Pediatric Spine Trauma in the United States--Analysis of the HCUP Kid'S Inpatient Database (KID) 1997-2009

Sergio Mendoza-Lattes; Javier Besomi; Cormac O'Sullivan; Zachary Ries; Gnanapragasam Gnanapradeep; Rachel Nash; Yubo Gao; Stuart Weinstein

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Pediatric Spine Trauma in the United States--Analysis of the HCUP Kid'S Inpatient Database (KID) 1997-2009

Journal article

Open access

Peer reviewed

Pediatric Spine Trauma in the United States--Analysis of the HCUP Kid'S Inpatient Database (KID) 1997-2009

Sergio Mendoza-Lattes, Javier Besomi, Cormac O'Sullivan, Zachary Ries, Gnanapragasam Gnanapradeep, Rachel Nash, Yubo Gao and Stuart Weinstein

The Iowa orthopaedic journal, Vol.35, pp.135-139

2015

PMCID: PMC4492135

PMID: 26361456

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492135/View

Published (Version of record) Open Access

Abstract

Few references are available describing the epidemiology of pediatric spine injuries. The purpose of this study is to examine the prevalence, risk factors and trends during the period from 1997 to 2009 of pediatric spine injuries in the United States using a large national database. Data was obtained from the Kid's Inpatient Database (KID) developed by the Healthcare Cost and Utilization Project (HCUP), for the years 1997-2009. This data includes >3 million discharges from 44 states and 4121 hospitals on children younger than 20 years. Weighted variables are provided which allow for the calculation of national prevalence rates. The Nationwide Emergency Department Sample (NEDS), HCUP. net, and National Highway Traffic Safety Administration (NHTSA) data were used for verification and comparison. A prevalence of 107.96 pmp (per million population) spine injuries in children and adolescents was found in 2009, which is increased from the 77.07 pmp observed in 1997. The group 15 to 19 years old had the highest prevalence of all age groups in (345.44 pmp). Neurological injury was present in 14.6% of the cases, for a prevalence of 15.82 pmp. The majority (86.7%) of these injuries occurred in children >15 years. Motor vehicle collisions accounted for 52.9% of all spine injuries, particularly in children >15 years. Between 1997 and 2009 the hospital length of stay decreased, but hospital charges demonstrated a significant increase. Pediatric Spine Injuries continue to be a relevant problem, with rates exceeding those of other industrialized nations. Teenagers >15 years of age were at greatest risk, and motor vehicle collisions accounted for the most common mechanism. An increase in prevalence was observed between 1997 and 2009, and this was matched by a similar increase in hospital charges. III.

Pediatrics

United States - epidemiology

Age Distribution

Prevalence

Follow-Up Studies

Humans

Child, Preschool

Male

Injury Severity Score

Spinal Injuries - diagnosis

Female

Retrospective Studies

Child

Databases, Factual

Spinal Fractures - diagnosis

Spinal Injuries - surgery

Spinal Injuries - epidemiology

Risk Assessment

Spinal Fractures - surgery

Spinal Fractures - epidemiology

Treatment Outcome

Inpatients - statistics & numerical data

Accidents, Traffic - statistics & numerical data

Adolescent

Sex Distribution

Cohort Studies

Details

Title: Subtitle: Pediatric Spine Trauma in the United States--Analysis of the HCUP Kid'S Inpatient Database (KID) 1997-2009
Creators: Sergio Mendoza-Lattes
Javier Besomi
Cormac O'Sullivan
Zachary Ries
Gnanapragasam Gnanapradeep
Rachel Nash
Yubo Gao
Stuart Weinstein
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.35, pp.135-139
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 26361456
PMCID: PMC4492135
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2015
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Nursing; Internal Medicine
Record Identifier: 9984040468302771

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