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Yield of second imaging in non-accidental injury
  1. Hannah Wood1,
  2. Susan Liebeschuetz2,
  3. Nina Tanna3
  1. 1Guy's and St Thomas' NHS Foundation Trust, London, UK
  2. 2Paediatrics, Newham University Hospital, London, UK
  3. 3Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Hannah Wood; hannahjulia.wood1{at}nhs.net

https://doi.org/10.1136/archdischild-2024-327281

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    Current guidance for investigating suspected non-accidental injury recommends a repeat skeletal survey after 11–14 days to detect any occult fractures missed on the original X-rays1 .

    We investigated the yield when the current guidance is applied in routine practice in Barts Health NHS Trust, which includes three paediatric units and serves a child population of 236 000.

    We reviewed 198 cases from January 2016 to September 2020, 174 (88%) patients were less than 2 years old and 133 (67%) were less than 1 year of age. 131 (66%) had a second survey.

    The flow chart in figure 1 shows the diagnostic yield at the first and second skeletal survey.

    Figure 1

    Skeletal survey outcomes. …

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    Footnotes

    • Contributors SL was the supervising clinician, HW led the team in collecting data and compiling the article, and is the guarantor. NT collected data.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.