A reappraisal of the frequency of child abuse seen in pediatric emergency rooms☆
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The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments
2021, Academic PediatricsCitation Excerpt :Although SSs may provide additional information regarding current and prior injuries, providers should aim to minimize unnecessary exposure of infants to radiation.36 Many centers that have implemented child abuse pathways have observed increases in the use of SS without corresponding increases in the detection of abuse due to small samples and the low prevalence of abusive injuries.10,37–41 In our study, community ED providers were significantly more likely to pursue SS testing in line with expert recommendations postguideline, lending support for the appropriateness of this increase in testing for occult injuries.
Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
2019, Journal of Emergency MedicineCitation Excerpt :We did not expect to find an increase in the detection of abuse or a reduction in the number of missed cases in our study because of the relatively small sample size and the low prevalence of abusive injury (4 in 1000 infants are victims of physical abuse), but felt strongly that relevant clinical outcomes must be included in the evaluation of health care interventions and so chose to investigate these outcomes as an important part of the study (1). Many prior studies that have evaluated approaches to screening for physical child abuse have likewise failed to detect an increase in the identification of abusive injuries or a reduction in missed cases (8–11,21,22). In fact, only one ED screening method for abuse has been able to show a modest increase in the detection of confirmed abuse when applied to an entire national cohort (n = 104,028), supporting the conclusion that our study was underpowered to detect a difference in confirmed cases of abuse, but that screening can be effective when applied to a large population (7).
Do abused young children feel less pain?
2017, Child Abuse and NeglectCitation Excerpt :Child abuse is a major public health issue because of its frequency and deleterious effect on child health outcomes (Gilbert et al., 2009). According to various studies, 1.5–15% of the physical injuries observed among children in the waiting rooms of emergency departments were intentionally inflicted (Pless, Sibald, Smith, & Russel, 1987). However, diagnosing and preventing child abuse is difficult (Louwers et al., 2011; Speight, 1989).
Hospital-based screening tools in the identification of non-accidental trauma
2017, Seminars in Pediatric SurgeryCitation Excerpt :In this article, we outline essential components of hospital-based screening tools (Table) and highlight features of existing programs. A number of hospital-based NAT screening tools have been reported in the literature.5,9–17 However, the content and method of administration of these tools is highly variable.
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This is publication No. 87001 of the McGill University-Montreal Children's Hospital Research Institute.
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Dr. Pless is a recipient of a National Health Scientist Award from Health and Welfare, Canada. During the period of the survey, Dr. Sibbald was a R