@article{ref1,
title="Rural versus urban pediatric non-accidental trauma: different patients, similar outcomes",
journal="BMC research notes",
year="2018",
author="Marek, Ashley P. and Nygaard, Rachel M. and Cohen, Ellie M. and Polites, Stephanie F. and Sirany, Anne-Marie E. and Wildenberg, Sarah E. and Elsbernd, Terri A. and Murphy, Sherrie and Dean Potter, D. and Zielinski, Martin D. and Richardson, Chad J.",
volume="11",
number="1",
pages="e519-e519",
abstract="OBJECTIVE: Our aim was to compare urban and rural non-accidental trauma for trends and characterize where injury prevention efforts can be focused. Pediatric trauma patients (age 0-14 years) at two level I adult and pediatric trauma centers, one rural and one urban, were included and data from the trauma registries at each center was abstracted. <br><br>RESULTS: Of 857 pediatric admissions, 10% of injuries were considered non-accidental. The mean age for all non-accidental trauma patients was significantly lower than the overall pediatric trauma population (2.6 vs. 7.7 years, P < 0.001). Significantly more fatalities occurred in the non-accidental trauma cohort (5.7% vs. 1% P = 0.007). In nearly half of all non-accidental trauma patients, the primary insurance was government programs (49%) and 46% were commercial insurance. The proportion of government insurance in non-accidental trauma was higher in both urban and rural cohorts. There were similar rates of urban and rural patients sustaining non-accidental trauma who were uninsured (6.5 vs. 5.3%). Patients that were younger, in a rural location, and receiving government insurance were at higher risk of non-accidental trauma on univariable analysis. However, only age remained an independent predictor on multivariable analysis.<p /> <p>Language: en</p>",
language="en",
issn="1756-0500",
doi="10.1186/s13104-018-3639-4",
url="http://dx.doi.org/10.1186/s13104-018-3639-4"
}