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Table 1 National hospital admissions for children up to three years, 1998–2014 (N = 66,854), patient- and hospital-level descriptive statistics, by type of abuse

From: Trends in shaken baby syndrome diagnosis codes among young children hospitalized for abuse

Variable

Possible SBS

N (%)

Confirmed SBS

N (%)

Chi-square

Total SBS

N (%)

Non-SBS Abuse

N (%)

Chi-square

4209 (29.4)

10,083 (70.6)

P value

14,292 (21.4)

52,562 (79.2)

P value

Rates (per 100,00 population)

 Total rate of abuse

1.6 (± 0.1)

3.8 (± 0.3)

–

4.5 (± 0.3)

19.6 (± 1.0)

–

Rate of abuse per year

 1998

0.6 (± 0.2)

3.6 (± 0.6)

–

4.1 (± 0.7)

17.8 (± 2.5)

–

 1999

1.1 (± 0.3)

6.4 (± 1.0)

–

7.5 (± 1.2)

20.1 (± 2.3)

–

 2000

0.6 (± 0.2)

4.6 (± 0.8)

–

5.2 (± 0.9)

16.6 (± 2.0)

–

 2001

1.0 (± 0.3)

4.5 (± 0.8)

–

5.5 (± 1.1)

19.1 (± 3.1)

–

 2002

0.7 (± 0.2)

4.3 (± 0.8)

–

5.0 (± 0.9)

17.5 (± 2.3)

–

 2003

1.1 (± 0.3)

5.0 (± 0.8)

–

6.1 (± 1.0)

18.2 (± 2.6)

–

 2004

1.3 (± 0.4)

4.8 (± 0.9)

–

6.1 (± 1.2)

18.1 (± 2.7)

–

 2005

2.0 (± 0.6)

5.1 (± 0.9)

–

7.1 (± 1.3)

22.7 (± 3.6)

–

 2006

1.3 (± 0.4)

4.5 (± 0.8)

–

5.9 (± 1.0)

17.9 (± 2.5)

–

 2007

2.0 (± 0.6)

3.8 (± 0.7)

–

5.8 (± 1.1)

18.7 (± 3.5)

–

 2008

1.2 (± 0.4)

3.8 (± 0.6)

–

5.0 (± 0.9)

17.3 (± 2.9)

–

 2009

1.9 (± 0.5)

3.1 (± 0.6)

–

5.0 (± 1.0)

17.3 (± 2.8)

–

 2010

1.9 (± 0.5)

3.6 (± 0.6)

–

5.6 (± 0.9)

25.8 (± 4.2)

–

 2011

2.6 (± 0.7)

1.5 (± 0.3)

–

4.1 (± 0.9)

18.8 (± 3.8)

–

 2012

2.3 (± 0.4)

2.2 (± 0.3)

–

4.4 (± 0.5)

21.4 (± 2.0)

–

 2013

2.5 (± 0.4)

2.0 (± 0.3)

–

4.5 (± 0.5)

23.0 (± 2.0)

–

 2014

2.4 (± 0.4)

1.3 (± 0.2)

–

3.7 (± 0.4)

22.5 (± 2.0)

–

Patient characteristics

 Age

   < 1

2744 (65.2)

8162 (80.9)

<  0.001

10,906 (76.3)

33,428 (63.6)

<  0.001

  1

700 (16.6)

1160 (11.5)

 

1860 (13)

8705 (16.6)

 

  2/3

765 (18.2)

761 (7.5)

 

1526 (10.7)

10,429 (19.8)

 

 Hospital mortality

  Yes

571 (13.6)

1271 (8.9)

0.467

1842 (12.9)

1597 (3.0)

<  0.001

  No

3637 (86.4)

8812 (61.7)

 

12,450 (87.1)

50,964 (97.0)

 

 Sex

  Female

1530 (36.4)

4067 (40.3)

0.074

5597 (39.2)

22,486 (42.8)

0.007

  Male

2679 (63.6)

6016 (59.7)

 

8695 (60.8)

30,075 (57.2)

 

 Race

  Asian or Pacific Islander

63 (1.5)

260 (2.6)

0.240

323 (2.3)

467 (0.9)

<  0.001

  Black

853 (20.3)

1992 (19.8)

 

2845 (19.9)

12,774 (24.3)

 

  Hispanic

718 (17.1)

1614 (16)

 

2332 (16.3)

9261 (17.6)

 

  Native American

58 (1.4)

84 (0.8)

 

142 (1)

500 (1)

 

  Other

310 (7.4)

574 (5.7)

 

884 (6.2)

2632 (5)

 

  White

2206 (52.4)

5559 (55.1)

 

7765 (54.3)

26,928 (51.2)

 

 Income

  1st Quartile

1262 (30)

2558 (25.4)

0.001

3820 (26.7)

18,216 (34.7)

<  0.001

  2nd Quartile

1349 (32.1)

2906 (28.8)

 

4255 (29.8)

15,490 (29.5)

 

  3rd Quartile

1037 (24.6)

2572 (25.5)

 

3609 (25.3)

11,703 (22.3)

 

  4th Quartile

560 (13.3)

2047 (20.3)

 

2607 (18.2)

7153 (13.6)

 

Hospital characteristics

 Hospital type (since 2008)

  Government, nonfederal

331 (14.4)

413 (14.9)

0.067

744 (15.9)

3641 (14.6)

0.643

  Private, investor-owned

98 (4.3)

243 (8.7)

 

341 (6.7)

1541 (6.7)

 

  Private, not-for-profit

1874 (81.4)

2123 (76.4)

 

3997 (77.4)

17,700 (78.6)

 

 Hospital size (bed count)

  Large

2380 (57.4)

6704 (66.7)

0.008

9084 (64.0)

32,545 (62.5)

0.479

  Medium

1111 (26.8)

1944 (19.3)

 

3055 (21.5)

12,063 (23.2)

 

  Small

656 (15.8)

1398 (13.9)

 

2054 (14.5)

7455 (14.3)

 

 Hospital location / teaching

  Rural

45 (1.1)

328 (3.3)

0.005

373 (2.6)

3294 (6.3)

<  0.001

  Urban non-teaching

263 (6.2)

1258 (12.5)

 

1521 (10.6)

6808 (13)

 

  Urban teaching

3901 (92.7)

8497 (84.3)

 

12,398 (86.7)

42,460 (80.8)

 

 Hospital region

  Midwest

1210 (28.7)

2707 (26.8)

0.128

3917 (27.4)

13,928 (26.5)

0.204

  Northeast

436 (10.4)

1518 (15.1)

 

1954 (13.7)

8459 (16.1)

 

  South

1675 (39.8)

4177 (41.4)

 

5852 (40.9)

20,144 (38.3)

 

  West

888 (21.1)

1681 (16.7)

 

2569 (18)

10,029 (19.1)

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