Paediatric intentional head injuries in the emergency department : (Record no. 6546)

MARC details
000 -LEADER
fixed length control field 03604nab a22004097a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151522.0
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fixed length control field 200224s2019 -nz|| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Babl, Franz E.
9 (RLIN) 8891
245 ## - TITLE STATEMENT
Title Paediatric intentional head injuries in the emergency department :
Remainder of title a multicentre prospective cohort study
Statement of responsibility, etc Franz E Babl, Helena Pfeiffer, Stuart R. Dalziel, Ed Oakley, Vicki Anderson, Meredith L Borland, Natalie Phillips, Amit Kochar, Sarah Dalton, John A Cheek, Yuri Gilhotra, Jeremy Furyk, Jocelyn Neutze, Mark D Lyttle, Silvia Bressan, Susan Donath, Stephen J.C. Hearps, and Louise Crowe, on behalf of the Paediatric Research in Emergency Departments International Collaborative (PREDICT)
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Name of publisher, distributor, etc Wiley,
Date of publication, distribution, etc 2019
500 ## - GENERAL NOTE
General note Emergency Medicine Australasia, 2019, 31(4): 546-554
520 ## - SUMMARY, ETC.
Summary, etc Objective: Although there is a large body of research on head injury (HI) inflicted by caregivers in young children, little is known about intentional HI in older children and inflicted HI by perpetrators other than carers. Therefore, we set out to describe epidemiology, demographics and severity of intentional HIs in childhood.<br/><br/>Methods: A planned secondary analysis of a prospective multicentre cohort study was conducted in 10 EDs in Australia and New Zealand, including children aged <18 years with HIs. Epidemiology codes were used to prospectively code the injuries. Demographic and clinical information including the rate of clinically important traumatic brain injury (ciTBI: HI leading to death, neurosurgery, intubation >1 day or admission ≥2 days with abnormal computed tomography [CT]) was descriptively analysed.<br/><br/>Results: Intentional injuries were identified in 372 of 20 137 (1.8%) head‐injured children. Injuries were caused by caregivers (103, 27.7%), by peers (97, 26.1%), by siblings (47, 12.6%), by strangers (35, 9.4%), by persons with unknown relation to the patient (21, 5.6%), other intentional injuries (8, 2.2%) or undetermined intent (61, 16.4%). About 75.7% of victims of assault by caregivers were <2 years, whereas in other categories, only 4.9% were <2 years. Overall, 66.9% of victims were male. Rates of CT performance and abnormal CT varied: assault by caregivers 68.9%/47.6%, by peers 18.6%/27.8%, by strangers 37.1%/5.7%. ciTBI rate was 22.3% in assault by caregivers, 3.1% when caused by peers and 0.0% with other perpetrators.<br/><br/>Conclusions: Intentional HI is infrequent in children. The most frequently identified perpetrators are caregivers and peers. Caregiver injuries are particularly severe. (Authors' abstract). Record #6546
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 7583
Topical term or geographic name as entry element ABUSIVE HEAD TRAUMA
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 99
Topical term or geographic name as entry element CAREGIVERS
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD ABUSE
9 (RLIN) 103
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ABUSIVE HEAD TRAUMA
9 (RLIN) 7583
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ADOLESCENTS
9 (RLIN) 43
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD ABUSE
9 (RLIN) 103
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILDREN
9 (RLIN) 127
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element INFANTS
9 (RLIN) 313
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element INTERPERSONAL VIOLENCE
9 (RLIN) 8750
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PARENTS
9 (RLIN) 430
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PHYSICAL ABUSE
9 (RLIN) 439
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PREVALENCE
9 (RLIN) 457
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element SIBLING ABUSE
9 (RLIN) 539
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element TRAUMATIC BRAIN INJURY
9 (RLIN) 3258
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name AUSTRALIA
9 (RLIN) 2597
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name NEW ZEALAND
9 (RLIN) 2588
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Pfeiffer, Helena
9 (RLIN) 8892
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Dalziel, Stuart R.
9 (RLIN) 8893
Relator code ...et al., on behalf of the
710 ## - ADDED ENTRY--CORPORATE NAME
Corporate name or jurisdiction name as entry element Paediatric Research in Emergency Departments International Collaborative (PREDICT)
9 (RLIN) 8894
773 0# - HOST ITEM ENTRY
Title Emergency Medicine Australasia, 2019, 31(4): 546-554
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title Emergency Medicine Australasia
9 (RLIN) 8895
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1111/1742-6723.13202">https://doi.org/10.1111/1742-6723.13202</a>
Link text Read abstract
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article

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