4041.0: Tuesday, November 14, 2000 - 9:00 AM

Abstract #15722

Using linked data to evaluate hospital charges for motor vehicle crashes victims in Nebraska

Ming Qu, MEd, Dan Christensen, MS, and Thomas Safranek, MD. Department of Regulation and Licensure, Nebraska Health and Human Services System, P.O. Box 95007, Lincoln, NE 68509, (402)471-0566, ming.qu@hhss.state.ne.us

Motor vehicle crashes are a leading cause of death in Nebraska and throughout the United States. In addition to causing physical injuries, they also result in significant economic costs for individuals and society. We linked Nebraska statewide traffic crash information to medical records as part of our Crash Outcome Data Evaluation System (CODES) project. We used the resultant linked database to examine the relationship between hospital charges and motor vehicle crashes. In 1996, there were 103,073 individuals involved in 41,361 motor vehicle crashes in Nebraska. These crashes resulted in 298 deaths and16,024 injuries. Median total hospital charges for patients identified as injured in motor vehicle crashes was $343 (Outpatients: $300, inpatients $7,720). Hospital charges were higher for the persons who were older, unbelted, involved in alcohol-related crashes, in crashes in high speed-limit areas, and in frontal collisions. Multiple regression analysis identified several factors influencing hospital charges, including: age, gender, safety belt use, alcohol involvement, posted speed limits, speeding, type of crash (rollover, frontal collision), and road conditions (slippery). This study also indicated specific needs for improvement of data quality and interventions for reducing motor vehicle crash injuries.

Learning Objectives: At end of this session, all participants in this session will be able to 1) Determine the factors influence hospital charges of patients resulted in motor vehicle crashes 2) Understand the importance using the linked databases to evaluate the motor vehicle crash injury and medical cost 3) Develop effective educational and law enforcemental interventions for motor vehicle crash injuries

Keywords: Injury Control, Motor Vehicles

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA