Readmission and reinjury patterns in pediatric assault victims
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Read the article on link.springer.com ↗Article · Dec 2019 · 1 min read
In brief
In brief
This national database study of 46,294 pediatric assault victims found 11.4% were readmitted within one year, with over one-third presenting to different hospitals. Risk factors for readmission included age under 13, firearm injury, and leaving against medical advice, highlighting fragmented care patterns that current quality metrics fail to capture.
Written by the GCMD Library team from the article.
Abstract
Introduction
Repeated pediatric assault should be a never event. The purpose of this study was to evaluate the readmission and reinjury patterns in pediatric victims of assault including readmissions to different hospitals across the US.
Methods
The 2010–2014 Nationwide Readmissions Database was queried for all nonelective admissions for patients under the age of 18 years. Primary outcomes were readmission or reinjury within 1 year. Results were weighted for national estimates.
Results
Assault-related injury occurred in 46,294 pediatric patients with 11.4% of patients being readmitted within 1 year. Of those readmitted, 35.2% presented to a different hospital. Reinjury within 1 year occurred in about 1% of patients, with 14.8% of those presenting to a different hospital. Age < 13 years, firearm-injury, ISS > 15, female gender, and leaving AMA were found to be independent prognostic indicators of readmission within 1 year among pediatric assault patients.
Conclusion
Care of children who are admitted and discharged for assault injuries is more fragmented that previously thought. Quality metrics fail to capture this previously hidden population. Our results identify treatable factors which could improve the care of children after assault.