Intimate Partner Violence, Clinical Indications, and Other Family Risk Factors Associated With Pediatric Abusive Head Trauma
| Autor: | Shivani Misra, David M. Notrica, J. Bryce Ortiz, Tabitha R.F. Green, Cara Kelly, Jonathan Lifshitz, Aaron Cohen, Rachael L Stottlemyre, P. David Adelson, Lois W Sayrs, Rachel K. Rowe, Lisa Kirsch |
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| Rok vydání: | 2020 |
| Předmět: |
Child abuse
medicine.medical_specialty Intimate Partner Violence Physical examination Head trauma 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics medicine Craniocerebral Trauma Humans 0501 psychology and cognitive sciences Child Abuse Risk factor Child Applied Psychology medicine.diagnostic_test business.industry 05 social sciences Infant Odds ratio medicine.disease Clinical Psychology Physical abuse Physical Abuse Cohort Emergency medicine business 050104 developmental & child psychology Pediatric trauma |
| Zdroj: | Journal of interpersonal violence. 37(9-10) |
| ISSN: | 1552-6518 |
| Popis: | Over half of fatal pediatric traumatic brain injuries are estimated to be the result of physical abuse, i.e., abusive head trauma (AHT). Although intimate partner violence (IPV) is a well-established risk for child maltreatment, little is known about IPV as an associated risk factor specifically for AHT. We performed a single-institution, retrospective review of all patients (0–17 years) diagnosed at a Level 1 pediatric trauma center with head trauma who had been referred to an in-hospital child protection team for suspicion of AHT between 2010 and 2016. Data on patient demographics, hospitalization, injury, family characteristics, sociobehavioral characteristics, physical examination, laboratory findings, imaging, discharge, and forensic determination of AHT were extracted from the institution’s forensic registry. Descriptive statistics (mean, median), chi-square and Mann–Whitney U tests were used to compare patients with fatal head injuries to patients with nonfatal head injuries by clinical characteristics, family characteristics, and forensic determination. Multiple logistic regression was used to estimate adjusted odds ratios for the presence of IPV as an associated risk of AHT while controlling for other clinical and family factors. Of 804 patients with suspicion for AHT in the forensic registry, there were 240 patients with a forensic determination of AHT; 42 injuries were fatal. There were 101 families with a reported history of IPV; 64.4% of patients in families with reported IPV were |
| Databáze: | OpenAIRE |
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