Emergency Department Utilization Among Assault-Injured Youth: Implications for Youth Violence Screening.

Content Provider	Semantic Scholar
Author	Benedict, Frances Turcotte Amanullah, Siraj Linakis, James G. Ranney, Megan
Copyright Year	2017
Abstract	OBJECTIVE Assault is a common cause of youth emergency department (ED) visits. Little is known about prior ED utilization patterns among assault-injured youth. This study's objectives were to determine whether, and how, prior ED visit history distinguishes assault-injured youth from unintentionally injured youth. METHODS A 5-year retrospective, case-control study was conducted using a hospital billing database. Youth ages 13 to 24 years presenting to the ED of an urban level 1 trauma center in 2011 with an E-code of physical assault- or weapon-related injuries were compared 1:1 to randomly assigned, age- and sex-matched controls with an E-code corresponding to unintentional injury. Bivariate, t test, Wilcoxon rank sum tests, and conditional logistic regression were performed to determine how previous ED visits distinguished assault-injured youth from unintentionally injured youth. RESULTS In 2011, 964 patients presented with assault-related injuries. Over the previous 5 years, assault-injured youth had a median of 1 prior ED visit (interquartile range, 0-3); unintentionally injured youth had a median of zero prior ED visits (interquartile range, 0-2). Assault-injured youth had significantly higher median numbers of previous psychiatric and assault-related ED visits when compared to unintentionally injured youth. A youth with 1 previous psychiatric ED visit had a 4-fold increased odds (adjusted odds ratio [AOR], 4.05; 95% confidence interval, 2.41-6.83) of having a 2011 assault-related ED visit compared to unintentionally injured youth. CONCLUSIONS Assault-injured youth are more likely to have had prior ED use particularly for psychiatric illnesses and assault-related injury. Targeted youth violence screening may be appropriate for such patients.
Starting Page	607
Ending Page	612
Page Count	6
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_508855_20
PubMed reference number	26785098v1
Alternate Webpage(s)	https://doi.org/10.1097/PEC.0000000000000609
DOI	10.1097/PEC.0000000000000609
Journal	Pediatric emergency care
Volume Number	33
Issue Number	9
Language	English
Access Restriction	Open
Subject Keyword	Accident and Emergency department Aldehyde ferredoxin oxidoreductase activity Arabic numeral 0 Confidence Intervals Erectile dysfunction Illness (finding) Mental disorders Patient Visit Patients PersonNameUse - assigned Teen Violence Trauma Centers Traumatic injury Underage Drinking Wounds and Injuries accidental injury t test
Content Type	Text
Resource Type	Article