Ocular manifestations and prognosis of shaken baby syndrome in two Japanese children’s hospitals

Kobayashi, Yuri; Yamada, Kayoko; Ohba, Shizuko; Nishina, Sachiko; Okuyama, Makiko; Azuma, Noriyuki

doi:10.1007/s10384-009-0681-8

Cited by 12 publications

(4 citation statements)

References 14 publications

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“…Second, the cases of self-reported shaking and smothering might have been misclassified, although we clearly defined “shaking” and “smothering” in the questionnaire. The interpretation of shaking might be different in other cultures [16]; for this reason, we defined “shaking” as “violent shaking while the infant is crying.” Third, we did not investigate shaking and smothering by fathers, who are the major perpetrators of shaking and smothering in the U.S. [17,18], although in Japan one study observed that the majority of perpetrators of SBS/AHT in their study population tended to be mothers [19]. Thus, the prevalence of self-reported shaking or smothering can be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Self-Reported Shaking and Smothering and Their Associations with Co-Sleeping among 4-Month-Old Infants in Japan

Yamada

Fujiwara

2014

IJERPH

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Few studies have investigated the prevalence of shaking and smothering and whether they are associated with co-sleeping. In Japan, co-sleeping is common during infancy and early childhood. This study investigates the prevalence of shaking and smothering and their associations with co-sleeping among 4-month-old infants in Japan. A questionnaire was administered to mothers who participated in a 4-month health checkup program in Kamagaya City in Japan (n = 1307; valid response rate, 82%). The questionnaire investigated the frequency of self-reported shaking and smothering during the past one month, co-sleeping status, and living arrangements with grandparents, in addition to traditional risk factors such as stress due to crying. Associations between co-sleeping and self-reported shaking or smothering were analyzed using multiple logistic regression. The prevalence of self-reported shaking and smothering at least one time during the past one month was 3.4% (95% confidence interval (CI), 2.4%–4.3%) and 2.4% (95% CI, 1.5%–3.2%), respectively. Co-sleeping was marginally associated with the amount of crying and not associated with stress due to crying. Further, co-sleeping was not associated with either self-reported shaking or smothering, although stress due to crying showed strong association with shaking and smothering. Co-sleeping was not a risk factor for shaking and smothering.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Self-Reported Shaking and Smothering and Their Associations with Co-Sleeping among 4-Month-Old Infants in Japan

Yamada

Fujiwara

2014

IJERPH

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“…In previous studies, Kobayashi et al 7 and Matthews and Das 9 showed that diffuse vitreous hemorrhage is related to poor visual prognoses for patients with AHT. Mills 3 found that perimacular retinal folds and retinoschisis are significantly related to mortality in patients with AHT.…”

Section: Discussionmentioning

confidence: 97%

“…Various patterns of intraocular hemorrhages, including vitreous, preretinal, intraretinal, and optic nerve hemorrhages, as well as retinal detachment and retinoschisis, have been reported in patients with AHT. 1,3,7,8 Dense vitreous hemorrhages and retinal hemorrhages have been proposed to be indicators of a poor visual prognosis for patients with AHT in previous studies. 1,9 Vitrectomy is currently the preferred treatment for children with AHT; however, few studies examining the efficacy of vitrectomy in children with AHT have been conducted.…”

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confidence: 99%

Surgical Outcome and Prognostic Factors After Ophthalmic Surgery in Abusive Head Trauma

Wang

et al. 2022

Retina

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Purpose:To analyze the clinical characteristics, surgical outcomes, and risk factors associated with visual outcomes in patients with abusive head trauma (AHT).Methods: We retrospectively reviewed surgical outcomes of patients with AHT who underwent vitrectomy from 2001 to 2019. The patients' demographics, comprehensive preoperative and postoperative ocular findings, surgical treatments, visual outcomes, and postoperative complications in the medical records were reviewed. Univariable and multivariable analyses were performed to identify the prognostic factors associated with visual outcomes.Results: Fourteen children (18 eyes) diagnosed with AHT who underwent vitrectomy were evaluated. The most common surgical indication was vitreous hemorrhage (n = 6, 33%). Retinal attachment at the final visit was noted in 17 eyes (94%). Thirteen eyes (72%) had a best-corrected visual acuity less than 20/200 after vitrectomy. In the multivariable analysis, optic nerve atrophy (n = 9, 50%) was significantly associated with a poor visual prognosis (final best-corrected visual acuity worse than 20/200) after vitrectomy in children with AHT (95% confidence interval, 1.041-517.963, P = 0.0471). Conclusion:The general visual prognosis was poor for patients with AHT needing vitrectomy, although a high rate of retinal attachment was observed. Optic nerve atrophy is a prognostic factor for poor visual outcomes in patients with AHT who received ophthalmic surgery.RETINA 42:967-972, 2022 MethodsThis study was a single-institution, retrospective, consecutive case series. The aim of this study was to analyze the clinical characteristics, surgical outcomes, 967

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“…Un diagnostic précoce est nécessaire compte tenu de la récurrence des secouements dans plus de la moitié des cas [1]. Parmi les éléments diagnostiques cardinaux du SBS, outre l'imagerie cérébrale, la présence d'hémorragies rétiniennes au fond d'oeil (FO) est un point clé [2][3][4][5]. Ayant remarqué au travers d'une large série [1], que les hémorragies rétiniennes paraissaient moins fré-quentes chez les très jeunes enfants, nous avons souhaité tester cette hypothèse.…”

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Les hémorragies rétiniennes sont-elles moins fréquentes chez les très jeunes nourrissons victimes du « syndrome du bébé secoué » ?

Morel

Antoni

Rey-Salmon

et al. 2015

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Ocular manifestations and prognosis of shaken baby syndrome in two Japanese children’s hospitals

Cited by 12 publications

References 14 publications

Prevalence of Self-Reported Shaking and Smothering and Their Associations with Co-Sleeping among 4-Month-Old Infants in Japan

Prevalence of Self-Reported Shaking and Smothering and Their Associations with Co-Sleeping among 4-Month-Old Infants in Japan

Surgical Outcome and Prognostic Factors After Ophthalmic Surgery in Abusive Head Trauma

Les hémorragies rétiniennes sont-elles moins fréquentes chez les très jeunes nourrissons victimes du « syndrome du bébé secoué » ?

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