The severity and cost of child abuse in the pediatric intensive care unit
The severity and cost of child abuse in the pediatric intensive care unit
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DOI：
10.1046/j.1525-1489.2001.00035.x
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发表时间：
2001-01-01
影响因子：
3.1
通讯作者：
Costarino, AT
中科院分区：
文献类型：
--
作者：
Dominguez, TE;Chalom, R;Costarino, AT
本研究的目的是描述在儿科重症监护病房（PICU）的儿童虐待（CA）患者的疾病严重程度，成本和结果，并评估CA在预测疾病严重程度和诊断调整成本的重要性。对1994年财政年度期间入住和出院到三级护理PICU的1，376例患者进行了一项回顾性队列研究。记录人口统计学数据、诊断、儿科死亡风险（PRISM）评分、住院时间和死亡。使用成本：收费比率将医院收费转换为成本。在出院时评估CA患者的功能结局。在1,376例住院患者中有17例CA（1.24%）。CA占85例死亡中的6例（7.06%），死亡率明显高于PICU其他人群
The objective of this study was to describe the severity of illness, costs, and outcomes of child abuse (CA) patients in the pediatric intensive care unit (PICU) and to assess the importance of CA in predicting costs adjusting for severity of illness and diagnosis. A retrospective, cohort study was performed on a consecutive sample of 1,376 patients admitted and discharged to a tertiary care PICU during fiscal pear 1994. Demographic data, diagnoses, pediatric risk of mortality (PRISM) score, length of stay, and deaths were recorded. Hospital charges were converted into costs using cost:charge ratios. Functional outcomes of the CA patients were assessed at the time of discharge. There were 17 cases of CA in 1,376 admissions (1.24%). CA accounted for 6 of 85 deaths (7.06%) and the mortality rate was significantly higher than the rest of the PICU population