Firearm Injuries: Pediatric long-term health outcomes and healthcare expenditures

C. Pulcini, M. Goyal, M. Hall, J. Fein, S. Chaudhary, H. Gruhler, E. Alpern, E. Fleegler
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Abstract

Background/Purpose: Firearm injuries are a leading cause of morbidity and mortality among children. Over 40,000 children died by firearms between 2000-2018, and an estimated 200,000 suffered non-fatal firearm injuries during the same period. Despite these staggering figures, there is limited information about the impact of firearm injuries on pediatric health care resource use. Our goal was to evaluate healthcare encounters and expenditures for children one year before and one year following a firearm injury. Methods: Cohort study of children 0-18 years identified using ICD-9/ICD-10 diagnosis codes for firearm injury in the ED or inpatient setting from 2010-2016 in the Medicaid MarketScan (IBM Watson, Armonk, New …
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火器伤害:儿科长期健康结果和医疗保健支出
背景/目的:火器伤害是儿童发病和死亡的主要原因。2000年至2018年期间,有4万多名儿童死于枪支,估计有20万名儿童在同一时期遭受非致命火器伤害。尽管有这些惊人的数字,但关于枪支伤害对儿科卫生保健资源使用的影响的信息有限。我们的目标是评估儿童在枪支伤害发生前一年和之后一年的医疗保健遭遇和支出。方法:队列研究2010-2016年医疗补助市场扫描(IBM Watson, Armonk, New…)中使用ICD-9/ICD-10诊断代码在急诊科或住院环境中识别的0-18岁儿童。
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