Factors affecting hospital charges and length of stay from teenage motor vehicle crash-related hospitalizations among United States teenagers, 2002-2007

Accid Anal Prev. 2011 May;43(3):595-600. doi: 10.1016/j.aap.2010.07.019. Epub 2010 Dec 18.

Abstract

Motor vehicle crashes are the leading cause of death for all teenagers, and each year a far greater number of teens are hospitalized with non-fatal injuries. This retrospective cohort study used the National Inpatient Sample data to examine hospitalizations from the years 2002 to 2007 for 15-18-year-old teenagers who had been admitted due to a motor vehicle crash. More than 23,000 teens were hospitalized for motor vehicle-related crash injuries each year, for a total of 139,880 over the 6-year period. Total hospital charges exceeded $1 billion almost every year, with a median hospital charge of more than $25,000. Older teens, boys, those with fractures, internal injuries or intracranial injuries, and Medicaid/Medicare as a payer were associated with higher hospital charges and longer lengths of stay. These high charges and hospitalization periods pose a significant burden on teens, their families, and the health care system.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Traffic / economics*
  • Accidents, Traffic / mortality
  • Adolescent
  • Alcohol Drinking / economics
  • Alcohol Drinking / mortality
  • Brain Injuries / economics
  • Brain Injuries / mortality
  • Cohort Studies
  • Cost of Illness
  • Cross-Sectional Studies
  • Female
  • Fractures, Bone / economics
  • Fractures, Bone / mortality
  • Hospital Charges / statistics & numerical data*
  • Hospitalization / economics*
  • Hospitalization / statistics & numerical data
  • Humans
  • Length of Stay / economics*
  • Length of Stay / statistics & numerical data
  • Male
  • Medicaid / economics
  • Medicaid / statistics & numerical data
  • Medicare / economics
  • Medicare / statistics & numerical data
  • Multiple Trauma / economics*
  • Multiple Trauma / mortality
  • Retrospective Studies
  • Substance-Related Disorders / economics
  • Substance-Related Disorders / mortality
  • Survival Analysis
  • United States
  • Viscera / injuries