Prevalence of inflicted and neglectful femur shaft fractures in young children in national level I trauma centers

Autor: Loos, M.L.H.J., Bakx, R., Allema, J.H., Bloemers, F.W., ten Bosch, J.A., Edwards, M.J.R., Hulscher, J.B.F., Keyzer-Dekker, C.M.G., Krug, E., de Ridder, V.A., Spanjersberg, W.R., Teeuw, A.H., Theeuwes, H.P., de Vries, S., de Wit, R., van Rijn, R.R., Levelink, Birgit, Poeze, Martijn
Přispěvatelé: Center for Liver, Digestive and Metabolic Diseases (CLDM), Pediatric surgery, Amsterdam Reproduction & Development (AR&D), Other Research, Surgery, AMS - Rehabilitation & Development, AMS - Sports, APH - Quality of Care, Pediatrics, Pediatric Surgery, Orthopedics and Sports Medicine, MUMC+: MA Heelkunde (9), Kindergeneeskunde, MUMC+: MA Medische Staf Kindergeneeskunde (9), RS: CAPHRI - R4 - Health Inequities and Societal Participation, RS: CAPHRI - R5 - Optimising Patient Care, RS: NUTRIM - R3 - Respiratory & Age-related Health, MUMC+: NAZL en ROAZ (9), Graduate School, Paediatric Surgery, APH - Global Health, APH - Methodology, General Paediatrics, APH - Societal Participation & Health, Radiology and Nuclear Medicine, AMS - Musculoskeletal Health
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Pediatric radiology, 52. SPRINGER
The FurAHA study group 2022, ' Prevalence of inflicted and neglectful femur shaft fractures in young children in national level I trauma centers ', Pediatric Radiology, vol. 52, no. 12, pp. 2359-2367 . https://doi.org/10.1007/s00247-022-05378-8
Pediatric Radiology, 52, 12, pp. 2359-2367
Pediatric Radiology, 52(12), 2359-2367. Springer Verlag
Pediatric Radiology, 52(12), 2359-2367. Springer-Verlag
Pediatric Radiology, 52(12), 2359-2367. Springer, Cham
Pediatric radiology, 52(12), 2359-2367. Springer Verlag
Pediatric Radiology, 52, 2359-2367
ISSN: 1432-1998
0301-0449
DOI: 10.1007/s00247-022-05378-8
Popis: Background The prevalence of inflicted femur fractures in young children varies (1.5–35.2%), but these data are based on small retrospective studies with high heterogeneity. Age and mobility of the child seem to be indicators of inflicted trauma. Objective This study describes other factors associated with inflicted and neglectful trauma that can be used to distinguish inflicted and neglectful from accidental femur fractures. Materials and methods This retrospective study included children (0–6 years) who presented with an isolated femur fracture at 1 of the 11 level I trauma centers in the Netherlands between January 2010 and January 2016. Outcomes were classified based on the conclusions of the Child Abuse and Neglect teams or the court. Cases in which conclusions were unavailable and there was no clear accidental cause were reviewed by an expert panel. Results The study included 328 children; 295 (89.9%) cases were classified as accidental trauma. Inflicted trauma was found in 14 (4.3%), while 19 (5.8%) were cases of neglect. Indicators of inflicted trauma were age 0–5 months (29%, positive likelihood ratio [LR +] 8.35), 6–12 months (18%, LR + 5.98) and 18–23 months (14%, LR + 3.74). Indicators of neglect were age 6–11 months (18%, LR + 4.41) and age 18–23 months (8%, LR + 1.65). There was no difference in fracture morphology among groups. Conclusion It is unlikely that an isolated femur fracture in ambulatory children age > 24 months is caused by inflicted trauma/neglect. Caution is advised in children younger than 24 months because that age is the main factor associated with inflicted trauma/neglect and inflicted femur fractures.
Databáze: OpenAIRE
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