TY - JOUR
AU - P. U. Hahn
AU - Formoso Pico
AU - V. Moran
AU - H. Israel
AU - C. Behr
A1 - 
AB - INTRODUCTION: Hospital-based violence intervention programs (HVIPs) have emerged nationwide to help address the societal and economic costs of violence. Little literature exists regarding selecting those patients most likely to benefit from intensive case management. The study aims to describe the pediatric patient population presenting at a Level 1 ACS trauma center with a chief complaint of violent trauma and identify the characteristics of patients most at risk. METHODS: This retrospective study examined patients between the ages of eight- and nineteen-years old presenting with traumatic injury during the year 2019. Child abuse and non-accidental trauma patients were excluded. RESULTS: A total of 333 patients were included in the analysis. They were predominantly African American and male. The three-group design included those 8-11, 12-13, and 14-19 years. Most patients were over 14 years old (60.2%). "Classmates" was the most common relationship between assailant and victim overall (33.9%) and most prevalent in the youngest age group (8-11 year). The middle age group (12-13 year) were two times more likely to suffer from ADHD, and ADHD was a risk factor for self-harm in this age category. The oldest age group (14-19 year) suffered higher rates of gun violence and were attacked more often by unknown assailants. CONCLUSIONS: There was a difference in the needs of the older and younger pediatric patients cared for. HVIPs should tailor their interventions to address the different age groups' needs. HVIPs could also benefit from the integration of targeted mental health services and collaboration with local educational institutions.
AD - School of Medicine, Saint Louis University, Saint Louis, MO, USA.; SSM Health Saint Louis University Hospital, Saint Louis, MO, USA.; Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, MO, USA.; Department of Trauma Surgery, Saint Louis University School of Medicie, SSM Health Saint Louis University Hospital, SSM Health Cardinal Glennon Children's Hospital, Saint Louis, MO, USA.
AN - 39120260
BT - Hosp Top
C5 - Healthcare Disparities
DA - Aug 9
DO - 10.1080/00185868.2024.2389084
DP - NLM
ET - 20240809
JF - Hosp Top
LA - eng
N2 - INTRODUCTION: Hospital-based violence intervention programs (HVIPs) have emerged nationwide to help address the societal and economic costs of violence. Little literature exists regarding selecting those patients most likely to benefit from intensive case management. The study aims to describe the pediatric patient population presenting at a Level 1 ACS trauma center with a chief complaint of violent trauma and identify the characteristics of patients most at risk. METHODS: This retrospective study examined patients between the ages of eight- and nineteen-years old presenting with traumatic injury during the year 2019. Child abuse and non-accidental trauma patients were excluded. RESULTS: A total of 333 patients were included in the analysis. They were predominantly African American and male. The three-group design included those 8-11, 12-13, and 14-19 years. Most patients were over 14 years old (60.2%). "Classmates" was the most common relationship between assailant and victim overall (33.9%) and most prevalent in the youngest age group (8-11 year). The middle age group (12-13 year) were two times more likely to suffer from ADHD, and ADHD was a risk factor for self-harm in this age category. The oldest age group (14-19 year) suffered higher rates of gun violence and were attacked more often by unknown assailants. CONCLUSIONS: There was a difference in the needs of the older and younger pediatric patients cared for. HVIPs should tailor their interventions to address the different age groups' needs. HVIPs could also benefit from the integration of targeted mental health services and collaboration with local educational institutions.
PY - 2024
SN - 0018-5868
SP - 1
EP - 8+
ST - Characterizing Pediatric Patients at Risk for Violence-Related Injuries at a Trauma Center in the Midwest United States
T1 - Characterizing Pediatric Patients at Risk for Violence-Related Injuries at a Trauma Center in the Midwest United States
T2 - Hosp Top
TI - Characterizing Pediatric Patients at Risk for Violence-Related Injuries at a Trauma Center in the Midwest United States
U1 - Healthcare Disparities
U3 - 10.1080/00185868.2024.2389084
VO - 0018-5868
Y1 - 2024
ER -