Mental Health Outcomes in Pediatric Trauma Patients: A 10 Year Real World Analysis Using a Large Database Approach
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In brief
In brief
This 10-year population-based study using insurance claims data found that 3.3% of children hospitalized for traumatic injury developed subsequent mental health diagnoses, with PTSD occurring in 1.6%. Hospitalized trauma patients showed significantly elevated risk compared to those treated in emergency or outpatient settings and to appendicitis controls.
Written by the GCMD Library team from the article.
Introduction
Traumatic injury is the leading cause of morbidity and mortality among children in the United States. Single institution studies suggest an increased risk of poor mental health outcomes among these patients, but there are few population-based studies assessing this risk.
Methods
The IBM MarketScanࣨ private insurance claims database was used to identify children (6-17yo) with traumatic injuries between 2007 and 2016. Time-to-event analysis was performed to compare rates of PTSD, depression, anxiety, and adjustment disorder among children admitted to the hospital compared to children treated in the emergency department (ED), urgent care (UC), or in the outpatient setting, and to children admitted with uncomplicated appendicitis.
Results
Among children admitted for traumatic injury, 3.3% developed a subsequent mental health diagnosis, and 1.6% developed PTSD. Children admitted for traumatic injury were at increased risk of developing a mental health condition (HR 1.34, p