Many believe that child maltreatment is preventable. The success of prevention activities, though, is not clear as questions remain regarding the epidemiology and economic impact of child abuse. This study examined hospitalized cases of child maltreatment to identify the economic impact of maltreatment. Methods: Victims of maltreatment were identified from the inpatient register of patients under age 18 seen in a large pediatric hospital between 1996-97. Child maltreatment was defined as an event in which a report of suspected abuse was filed. Inpatient records were screened for diagnostic codes (995.5), E-codes (904, 967, 968.4) and V-codes (61.2). Medical and billing records were abstracted. Results: Ninety-five admissions with a report of child maltreatment were identified. They involved physical abuse (63%), neglect (28%), and sexual abuse (5%). Most (51%) of the suspected victims were under 12 months of age (overall mean: 1.9 years), 59% were males, and 89% were Medicaid recipients. Type of maltreatment did not differ by age, gender, or payer. The average LOS was 8.4 days (median: 3), and total charges (1997 dollars) amounted to $2.1 million (mean: $22,100 ± $39,919, median: $9,197). Twenty-nine admissions involved an ICU stay, accounting for $347,655 in charges. Total charges were significantly (p=0.03) higher for neglect (median: $15,245) versus physical abuse cases ($7,678). Conclusions: Significant health care charges were identified for maltreatment events, most of which are payable by government sources.
Learning Objectives: Describe the characteristics of cases of suspected child abuse admitted to an urban pediatric hospital. Identify associated hospital charges
Keywords: Violence, Cost Issues
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.