Gardner Ricky, Smith Gary A, Chany Anne-Marie L, Fernandez Soledad A, McKenzie Lara B
College of Medicine, The Ohio State University, Columbus, OH 43205, USA.
Arch Pediatr Adolesc Med. 2007 Sep;161(9):889-95. doi: 10.1001/archpedi.161.9.889.
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.
Data from the 2003 Healthcare Cost and Utilization Project Kids' Inpatient Database were used.
Pediatric inpatient care in 3438 hospitals in 36 US states. Patients Patients 20 years and younger hospitalized with MVC-related injuries.
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.
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.
Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.
计算20岁及以下患者因机动车碰撞（MVC）相关住院情况及相关医疗资源使用的全国估计值，并探讨某些社会人口统计学和医疗系统相关因素以及损伤严重程度对美国医院资源使用和住院时间（LOS）的影响。
使用2003年医疗成本和利用项目儿童住院数据库的数据。
美国36个州3438家医院的儿科住院护理。患者为20岁及以下因MVC相关损伤住院的患者。
计算MVC相关住院情况、发生率、资源使用、损伤严重程度评分和人口统计学的全国估计值。使用医院收费和住院时间研究潜在的显著协变量关联。
2003年美国20岁及以下患者发生了62880例与MVC相关的住院，住院费用超过20亿美元（标准差=120万美元），住院天数达304196天（标准差=55113天）。平均（标准差）住院费用和住院时间分别为33440美元（55113美元）和4.8天（7.7天）。平均（标准差）损伤严重程度评分为10.3（11.4）。18至20岁的青少年住院率最高（每10万名儿童中有197例）。年龄较大、男性、城市医院位置、住院期间死亡率、较高的损伤严重程度和较长的住院时间与较高的总费用显著相关。较长的住院时间与年龄较大、城市医院位置、较高的损伤严重程度和死亡率显著相关。
儿童与机动车碰撞相关的损伤给医疗资源带来负担，全国每年的费用超过20亿美元。
