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Short-term health service utilization after a paediatric injury: a population-based study.

Baldi I, Avossa F, Fedeli U, Foltran F, Gregori D - Ital J Pediatr (2013)

Bottom Line: Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days.The impact of specific injury types on health services utilization varies with gender, age and severity.These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Via Loredan 18, 35131, Padova, Italy. dario.gregori@unipd.it.

ABSTRACT

Background: The aim of the study is to identify which types of injuries are responsible for a major component of the health burden in a population-based children cohort in North-Eastern Italy.

Methods: All children (1-13 years) residing in Veneto region, who were hospitalized in 2008 with a International Classification of Diseases, ninth edition, Clinical Modification (ICD-9-CM) code for injury in the first diagnostic field were considered. The outcome was defined as the difference in hospital use in the 12 months following the injury and it was compared to the year preceding the injury occurrence. We computed hospitalization rates by gender, age class and injury type.

Results: Hospitalization rates for injury are highest in males, especially among school-aged children. Rates for intracranial injury exhibit a more pronounced decline with age in females, whereas a more marked rise in upper limb fracture rates among school-aged males is observed. Overall, 3 days of hospital stay per child are attributable to injury. Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days.

Conclusions: The impact of specific injury types on health services utilization varies with gender, age and severity. These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation.

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Related in: MedlinePlus

Effects and 95% confidence intervals of ICD subchapter (reference: Intracranial injury (850–854)) on the outcome for males (on the left hand side panel) and females (on the right hand side panel). * Other ICDs: fracture of neck and trunk (805–809), dislocation (830–839), sprains and strains (840–848), internal injury of thorax, abdomen, and pelvis (860–869), open wound of lower limb (890–897), injury to blood vessels (900–904), superficial injury (910–919), crushing injury (925–929), effects of foreign body entering orifice (930–939), injury to nerves and spinal cord (950–957), poisonings (960–979), toxic effects of substances (980–989), other unspecified (990–994).
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Figure 1: Effects and 95% confidence intervals of ICD subchapter (reference: Intracranial injury (850–854)) on the outcome for males (on the left hand side panel) and females (on the right hand side panel). * Other ICDs: fracture of neck and trunk (805–809), dislocation (830–839), sprains and strains (840–848), internal injury of thorax, abdomen, and pelvis (860–869), open wound of lower limb (890–897), injury to blood vessels (900–904), superficial injury (910–919), crushing injury (925–929), effects of foreign body entering orifice (930–939), injury to nerves and spinal cord (950–957), poisonings (960–979), toxic effects of substances (980–989), other unspecified (990–994).

Mentions: The interaction term between gender and ICD subchapter was significant (p-value < 0.001), thus revealing that the effect of the type of injury on health resources utilization is modified by gender. Therefore, adjusted effects of ICD subchapter on the additional inpatient days are shown in Figure 1, separately for males and females.


Short-term health service utilization after a paediatric injury: a population-based study.

Baldi I, Avossa F, Fedeli U, Foltran F, Gregori D - Ital J Pediatr (2013)

Effects and 95% confidence intervals of ICD subchapter (reference: Intracranial injury (850–854)) on the outcome for males (on the left hand side panel) and females (on the right hand side panel). * Other ICDs: fracture of neck and trunk (805–809), dislocation (830–839), sprains and strains (840–848), internal injury of thorax, abdomen, and pelvis (860–869), open wound of lower limb (890–897), injury to blood vessels (900–904), superficial injury (910–919), crushing injury (925–929), effects of foreign body entering orifice (930–939), injury to nerves and spinal cord (950–957), poisonings (960–979), toxic effects of substances (980–989), other unspecified (990–994).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4016021&req=5

Figure 1: Effects and 95% confidence intervals of ICD subchapter (reference: Intracranial injury (850–854)) on the outcome for males (on the left hand side panel) and females (on the right hand side panel). * Other ICDs: fracture of neck and trunk (805–809), dislocation (830–839), sprains and strains (840–848), internal injury of thorax, abdomen, and pelvis (860–869), open wound of lower limb (890–897), injury to blood vessels (900–904), superficial injury (910–919), crushing injury (925–929), effects of foreign body entering orifice (930–939), injury to nerves and spinal cord (950–957), poisonings (960–979), toxic effects of substances (980–989), other unspecified (990–994).
Mentions: The interaction term between gender and ICD subchapter was significant (p-value < 0.001), thus revealing that the effect of the type of injury on health resources utilization is modified by gender. Therefore, adjusted effects of ICD subchapter on the additional inpatient days are shown in Figure 1, separately for males and females.

Bottom Line: Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days.The impact of specific injury types on health services utilization varies with gender, age and severity.These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Via Loredan 18, 35131, Padova, Italy. dario.gregori@unipd.it.

ABSTRACT

Background: The aim of the study is to identify which types of injuries are responsible for a major component of the health burden in a population-based children cohort in North-Eastern Italy.

Methods: All children (1-13 years) residing in Veneto region, who were hospitalized in 2008 with a International Classification of Diseases, ninth edition, Clinical Modification (ICD-9-CM) code for injury in the first diagnostic field were considered. The outcome was defined as the difference in hospital use in the 12 months following the injury and it was compared to the year preceding the injury occurrence. We computed hospitalization rates by gender, age class and injury type.

Results: Hospitalization rates for injury are highest in males, especially among school-aged children. Rates for intracranial injury exhibit a more pronounced decline with age in females, whereas a more marked rise in upper limb fracture rates among school-aged males is observed. Overall, 3 days of hospital stay per child are attributable to injury. Burns, skull fracture and a high injury severity are associated with a greater number of additional inpatient days.

Conclusions: The impact of specific injury types on health services utilization varies with gender, age and severity. These observed patterns contribute to build a clearer picture of this leading global public health problem and deserve more attention in planning preventive strategies and resource allocation.

Show MeSH
Related in: MedlinePlus