Characteristics and Hospital Costs of Spica Cast Treatment of Non–accidental-related Diaphyseal Femoral Fractures in Children Before Walking Age
| Autor: | Alexandre Arkader, Divya Talwar, Lacey C Magee, Keith D. Baldwin, Jigar S. Gandhi, Mahmoud A. H. Mahmoud |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Child abuse Pediatrics medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine Battered Child Syndrome medicine Humans Orthopedics and Sports Medicine Femur Humerus Child Abuse Tibia Hospital Costs Retrospective Studies 030222 orthopedics business.industry Incidence (epidemiology) Infant Retrospective cohort study Health Care Costs General Medicine Femoral fracture Length of Stay medicine.disease Hospitals Radiography body regions Casts Surgical medicine.anatomical_structure Pediatrics Perinatology and Child Health Female business Femoral Fractures Pediatric trauma |
| Zdroj: | Journal of Pediatric Orthopaedics. 40:e932-e935 |
| ISSN: | 0271-6798 |
| Popis: | BACKGROUND Fractures are one of the most common presentations of child abuse second only to soft tissue damage, with ∼60% of fractures being femur, humerus or tibia fractures. Although studies have shown increased health care costs associated with nonaccidental trauma (NAT), there is little data regarding the cost of NAT-associated fractures compared with accidental trauma (AT) related fractures. The purpose of this study was to consider the economic burden of NAT related femoral fractures compared with AT femoral fractures. METHODS We performed a retrospective study of children under the age of one with femoral fractures treated with a spica cast at a Level 1 Pediatric Trauma Center between 2007 and 2016. Variables included age, sex, length of hospital stay, and estimated total billing cost obtained from this hospital's billing department. In addition, fracture site (mid-shaft, distal, proximal, and subtrochanteric) and pattern were assessed. RESULTS Sixty children with a mean age of 7 months were analyzed. NAT was suspected in 19 cases (31.7%) and confirmed in 9 (15%) before discharge. Two groups were analyzed: the NAT group included suspected and confirmed cases of abuse (28) and the AT group contained the remaining 32 cases. There was no significant difference in the demographics between these 2 groups. Children in NAT group had a longer length of stay compared with AT group (78.9 vs. 36.7 h, P |
| Databáze: | OpenAIRE |
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