XXXX - and Community-Level Sociodemographic Characteristics Associated with Emergency Department Visits for @entity130 .

@entity1 @entity341 @entity130
OBJECTIVE: To examine pediatric @entity341 ( @entity341 ) visits over 5 years, trends in @entity130 , and associations between injury-related @entity341 visit outcome and @entity1 and community-level sociodemographic characteristics. STUDY DESIGN: Retrospective analysis of administrative data provided to the Pediatric Emergency Care Applied Research Network Core Data Project, 2004-2008. Home addresses were geocoded to determine census block group and associated sociodemographic characteristics. Maximum Abbreviated Injury Scale severity and Severity Classification System scores were calculated. Generalized estimating equations were used to test for associations between sociodemographic characteristics and admission or transfer among injury-related @entity341 visits. RESULTS: Overall @entity341 visits and @entity130 increased from 2004 to 2008 at study sites. Of 2,833676 successfully geocoded visits, 700,821 (24.7%) were injury-related. The proportion of higher severity @entity130 remained consistent. Nearly 10% of @entity130 resulted in admission or transfer each year. After adjusting for age, sex, payer, and @entity130 , odds of admission or transfer were lower among minority @entity1 and @entity1 from areas with moderate and high prevalence of poverty. CONCLUSIONS: Pediatric injury-related @entity341 visits to included sites increased over the study period while @entity130 , anticipated resource utilization, and visit outcomes remained stable, with low rates of admission or transfer. Sociodemographic differences in @entity130 and @entity341 disposition were apparent. @entity341 -based injury surveillance is essential to understand disparities, inform targets for prevention programs, and reduce the overall burden of @entity130 .
