Childhood injuries in Hartford, Connecticut.
Vital statistics and hospital discharge data were analyzed to provide a detailed epidemiologic profile of injury among Hartford residents 0 to 19 years of age. During 1980-86, 76 death certificates identified injury as the cause of death, resulting in an annual age-specific death rate of 2.3 per 10,000 persons. Injuries caused more deaths among one to 19 year olds (58%) than all other diseases combined. During 1982-86 injury was listed as the principal diagnosis leading to hospitalization for 2,220 Hartford residents 0 to 19 years. The hospitalization rate was 95 per 10,000 persons. Injuries accounted for 16% of all hospital discharges. For ages 0 to 19, homicide was the leading injury-related cause of death accounting for 43% of fatalities. Falls were the leading cause of injury-related hospitalizations accounting for 22% if all discharges. Clay-Arsenal (23%) and the Northeast (17%) neighborhoods accounted for the largest proportion of injury deaths. Actual inpatient hospital charges for 1986 were reviewed. The total cost for 420 injury discharges utilizing 2,208 hospital days exceeded $1.4 million dollars. Fifty-one percent of the injury discharges listed Medicaid as the primary expected payment source for acute care injury-related discharges. The statistical patterns identified in this report will help public health professionals establish goals for injury control efforts such as a reduction in morbidity, mortality, severity, and/or medical costs.
Lapidus
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Department of Pediatrics, Hartford Hospital, CT 06115-0729.
Banco
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D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003237:Connecticut / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007902:Length of Stay / Q000191:economics; D008297:Male; D016019:Survival Analysis; D014947:Wounds and Injuries / Q000191:economics / Q000453:epidemiology* / Q000401:mortality