Incidence and characteristics of paediatric abusive head trauma in Taiwan, 2006–2015: a nationwide population-based study

Chang, Yi; Chang, Hsin Yi; Chen, Li Wen; Lu, Tsung Hsueh; Tsai, Hui Ju; Chen, Yi Wen; Chang, Yu Chun; Feng, Jui Ying

doi:10.1136/injuryprev-2020-043805

Cited by 10 publications

(6 citation statements)

References 33 publications

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“…Overall, 10 articles focused on AHT, with children’s ages all under five years (age range: 0.2 months - 4 years). Most of the studies (n = 7) estimated the incidence rate of AHT (Chang et al, 2020; Emrick et al, 2019; Fujiwara et al, 2012; Parks, Kegler, et al, 2012; Parks, Sugerman, et al, 2012; Shanahan et al, 2013; Yamaoka et al, 2020), two studies compared the demographic characteristics or health care utilization between victims of AHT and other children (Bailhache et al, 2020; Ettaro et al, 2004), two focused on describing the characteristics of children with AHT (Chang et al, 2020; Yamaoka et al, 2020), and one assessed the sensitivity and specificity of AHT coding recommended by the Centers for Disease Control and Prevention (CDC) (Berger et al, 2015). Among the 10 articles, seven (Bailhache et al, 2020; Berger et al, 2015; Chang et al, 2020; Fujiwara et al, 2012; Parks, Kegler, et al, 2012; Parks, Sugerman, et al, 2012; Shanahan et al, 2013) used the definition and codes for AHT recommended by CDC (Parks, Annest, et al, 2012; excluded from our review because it is not a peer-reviewed article).…”

Section: Resultsmentioning

confidence: 99%

Defining suspected child maltreatment using International Classification of Diseases codes: A scoping literature review

Liu

Terrell

Joyce

et al. 2022

Preprint

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Background: Administrative medical and claims records are increasingly used to study prevalence of and outcomes for children exposed to child maltreatment. However, suspicion of child maltreatment is often under-documented in medical records using International Classification of Diseases (ICD) codes. Although researchers have developed strategies to more broadly capture the injuries, illnesses, and circumstances that are suggestive of maltreatment, there is no consensus on which codes to use for this purpose. Objective: To systematically examine the types of research being conducted with ICD codes related to suspected maltreatment, summarize the methods used to identify the codes, and propose future direction. Methods: We searched five electronic databases for studies that reported ICD codes suggestive of child maltreatment in any medical setting, included participants aged 0-18 years, and published in a peer-reviewed journal in English. Two reviewers independently screened the titles, abstracts, and the full texts. Data were synthesized in a qualitative manner. Results: Thirty-seven studies met inclusion criteria. Most studies focused on determining the incidence or trends of maltreatment-related injuries or illnesses. Studies varied greatly in the codes used to identify suspected maltreatment. Only four articles reported on the validation of selected codes. ICD codes for transport accidents were the most frequently excluded co-occurring codes. Studies frequently relied on two seminal studies and two national-level guidelines. Conclusions: Substantial heterogeneity existed in the ICD codes and methods used to identify suspected maltreatment. The age range for codes, excluded co-occurring codes, and validation of codes are areas future research should address. This review may reduce costs for future researchers so that they could choose optimal measures of suspected maltreatment from our summarized list of codes without reinventing the wheel. Our review provides a basis for the development of recommended guidelines in establishing uniform codes for suspected maltreatment that could promote public health surveillance and allow for more efficient and uniform policy or program evaluation.

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Section: Resultsmentioning

confidence: 99%

Defining suspected child maltreatment using International Classification of Diseases codes: A scoping literature review

Liu

Terrell

Joyce

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…23 Using these definitions, the incidence rate of AHT was estimated as 33.4 (31.4-35.4) 24 in the USA as well as 18.7 per 100 000 children < 1 year old in Taiwan. 25 We also reported AHT incidence among Japanese samples (7.2 [7.18-7.26] for presumptive ] for probable AHT) by utilizing ICD-10 codes. 15 However, there was a limitation to the use of ICD diagnoses for obtaining presumptive AHT cases.…”

Section: Discussionmentioning

confidence: 99%

“…As another method to assess incidence rate, ICD‐9/10 codes in discharge records are also utilized based on the definitions developed by the United States Centers for Disease Control and Prevention (CDC) 23 . Using these definitions, the incidence rate of AHT was estimated as 33.4 (31.4–35.4) 24 in the USA as well as 18.7 per 100 000 children < 1 year old in Taiwan 25 . We also reported AHT incidence among Japanese samples (7.2 [7.18–7.26] for presumptive AHT and 41.7 [41.7–41.8] for probable AHT) by utilizing ICD‐10 codes 15 .…”

Section: Discussionmentioning

confidence: 99%

Incidence of hospitalization for abusive head trauma in Chiba City, Japan

Yamaoka

Obikane

Isumi

et al. 2022

Pediatrics International

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Backgrounds This study aimed to examine the incidence of abusive head trauma (AHT) admissions by calculating admission rates of AHT cases among infants <12 months old in a population‐based sample in Chiba city, Chiba prefecture, Japan. Methods We retrospectively examined medical records of infants admitted to all pediatric secondary and tertiary hospitals in Chiba city between 2011 and 2015. We collected 13 AHT cases, as assessed by hospital‐based multidisciplinary child protection teams. One experienced pediatric radiologist and two pediatricians evaluated the case histories and computed tomography images of cases to evaluate them clinically as “strongly” or “moderately” suspected AHT. Results The overall incidence per 100 000 person‐years was 34.5 cases (95% confidence interval (CI): 18.4–59.1), of which 13.3 (95% CI: 4.3–31.0), were strongly suspected to be AHT and 21.3 (95% CI: 9.2–41.9) were moderately suspected. There were no statistical differences in computed tomography findings between severe and moderately suspected AHT. Conclusions The incidence of hospitalization of infants with AHT was similar to that reported in population‐based studies in other countries.

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“…More than two-thirds of AHT survivors experienced at least one neurodevelopmental disability (Jackson et al, 2021; Manfield et al, 2021; Nuño et al, 2018). Infants and young children, the main victims of AHT (Chang et al, 2021; Nuño et al, 2020), cannot protect themselves due to developmental immaturity. Therefore, prevention interventions are designed and targeted to reduce parental risk factors and improve parental knowledge and parenting skills.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Parenting Programs in Preventing Abusive Head Trauma: A Systematic Review and Meta-Analysis

Chang

et al. 2023

Trauma, Violence, & Abuse

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Parenting programs are the most common intervention for preventing the lethal form of child maltreatment, abusive head trauma (AHT). However, certain results of the effects of these programs have not yet been compared across studies. A systematic review with meta-analysis is warranted to quantitively synthesize the available evidence to identify effective elements and strategies of the programs for preventing AHT. This review aims to estimate AHT preventive parenting programs’ pooled effect on the reduction of AHT incidence, the improvement of parental knowledge, and the increased use of safe strategies in response to infants’ inconsolable crying. Studies published in English and Mandarin were searched and retained if they were randomized control trials (RCTs) or with a quasi-experimental design, included an AHT preventive parenting program, and provided data that quantified targeted outcomes. Eighteen studies were included in this review. AHT preventive parenting programs had a pooled effect on improving parents’ knowledge and increasing the use of safe coping strategies in response to inconsolable crying but not on the incidence of AHT and parents’ emotional self-regulation. Subgroup analyses showed that the intervention effects were mostly present across study designs or measurements and emerged in the reduction of AHT incidence compared with historical controls. The findings suggest that AHT preventive parenting programs enhance parenting knowledge and skills to provide safe care for infants. Further efforts to evaluate AHT parenting programs on the reduction of AHT incidence are necessary for decision-making on allocating and disseminating interventions.

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Incidence and characteristics of paediatric abusive head trauma in Taiwan, 2006–2015: a nationwide population-based study

Cited by 10 publications

References 33 publications

Defining suspected child maltreatment using International Classification of Diseases codes: A scoping literature review

Defining suspected child maltreatment using International Classification of Diseases codes: A scoping literature review

Incidence of hospitalization for abusive head trauma in Chiba City, Japan

The Effectiveness of Parenting Programs in Preventing Abusive Head Trauma: A Systematic Review and Meta-Analysis

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