Post-injury Outcomes of Children with Behavioral Health Disorders
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Abstract
Background
The impact of Behavioral Health Disorders (BHDs) on pediatric injury is poorly understood. We investigated the relationship between BHDs and outcomes following pediatric trauma.
Methods
We analyzed injured children (age 5-15) from 2014-2016 using the Pediatric Trauma Quality Improvement Program. The primary outcome was in-hospital mortality. Univariable and multivariable analyses compared children with and without a comorbid BHD.
Results
Of 69,305 injured children, 3,448 (5%) had a BHD. These 3,448 children had a median of 1 [IQR: 1, 1] BHD diagnosis: ADHD (n=2491), major psychiatric disorder (n=1037), drug use disorder (n=250), and alcohol use disorder (n=29). A higher proportion of injured children with BHDs suffered intentional and penetrating injury. Firearm injuries were more common for BHD patients (3% vs 1%, p25 compared to children without (5% vs 3%, p
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