A Cost Analysis of a Validated Screening Tool for Pediatric Abusive Head Trauma

Austin C. Cohrs, Edeanya Agbese, Douglas Leslie, Kent Hymel

Research output: Contribution to journalArticle

Abstract

Doctors who treat young victims of trauma are required to make important decisions to launch or forgo child abuse evaluations in their acutely head-injured patients. To improve the accuracy of these decisions, Pediatric Brain Injury Research Network (PediBIRN) investigators derived and validated a 4-variable clinical prediction rule (CPR) that improves the detection of abusive head trauma (AHT) in pediatric intensive care units. Our objective was to estimate and compare medical costs from the health system perspective of AHT screening guided by the CPR vs. screening as usual (SAU). Cost estimates for child abuse evaluations, emergency department (ED)/pediatrician visits, and hospital admissions for AHT were combined with published data on service use and re-injury rates in children with missed or unrecognized AHT. Applying published estimates of the CPR’s potential screening performance, the cost per correctly identified child with AHT was calculated and compared for AHT screening guided by the CPR vs. SAU, and the potential medical cost savings associated with CPR application was estimated. Applied accurately and consistently, the CPR could reduce the cost per correctly identified child with AHT by 15.1%, and reduce health system costs resulting from missed AHT by 72.4%.

Original languageEnglish (US)
Pages (from-to)750-755
Number of pages6
JournalJournal of Child and Family Studies
Volume27
Issue number3
DOIs
StatePublished - Mar 1 2018

Fingerprint

Craniocerebral Trauma
trauma
Decision Support Techniques
Pediatrics
Costs and Cost Analysis
costs
Child Abuse
Health Care Costs
abuse
Pediatric Intensive Care Units
Cost Savings
Cardiopulmonary Resuscitation
Wounds and Injuries
Brain Injuries
health
evaluation
Hospital Emergency Service
savings
Head
Research Personnel

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies

Cite this

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A Cost Analysis of a Validated Screening Tool for Pediatric Abusive Head Trauma. / Cohrs, Austin C.; Agbese, Edeanya; Leslie, Douglas; Hymel, Kent.

In: Journal of Child and Family Studies, Vol. 27, No. 3, 01.03.2018, p. 750-755.

Research output: Contribution to journalArticle

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