Hospitalization of abused and neglected children.
OBJECTIVE
To describe the use of inpatient hospitalization for abused and neglected children living in a metropolitan area.


METHODS
Retrospective record review of abused and neglected children admitted in 1992 and 1993 to hospitals with 87% of metropolitan area pediatric admissions; comparison of these data with population, crisis nursery, and child protective services data.


RESULTS
Thirty-four abused and neglected children were admitted to hospital, representing 0.3% (34/11,066; 95% confidence interval, 0%-1.2%) of pediatric admissions and 0.2% (34/19,950; 95% confidence interval, 0%-0.6%) of child protective services reports. This represents a rate of hospitalization for child abuse of 10 children (95% confidence interval, 0-46) per 100,000 child population per year. Seven hundred fifteen children were admitted to the crisis nursery by child protective services. Of those admitted to the hospital, 12 needed intensive care, 5 of whom died. Only 3 of 34 hospital-admitted children had private health insurance; 19 of 34 were younger than 1 year.


CONCLUSIONS
Inpatient hospitalization for abuse represented a small fraction of total pediatric admissions and of child protective services reports. Comprehensive medical care for most abused children and medical education about child abuse must occur in outpatient settings.
Marshall
W N
WN
Department of Pediatrics, University of Arizona College of Medicine, Tucson, USA.
D001130:Arizona; D002649:Child Abuse / Q000523:psychology / Q000534:rehabilitation* / Q000706:statistics & numerical data; D002651:Child Advocacy; D002675:Child, Preschool; D006266:Health Education; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007348:Insurance, Health; D010343:Patient Admission; D012189:Retrospective Studies