In order to illustrate the medical and financial impact arising from the care of a severely injured victim of abusive head trauma (AHT) from incident through to adulthood, a complete review of all medical financial files for the injured child beginning at the time custody of the child was transferred to the paternal grandparents (2.5 months of age) through to age 17 was conducted. Cost data were extracted from the insurance explanation of benefits or the family's bank statements. Costs were divided into seven categories and adjusted for inflation using the gross domestic product medical care deflator. Medical costs from 2.5 months to 18 years of age totaled $261 499, with $106 607 of out‐of‐pocket expenditures by the child's paternal grandparents and $154 892 covered by insurance. Costs were highly variable from year to year as reflected in the standard deviation of annual costs of $16 877. The cost of caring for a seriously injured victim of AHT is substantial. The costs may be highly variable and unpredictable from year to year making it difficult for families to plan financially.

中文翻译：

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虐待性头部创伤对17岁的经济影响

为了说明从事件发生到成年成年期间虐待重症头部颅脑受伤（AHT）的重伤受害者所受到的医疗和财务影响，请从监护人监护之时开始全面审查受伤儿童的所有医疗财务档案将孩子转移到父亲祖父母（2.5个月大）至17岁。费用数据是从保险的福利说明或家庭的银行对帐单中提取的。费用分为七个类别，并使用国内生产总值医疗平减指数对通货膨胀进行了调整。从2.5个月到18岁的医疗费用总计261 499美元，其中孩子的祖父母的自付费用为106 607美元，保险费为154 892美元。每年的费用差异很大，这反映在年度费用的标准差为16 877美元上。照料AHT的重伤受害者的费用相当可观。成本可能每年变化很大，并且是不可预测的，这使得家庭难以进行财务计划。