Huaizu Jiang, Jinjun Wang, Yihong Gong, Na Rong, Zhenhua Chai, Nanning Zheng
Online Multi-Target Tracking With Unified Handling of Complex Scenarios
IEEE transactions on image processing : a publication of the IEEE Signal Processing Society
isolated pediatric femur fractures historically treated local hospitals pediatric referral patterns changed recent years diverting patients high volume centers purpose investigation assess treatment location isolated pediatric femur fractures concomitant trends length stay cost treatment crosssectional analysis surgical admissions femoral shaft fracture performed using 2000 2012 kids inpatient database primary outcome hospital location teaching status secondary outcomes included length stay mean hospital charges polytrauma patients excluded data weighted within study year produce national estimates total 35205 pediatric femoral fracture cases met inclusion criteria significant shift treatment location time 2000 601 fractures treated urban teaching hospitals increasing 818 2012 p0001 mean length stay hospitals decreased 259 191 days p0001 inflationadjusted total charges increased study 9499 2000 25499 2012 per episode treatment p0001 total charges per hospitalization 8000 greater urban teaching hospitals 2012 treatment isolated pediatric femoral fractures regionalizing urban teaching hospitals length stay decreased across institutions however cost treatment significantly greater urban institutions relative rural hospitals trend consider patient outcomes observed pattern appears financial implications level iiicase series database study