Critical Elements in the Medical Evaluation of Suspected Child Physical Abuse

doi:10.1542/peds.2014-4192d

PEDIATRICS

2015

DOI: 10.1542/peds.2014-4192d

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Critical Elements in the Medical Evaluation of Suspected Child Physical Abuse

Abstract: BACKGROUND: Previous research has described variability in medical evaluation of suspected abuse. The objective of this study was to identify, through expert consensus, required and highly recommended elements of a child abuse pediatrics (CAP) evaluation for 3 common presentations of suspected physical abuse in children aged 0 to 60 months.

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2020

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Cited by 1 publication

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The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol

Esquivel¹,

Pastrana²,

Marshall

et al. 2020

Pediatr Emer Care

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Background Pediatric nonaccidental trauma (NAT) accounts for more than 1500 deaths annually and is a source of incalculable lifelong morbidity. Evidence-based NAT evaluation protocols are available; however, compliance studies are lacking. Here, we analyze the quality of implementation of a new NAT evaluation protocol. Methods A review of registry data from a level 3 trauma center was performed for patients with a suspicion of NAT from September 2014 to May 2016. Compliance rates and results of 2 new age-based evaluation protocols were examined before (phase 1) and after (phase 2) a multidisciplinary conference was initiated to improve performance. Results Seventy-five children underwent evaluation for NAT during the study period. In phase 1, median compliance rates with all of the protocol elements were low (63%). After a bimonthly multidisciplinary conference was initiated, compliance rates improved to 75%. Some elements, which were often missed, were found to be clinically irrelevant. If only clinically relevant elements were included, median compliance in phase 2 is 86%. Conclusions Compliance with a new protocol for NAT was improved with the institution of a multidisciplinary conference. Protocol elements, which are shown to be clinically unnecessary, have also been identified and will be eliminated.

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The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol

Esquivel¹,

Pastrana²,

Marshall

et al. 2020

Pediatr Emer Care

View full text Add to dashboard Cite

show abstract

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Critical Elements in the Medical Evaluation of Suspected Child Physical Abuse

Cited by 1 publication

References 17 publications

The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol

The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol

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