Abused and/or neglected children have greater morbidity, higher hospital charges, and are more likely to die during hospitalization compared with nonabused children.243-246 Early identification of abuse may lead to significant cost and resource savings. Using an exploratory Markov model, Campbell et al evaluated the cost-effectiveness of a universal cranial CT protocol to detect AHT in well-appearing infants with unexplained scalp bruising. The authors concluded that from a medical payer perspective, CT screening is cost-saving in infants with unexplained scalp bruising. In contrast, the authors found a higher societal cost from head CT screening, which reflects the high cost of child protection.247
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