Long-term impact of abusive head trauma in young children.

摘要: Abstract Objective Abusive head trauma is the leading cause of physical abuse deaths in children under age 5 and associated with severe long-lasting health problems developmental disabilities. This study evaluates long-term impact AHT identifies factors poor outcomes (LTOs). Methods We used Truven Health MarketScan Research Claims Database (2000–2015) to identify diagnosed follow them up until they turn 5. identified incidence behavioral disorders, communication deficits, delays, epilepsy, learning motor visual impairment as our primary outcomes. Results The any disability was 72% (676/940) at years post-injury. rate delays 47%, followed by 42% 36% epilepsy. Additional disabilities included deficits (34%), disorders (30%), (11%). Children covered Medicaid experienced significantly greater than cases private insurance. In a propensity-matched cohort that differ primarily insurance, risk (RD 36%), 30%), epilepsy 18%), 12%) higher kids Conclusion significant (72%). insured have disproportionally disability. Efforts reduce barriers care access for enrolled are critical improvement quality life.