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Unintentional pediatric submersion-injury-related hospitalizations in the United States, 2003

R H Cohen1, K C Matter, S A Sinclair

  • 1The Ohio State University College of Medicine, Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|April 5, 2008
PubMed

Insights

Pediatric drowning hospitalizations cost $10 million, with young children (0-4 years) most affected. Focused prevention strategies are crucial to reduce these devastating submersion injuries.

Area of Science:

  • Public Health
  • Pediatric Medicine
  • Injury Prevention

Background:

  • Submersion injuries represent a significant public health concern in pediatric populations.
  • Understanding the epidemiology and economic impact of these injuries is vital for effective intervention.

Purpose of the Study:

  • To analyze the demographic characteristics of pediatric submersion-injury-related hospitalizations in the USA.
  • To evaluate hospital resource utilization and associated costs for these hospitalizations.
  • To identify high-risk age groups for submersion injuries.

Main Methods:

  • Utilized the Kids' Inpatient Database (KID) for the year 2003.
  • Identified 1475 pediatric submersion-injury-related hospital discharges using ICD-9-CM and external cause of injury codes.
  • Extrapolated findings to estimate nationwide hospitalizations and costs.

Main Results:

  • An estimated 2490 pediatric hospitalizations due to submersion injuries occurred nationwide, costing approximately $10 million.
  • The overall hospitalization rate was 3.0 per 100,000 persons, with the highest rate (7.7 per 100,000) in children aged 0-4 years.
  • Permanent morbidity and in-hospital deaths accounted for substantial portions of admissions and costs (5.8% and 11.6% of admissions, respectively).

Conclusions:

  • Young children (0-4 years) are disproportionately affected by submersion injuries.
  • Submersion injuries incur significant healthcare costs, particularly for cases involving permanent disability or death.
  • Enhanced focus on evidence-based prevention strategies is essential to reduce the burden of pediatric submersion injuries.

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