TY  - JOUR
PY  - 2016//
TI  - The relationship between traumatic injury in children and long-term use of health and social services by children and their families
JO  - Journal of trauma nursing
A1  - Garnett, Anna
A1  - Browne, Gina
SP  - 215
EP  - 226
VL  - 23
IS  - 4
N2  - To increase understanding of relationships between general traumatic injury in children and long-term use of resources in the health care and social services (HSS) sectors by these children and their families 8-10 years after traumatic injury. This study was a cross-sectional retrospective cohort study of prognosis from 2001 to 2003 that quantified recent expenditures on and use of HSS by children and also by their parents. Forty-eight cases of children were selected from the Hamilton Health Sciences pediatric trauma database in the period from January 2001 to December 2003 after incurring a traumatic injury with Injury Severity Score greater than 12. The average total cost to the HSS system per child's family was $4,326.62 during the preceding 6 months. During the same period, average use of HSS was 7 visits. Total service costs incurred by caregivers of injured children increased with severity of the traumatic injury (p=.009). Caregiver HSS use was higher when the injury was caused by a motor vehicle accident than by other types of accidents (p<.001) and increased with the injury severity (p<.001). HSS use by children was related to gender (p<.001), injury mechanism (p<.001), age at accident (p<.001), and time since accident (p=.012), among other factors. Pediatric trauma appears to have long-term effects on expenditures on and use of HSS by the affected children and their families. The findings emphasize the need for long-term assessment and possible delivery of services to the families of the injured children.<p />  <p>Language: en</p>
LA  - en
SN  - 1078-7496
UR  - http://dx.doi.org/10.1097/JTN.0000000000000219
ID  - ref1
ER  -