. The 1-year attributable cost of non-fatal injuries was assessed among patients with ED-treated injuries using MarketScan medical claims data. Multivariable regression models compared total medical payments (inpatient, outpatient, drugs) among non-fatal injury patients versus matched controls during the year following injury patients' ED visit, controlling for demographic, clinical and insurance factors. All costs are 2015 US dollars.

resultsThe average medical cost of all fatal injuries was approximately $6880 and $41 570 per ED-based and hospital-based patient, respectively (range by injury type: $4764-$10 289 and $31 912-$95 295). The average attributable 1-year cost of all non-fatal injuries per person initially treated in an ED was approximately $6620 (range by injury type: $1698-$80 172). CONCLUSIONS AND RELEVANCE: Injuries are costly and preventable. Accurate estimates of attributable medical care costs are important to monitor the economic burden of injuries and help to prioritise cost-effective public health prevention activities.

Indexed as

Emergency Service, HospitalHealth Care CostsAccidental FallsHumansInsurance, HealthMedicaidUnited Statesbarell matrixcostsmechanism

Identifiers

PMID31888976
PMCPMC7326639

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.