Rural versus urban pediatric non-accidental trauma: Different patients, similar outcomes

Ashley P. Marek, Rachel M. Nygaard, Ellie M. Cohen, Stephanie F. Polites, Anne Marie E. Sirany, Sarah E. Wildenberg, Terri A. Elsbernd, Sherrie Murphy, D. Dean Potter, Martin D. Zielinski, Chad J. Richardson

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objective: Our aim was to compare urban and rural non-accidental trauma for trends and characterize where injury prevention efforts can be focused. Pediatric trauma patients (age 0-14 years) at two level I adult and pediatric trauma centers, one rural and one urban, were included and data from the trauma registries at each center was abstracted. Results: Of 857 pediatric admissions, 10% of injuries were considered non-accidental. The mean age for all non-accidental trauma patients was significantly lower than the overall pediatric trauma population (2.6 vs. 7.7 years, P < 0.001). Significantly more fatalities occurred in the non-accidental trauma cohort (5.7% vs. 1% P = 0.007). In nearly half of all non-accidental trauma patients, the primary insurance was government programs (49%) and 46% were commercial insurance. The proportion of government insurance in non-accidental trauma was higher in both urban and rural cohorts. There were similar rates of urban and rural patients sustaining non-accidental trauma who were uninsured (6.5 vs. 5.3%). Patients that were younger, in a rural location, and receiving government insurance were at higher risk of non-accidental trauma on univariable analysis. However, only age remained an independent predictor on multivariable analysis.

Original languageEnglish (US)
Article number519
JournalBMC Research Notes
Issue number1
StatePublished - Jul 28 2018


  • Intentional trauma
  • Non-accidental trauma
  • Pediatric injury
  • Pediatric trauma
  • Rural injury
  • Urban injury

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology


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