Paediatric intentional head injuries in the emergency department : (Record no. 6546)
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fixed length control field | 03604nab a22004097a 4500 |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20250625151522.0 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
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 |
No items available.