Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xWI84G. Diffusion soumise à autorisation]. Objectives : This study assessed the economic burden of child abuse-related hospitalizations. Methods : We compared inpatient stays coded with a diagnosis of child abuse or neglect with stays of other hospitalized children using the 1999 National Inpatient Sample of the Healthcare Costs and Utilization Project. Results : Children whose hospital stays were coded with a diagnosis of abuse or neglect were significantly more likely to have died during hospitalization (4.0% vs 0.5%), have longer stays (8.2 vs 4.0 days), twice the number of diagnoses (6.3 vs 2.8), and double the total charges ($19266 vs $9513) than were other hospitalized children. Furthermore, the primary payer was typically Medicaid (66.5% vs 37.0%). Conclusion : Earlier identification of children at risk for child abuse and neglect might reduce the individual, medical, and societal costs.
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