Primary prevention of pediatric abusive head trauma : (Record no. 6976)

MARC details
000 -LEADER
fixed length control field 03767nab a22003377a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151542.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210120s2012 -nz||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Friedman, Joshua
9 (RLIN) 9650
245 ## - TITLE STATEMENT
Title Primary prevention of pediatric abusive head trauma :
Statement of responsibility, etc Joshua Friedman, Peter Reed, Peter Sharplin and Patrick Kelly
Remainder of title a cost audit and cost-utility analysis
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc 2012
Place of publication, distribution, etc Elsevier,
500 ## - GENERAL NOTE
General note Child Abuse & Neglect, 2012, 36(11-12): 760-770
520 ## - SUMMARY, ETC.
Summary, etc Objectives: <br/>To obtain comprehensive, reliable data on the direct cost of pediatric abusive head trauma in New Zealand, and to use this data to evaluate the possible cost–benefit of a national primary prevention program.<br/><br/>Methods: <br/>A 5 year cohort of infants with abusive head trauma admitted to hospital in Auckland, New Zealand was reviewed. We determined the direct costs of hospital care (from hospital and Ministry of Health financial records), community rehabilitation (from the Accident Compensation Corporation), special education (from the Ministry of Education), investigation and child protection (from the Police and Child Protective Services), criminal trials (from the Police, prosecution and defence), punishment of offenders (from the Department of Corrections) and life-time care for moderate or severe disability (from the Accident Compensation Corporation). Analysis of the possible cost-utility of a national primary prevention program was undertaken, using the costs established in our cohort, recent New Zealand national data on the incidence of pediatric abusive head trauma, international data on quality of life after head trauma, and published international literature on prevention programs.<br/><br/>Results:<br/>There were 52 cases of abusive head trauma in the sample. Hospital costs totaled $NZ2,433,340, child protection $NZ1,560,123, police investigation $NZ1,842,237, criminal trials $NZ3,214,020, punishment of offenders $NZ4,411,852 and community rehabilitation $NZ2,895,848. Projected education costs for disabled survivors were $NZ2,452,148, and the cost of projected lifetime care was $NZ33,624,297. Total costs were $NZ52,433,864, averaging $NZ1,008,344 per child. Cost-utility analysis resulted in a strongly positive economic argument for primary prevention, with expected case scenarios showing lowered net costs with improved health outcomes.<br/><br/>Conclusions:<br/>Pediatric abusive head trauma is very expensive, and on a conservative estimate the costs of acute hospitalization represent no more than 4% of lifetime direct costs. If shaken baby prevention programs are effective, there is likely to be a strong economic argument for their implementation. This study also provides robust data for future cost–benefit analysis in the field of abusive head trauma prevention. (Authors' abstract). <br/><br/>The article and a subsequent letter (2019) are reprinted in Patrick Kelly's doctoral thesis (Chapter 7).published in 2020 - follow the link. Record #6976
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 7583
Topical term or geographic name as entry element ABUSIVE HEAD TRAUMA
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD ABUSE
9 (RLIN) 103
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD PROTECTION
9 (RLIN) 118
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element DATA ANALYSIS
9 (RLIN) 181
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ECONOMIC COSTS
9 (RLIN) 5369
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HEALTH SERVICES
9 (RLIN) 290
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PRIMARY PREVENTION
9 (RLIN) 3268
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element TRAUMATIC BRAIN INJURY
9 (RLIN) 3258
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name NEW ZEALAND
9 (RLIN) 2588
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Reed, Peter
9 (RLIN) 2994
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Sharplin, Peter
9 (RLIN) 9651
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Kelly, Patrick
9 (RLIN) 1477
773 0# - HOST ITEM ENTRY
Title Child Abuse & Neglect, 2012, 36(11-12): 760-770
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title Child Abuse & Neglect
9 (RLIN) 4477
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1016/j.chiabu.2012.07.008">https://doi.org/10.1016/j.chiabu.2012.07.008</a>
Public note DOI: 10.1016/j.chiabu.2012.07.008
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://library.nzfvc.org.nz/cgi-bin/koha/opac-detail.pl?biblionumber=6974">https://library.nzfvc.org.nz/cgi-bin/koha/opac-detail.pl?biblionumber=6974</a>
Public note Reprinted in thesis (Ch. 7)
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article

No items available.