Table 2.
Cases, costs per case, and disability-adjusted life years per case of abusive head trauma by severity, USA, 2010
| Cases | Mild | Moderate | Severe | Non-fatal | Fatal |
|---|---|---|---|---|---|
| 1,365 | 1,163 | 1,962 | 4,490 | 334 | |
| Medical care | 50,500 | 72,695 | 48,374a | 55,319 | 26,497 |
| Special education | 92,573 | 146,000 | 130,500 | 122,984 | |
| Child protective services | 37,018 | 37,018 | 37,018 | 37,018 | |
| Victim services | 21 | 21 | 21 | 21 | |
| Police | 80 | 80 | 80 | 80 | 2,273 |
| Criminal justice | 2,589 | 2,589 | 2,589 | 2,589 | 430,277 |
| Perpetrator work loss while incarcerated | 400 | 400 | 400 | 400 | 74,539 |
| Adult mental health services | 5,112 | 10,735 | 6,015 | 10,735 | |
| Lost work | 3,339 | 118,386 | 815,205 | 387,931 | 815,205 |
| Disability-adjusted life years ($) | 689,808 | 792,206 | 3,530,746 | 1,957,861 | 4,377,575 |
| Total | 876,327 | 1,174,507 | 4,575,668 | 2,570,218 | 5,737,101 |
| Disability-adjusted life years | 4.7 | 5.4 | 24.1 | 13.3 | 29.9 |
In 2010 dollars, future costs converted to present value using a 3% discount rate
a
Costs are lower for severe cases because these children have very short life spans