HOSPITALIZATIONS FOR TRAUMATIC INJURIES AMONG CHILDREN IN MARYLAND - TRENDS IN INCIDENCE AND SEVERITY - 1979 THROUGH 1988

Trends in incidence and severity of hospitalized injury among children aged 0 through 13 years in the state of Maryland from 1979 through 1988 (n = 35746) were examined using routinely reported hospital discharge data. Hospital discharge rates declined over the study period from 509 per 100 000 popu...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1992-04, Vol.89 (4), p.608-613
Main Authors: MARGANITT, B, MACKENZIE, EJ, DESHPANDE, JK, RAMZY, AI, HALLER, JA
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Biological and medical sciences
Burns - epidemiology
Child
Child, Preschool
Children
Children's accidents
Continental Population Groups
Demographic aspects
Female
Fractures, Bone - epidemiology
Hospitalization - statistics & numerical data
Humans
Incidence
Infant
Injuries
Injury Severity Score
Life Sciences & Biomedicine
Male
Maryland - epidemiology
Medical sciences
Patient Discharge - statistics & numerical data
Pediatric emergencies
Pediatric injuries
Pediatrics
Population Surveillance
Regression Analysis
Science & Technology
Sex Factors
Traumas. Diseases due to physical agents
Wounds and Injuries - epidemiology
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Summary:Trends in incidence and severity of hospitalized injury among children aged 0 through 13 years in the state of Maryland from 1979 through 1988 (n = 35746) were examined using routinely reported hospital discharge data. Hospital discharge rates declined over the study period from 509 per 100 000 population in 1979 to 320 in 1988. There was a decline in incidence trends for both races. However, the decrease in the nonwhite population was smaller than in whites. Analysis of incidence rates for specific Injury Severity Score groups revealed a declining trend in all Injury Severity Score groups, although the mildest group (Injury Severity Score 1 through 4) had the most notable decline of 44% compared with an average decline of 20% in the other severity groups. These data suggest a change in admission practices of mildly injured children as a major cause for the observed overall decline in hospitalization rates. The smaller decrease in the hospitalization rates of non-white children compared with white children requires further study to determine the cause.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.89.4.608