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Two-Year Utilization and Expenditures for Children After a Firearm Injury
Christian D Pulcini1, Monika K Goyal2, Matt Hall3
1Department of Emergency Medicine and Pediatrics, University of Vermont Medical Center and Children's Hospital, Larner College of Medicine, The University of Vermont, Burlington, Vermont.
American Journal of Preventive Medicine
|September 8, 2022
Summary
Children
Area of Science:
- Pediatric Health
- Public Health
- Trauma Care
Background:
- Firearm injuries are a significant cause of childhood morbidity.
- Limited data exist on healthcare utilization and costs following nonfatal firearm injuries in children.
- Understanding post-injury healthcare needs is crucial for effective intervention.
Purpose of the Study:
- To analyze healthcare encounters and expenditures for children up to two years post-nonfatal firearm injury.
- To investigate changes in mental health service utilization and costs.
- To provide data for improved pediatric trauma care and resource allocation.
Main Methods:
- Retrospective cohort study of children (0-18 years) with firearm injury diagnoses (2010-2016).
- Utilized Medicaid MarketScan claims database for healthcare encounters and expenditures.
- Compared healthcare utilization and costs in the years before and after the injury event.
Main Results:
- A significant increase in healthcare encounters and expenditures was observed in the year following firearm injury.
- Increased healthcare costs were not sustained into the second year post-injury for the overall cohort.
- Mental health service utilization and expenditures decreased by 31% and 37%, respectively, two years after injury.
Conclusions:
- Nonfatal firearm injuries lead to a temporary surge in healthcare utilization and costs for children.
- A concerning, sustained decrease in mental health service use follows firearm injury.
- Further longitudinal research is necessary to understand the long-term morbidity of pediatric firearm injuries.
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