Emergency department use for injuries by adolescents in foster care

被引：8

作者：

Thackeray, Jonathan ^{[1
,2
]}

Leonhart, Karen ^{[1
]}

Yackey, Katelyn ^{[1
]}

Cooper, Jennifer ^{[1
]}

Kelleher, Kelly ^{[1
]}

机构：

[1] Nationwide Childrens Hosp, 700 Childrens Dr, Columbus, OH 43205 USA

[2] Ohio Dept Medicaid, 50 West Town St,Suite 400, Columbus, OH 43215 USA

来源：

CHILDREN AND YOUTH SERVICES REVIEW | 2016年 / 62卷

基金：

美国医疗保健研究与质量局;

关键词：

Foster care; Group home; Adolescent; Emergency department utilization; Injury; CHILDREN; HEALTH; PLACEMENT; VISITS;

D O I：

10.1016/j.childyouth.2016.01.011

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Youth in foster care are overrepresented with respect to their utilization of emergency department (ED) services. This study examines the ED utilization patterns of adolescents in foster care and evaluates the characteristics of injury related versus non-injury related visits. We found that adolescents in foster care have high rates of ED use (1.84 visits per year (95% CI 1.59, 2.12)), with 31.2% of ED visits being injury-related. Male gender was found to be the only independent predictor of having an injury related vs. non-injury related ED visit (odds ratio 222 (95% CI 1.27-3.87)). Regarding the mechanisms of injury, adolescent youth in group homes were significantly more likely to present with injuries inflicted by themselves or by others in their residence (p < 0.05 for both) but less likely to present with accidental injuries or injuries sustained during recreation (p < 0.05 for both). Resources and interventions targeted at both youth and group home staff related to behavioral health assessment, post traumatic coping skills and conflict management may have beneficial effects. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：18 / 21

页数：4

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