Mapping pediatric injuries to target prevention, education, and outreach

Camille L Stewart1, Shannon N Acker1, Laura Pyle2

  • 1Department of Surgery, University of Colorado School of Medicine, Aurora, CO, United States.

Insights

Mapping pediatric injuries by zip code identified high-risk areas needing more resources. This data-driven approach helps target interventions for child injury prevention effectively.

Area of Science:

  • Public Health
  • Injury Prevention
  • Health Informatics

Background:

  • Targeting pediatric injury prevention interventions to specific populations presents challenges.
  • Geographic mapping of injuries can identify areas needing increased resources and interventions.

Purpose of the Study:

  • To determine if mapping pediatric injuries by zip code can identify regions requiring targeted interventions and resources.
  • To analyze demographic and cost factors associated with pediatric injuries in identified high-risk zip codes.

Main Methods:

  • Utilized trauma registries from two Level I trauma centers for children (0-17 years) injured between 2009-2013.
  • Employed choropleth mapping to identify outlier zip codes with higher injury incidences.
  • Conducted multivariate linear regression to identify predictors of injury rates and hospital charges.

Main Results:

  • 5380 children experienced traumatic injuries, incurring over $200 million in hospital costs.
  • Mapping revealed outlier zip codes with higher pediatric injury rates, specific injury mechanisms, and increased hospital charges.
  • Demographic features linked to higher pediatric injury rates and costs were identified for targeted interventions.

Conclusions:

  • Outlier zip codes with higher pediatric injury frequencies and treatment costs were identified.
  • These findings facilitated funding acquisition for prevention and education initiatives.
  • Geospatial analysis techniques are crucial for expanding evidence-based public health initiatives.
Abstract

Related Concept Videos

Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
48
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
405
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.3K
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.6K
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
15.4K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
304