title: Unintentional pediatric submersion-injury-related hospitalizations in the United States, 2003.
abstract: The objective of this study was to examine the demographic characteristics and hospital resource utilization of submersion-injury-related hospitalizations among persons < or =20 years of age in the USA in 2003. All 1475 pediatric submersion-injury-related hospital discharges in the Kids' Inpatient Database were identified by ICD-9-CM diagnosis code or external cause of injury code. These cases represent an estimated 2490 pediatric submersion-injury-related hospitalizations nationwide. Inpatient costs for these estimated hospitalizations were approximately $10 million. The overall pediatric submersion-injury-related rate of hospitalization was 3.0 per 100,000 persons. Children aged 0-4 years had the highest rate of hospitalization (7.7 per 100,000 persons). Children with permanent submersion-injury-related morbidity accounted for 5.8% of hospital admissions and 37.3% of hospital costs in our study, and children with submersion-injury-related in-hospital death accounted for 11.6% of hospital admissions and 20.0% of hospital costs in our study. Prevention of submersion injury using focused, proven strategies deserves increased attention.
authors.affiliation: The Ohio State University College of Medicine, Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Cohen
authors.forename: K C
authors.initials: KC
authors.lastname: Matter
authors.forename: S A
authors.initials: SA
authors.lastname: Sinclair
authors.forename: G A
authors.initials: GA
authors.lastname: Smith
authors.forename: H
authors.initials: H
authors.lastname: Xiang
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D004332:Drowning / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D017721:Hospital Costs / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D015701:Near Drowning / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology