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Ricky Gardner, BS; Gary A. Smith, MD, DrPH; Anne-Marie L. Chany, MSE; Soledad A. Fernandez, PhD; Lara B. McKenzie, PhD, MA

Arch Pediatr Adolesc Med. 2007;161(9):889-895.

Objectives  To calculate national estimates of motor vehicle crash (MVC)–related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system–related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States.

Design  Data from the 2003 Healthcare Cost and Utilization Project Kids' Inpatient Database were used.

Setting  Pediatric inpatient care in 3438 hospitals in 36 US states.

Patients  Patients 20 years and younger hospitalized with MVC-related injuries.

Main Outcome Measures  National estimates of MVC-associated hospitalizations, rates, resource use, Injury Severity Scores, and demographics were calculated. Potentially significant covariate associations were studied using hospital charges and LOS.

Results  Sixty-two thousand eight hundred eighty MVC-related hospitalizations occurred among patients 20 years and younger in the United States in 2003, resulting in more than $2.0 billion (SD = $1.2 million) in inpatient charges and 304 196 days (SD = 55 113 days) of hospitalization. Mean (SD) hospital charges and LOS were $33 440 ($55 113) and 4.8 (7.7) days, respectively. The mean (SD) Injury Severity Score was 10.3 (11.4). Adolescents aged 18 through 20 years had the highest hospitalization rates (197 cases per 100 000 children). Older age, being male, urban hospital location, mortality during hospitalization, higher injury severity, and longer LOS were significantly associated with higher total charges. Longer LOS was significantly associated with older age, urban hospital location, higher injury severity, and mortality.

Conclusion  Motor vehicle crash–related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.

Author Affiliations: College of Medicine (Mr Gardner and Drs Smith and McKenzie), Center for Injury Research and Policy, Children's Research Institute, Columbus Children's Hospital (Drs Smith and McKenzie and Ms Chany), and Center for Biostatistics (Dr Fernandez), The Ohio State University, Columbus.

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