Subject(s)
Subarachnoid Hemorrhage/therapy , American Heart Association , Anesthesia , Aneurysm, Ruptured/surgery , Emergency Medical Services , Hospitals , Humans , Hydrocephalus/complications , Hydrocephalus/therapy , Hyponatremia/complications , Hyponatremia/therapy , Neurosurgical Procedures , Risk Factors , Secondary Prevention , Seizures/complications , Seizures/therapy , Subarachnoid Hemorrhage/diagnosis , Subarachnoid Hemorrhage/epidemiology , Subarachnoid Hemorrhage/prevention & control , United States , Vasospasm, Intracranial/etiology , Vasospasm, Intracranial/therapyABSTRACT
BACKGROUND: To identify the leading causes of injury- and violence-related deaths in demographic subgroups of the population in Ohio, by Medicaid status. METHODS: We used linked Ohio Medicaid and death certificate files, 1992 to 1998, and obtained the probability (p) of dying from a specific mechanism of injury--given death from injury--by Medicaid status, using multinomial multivariable logistic regression analysis. Probabilities were rank-ordered to identify the leading causes of death in each subgroup. RESULTS: The leading cause of injury-related deaths was homicide among Medicaid decedents in the age groups 0 to 4, 15 to 24, and 25 to 44 (p = 0.283, 0.380, and 0.269, respectively), and motor vehicle crashes among nonMedicaid decedents aged 5 to 14, 15 to 24, 25 to 44, and 45 to 74 (p = 0.448, 0.462, 0.293, and 0.293, respectively). Accidental falls ranked first among the elderly (p = 0.593 and 0.414, respectively in Medicaid and nonMedicaid decedents). Suicide and accidental exposure to smoke, fire, and flames also ranked high among the leading causes of injury-related deaths in many population subgroups. CONCLUSIONS: Findings from this study, pointing to the vulnerability of population subgroups to certain mechanisms of injury, can be used to formulate targeted prevention strategies.
