A retrospective cohort study of suspected child maltreatment cases resulting in hospitalization

Friedman, Lee S.; Sheppard, Shirley; Friedman, Daniel

doi:10.1016/j.injury.2012.07.192

Cited by 15 publications

(15 citation statements)

References 23 publications

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“…Third, rates of previous visits among the accidental injury controls may not reflect the total population of hospitalized children. However, use of nonabusive injury controls is common, 15,[23][24][25] and lower sensitivity for abuse coding would suggest that some of the controls were in fact cases of abuse, pushing our results toward the null. Lastly, owing to this study' s design, definite relationships between previous inpatient visits and later abuse hospitalizations cannot be made.…”

Section: Discussionmentioning

confidence: 80%

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Potential Opportunities for Prevention or Earlier Diagnosis of Child Physical Abuse in the Inpatient Setting

Puls¹,

Anderst

Bettenhausen³

et al. 2018

Hospital Pediatrics

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Infants hospitalized with perinatal-related conditions, symptoms concerning for occult AHT, and injuries are inpatient populations who may benefit from abuse prevention efforts and/or risk assessments. Head injuries and symptoms concerning for occult AHT (eg, isolated vomiting, seizures, and brief resolved unexplained events) may represent missed opportunities to diagnose AHT in the inpatient setting; however, this requires further study.

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Section: Discussionmentioning

confidence: 80%

“…Each child hospitalized with CPA was propensity matched by using a greedy algorithm with up to 2 children hospitalized with an accidental injury similar to previous work (E880-E888, E916-E921, E923-E928, and E810-E829) on the basis of age, race and/or ethnicity, sex, and insurance type. 15,[23][24][25]…”

Section: Study Populationmentioning

confidence: 99%

Potential Opportunities for Prevention or Earlier Diagnosis of Child Physical Abuse in the Inpatient Setting

Puls¹,

Anderst

Bettenhausen³

et al. 2018

Hospital Pediatrics

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show abstract

“…The evident cases of abuse are those that have occurred in the presence of witnesses or if there has been a confession. All other cases that raise the suspicion of abuse (age younger than 18 months, signs of fracture healing, unknown or inconsistent history of injury mechanism, and presence of other injuries) require material evidence specific to the identified injury [2,4,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Social, clinical and radiological characteristics of physical abuse of children up to 3 years of age hospitalized in a tertiary health institution

et al. 2017

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Introduction/Objective Child abuse is a significant public health problem in modern society. Many cases of violence against children remain undetected. Serbia has no official protocols for medical examination of abused children. The aim of the study is an analysis of the social, clinical and radiological characteristics of physical abuse of children under three years of age that required hospital treatment. Methods This retrospective study included 98 physically injured children admitted to the University Children's Hospital in the period from 2013 to 2015, with suspected physical abuse. In addition to the history of injuries, complete clinical examinations and standard laboratory analyses were performed in all children, as well as X-ray examination in children with apparent or suspected skeletal injury. Ultrasound examination and computerized tomography or magnetic resonance imaging were performed in selected patients. Final diagnosis of abuse was established by multidisciplinary assessment team. The children were divided into two groups-those with proven and those with suspected abuse. Results Most of 98 children who were suspected of being abused (92%) were from one or both unemployed parents, 68% were male, 60% were first-born, and 44% younger than one year. Ninety-two percent of the children had skeletal fractures, 19% of whom had two or more fractures. The commonest fracture was a linear skull fracture, which was detected in 51% of the cases. Abuse was confirmed in only five of 98 suspected cases. Conclusion Among the known social risk factors for abuse of children, the low economic status of the family was the most frequent one in our analyzed sample. The most common injury is a linear skull fracture. A national guideline for medical investigating of abused children is required.

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“…In addition, infants are cited as the highest abuse and fatality group [4,[9][10][11]. The risk factors for physical abuse of infants include a child under the age of 18 months, prematurity, and twinship [11]. Additional risk factors include positive toxicology results at birth, fetal alcohol effects (FAE), developmental delays, disabilities (i.e., physical, cognitive, development), and attachment issues [12].…”

mentioning

confidence: 99%

Attachment-keeping NICU Infants Safe

Cross¹

2016

J Preg Child Health

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Child maltreatment is a risk for graduates of the newborn intensive care unit (NICU). Infants represent the highest child maltreatment victimization group and parents, particularly mothers, are significantly represented as perpetrators. The challenges of a NICU environment along with the care burdens associated with NICU infants increase child maltreatment risks. Medical providers can reduce the risk of child maltreatment by fostering attachment bonds between mother and infant in the NICU.

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A retrospective cohort study of suspected child maltreatment cases resulting in hospitalization

Cited by 15 publications

References 23 publications

Potential Opportunities for Prevention or Earlier Diagnosis of Child Physical Abuse in the Inpatient Setting

Potential Opportunities for Prevention or Earlier Diagnosis of Child Physical Abuse in the Inpatient Setting

Social, clinical and radiological characteristics of physical abuse of children up to 3 years of age hospitalized in a tertiary health institution

Attachment-keeping NICU Infants Safe

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