Paediatric abusive head trauma in New Zealand (Record no. 6974)

MARC details
000 -LEADER
fixed length control field 03947nab a22003377a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151542.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210120s2020 -nz||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
082 ## - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number 362.7 KEL
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Kelly, Patrick
9 (RLIN) 1477
245 ## - TITLE STATEMENT
Title Paediatric abusive head trauma in New Zealand
Statement of responsibility, etc Patrick Kelly
246 ## - VARYING FORM OF TITLE
Title proper/short title A thesis submitted in fulfilment of the requirements for the degree of Doctor of Medicine, The University of Auckland,
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc 2020
300 ## - PHYSICAL DESCRIPTION
Extent electronic document (230 pages) ; PDF file
500 ## - GENERAL NOTE
General note Thesis: Doctor of Medicine, University of Auckland
520 ## - SUMMARY, ETC.
Summary, etc This thesis contains eight published scientific papers concerning abusive head trauma (AHT) in New Zealand. Aim The aim was to describe children with head trauma referred to the Starship Hospital Child Protection Team for evaluation for suspected AHT (Chapter 2) including the diagnostic approach (Chapters 2 and 3); to test alternative hypotheses for AHT (Chapter 4); to examine whether risk factors could be recognised in perinatal health records (Chapter 5); to examine whether risk factors could be recognised in child protective service (CPS) or police records for whānau members prior to the time of birth (Chapter 6); to determine the economic cost (Chapter 7) and to evaluate a prevention programme in the Auckland District Health Board (Chapter 8). Methods The methods were a retrospective comparative cohort study (Chapter 2); a case report (Chapter 3); review of data from a prospective Australasian study of congenital heart disease (Chapter 4); a multi-centre retrospective case-control study (Chapter 5); a retrospective case-control study of CPS and police records (Chapter 6); a multi-agency cost audit and cost-utility analysis of economic cost and disability burden (Chapter 7); and a pilot AHT prevention programme with analysis of surveys of caregivers and health professionals (Chapter 8). Findings • 345 head injured children had findings consistent with the literature (Chapter 2); • Retinal haemorrhage was a rare complication of acute disseminated encephalomyelitis (Chapter 3); • 152 cases of congenital heart disease provided no support for alternative hypotheses of AHT (Chapter 4); • In the case-control study (142 cases and 550 controls), nine perinatal factors were associated with the risk of AHT (Chapter 5). Data from CPS or police records added little predictive value (Chapter 6); • The average lifetime cost for a single case of AHT was $11.7 million (Chapter 7); • A prevention programme was regarded positively, and key messages were remembered (Chapter 8). Conclusions The incidence of AHT in New Zealand is similar to the US and may be increasing, and the risk profile for AHT in New Zealand is consistent with international literature. Māori are over-represented in AHT and missing health information may indicate increased risk. Although prior notification to CPS or police is associated with increased risk, information from perinatal health records is at least as useful in its capacity to predict risk. The health outcomes of AHT are poor, most victims return to their whānau, most cases are not prosecuted, and many are renotified for other child protection concerns. There is a strong economic argument for prevention and a need to reconceptualise AHT in New Zealand as a health problem requiring a public health response. (Author's abstract). Record #6974
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 7583
Topical term or geographic name as entry element ABUSIVE HEAD TRAUMA
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD ABUSE
9 (RLIN) 103
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CHILD PROTECTION
9 (RLIN) 118
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element DATA ANALYSIS
9 (RLIN) 181
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ECONOMIC COSTS
9 (RLIN) 5369
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element EVALUATION
9 (RLIN) 236
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HEALTH SERVICES
9 (RLIN) 290
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PREDICTIVE RISK MODELLING
9 (RLIN) 4928
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PREVENTION PROGRAMMES
9 (RLIN) 5490
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element THESES
9 (RLIN) 606
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 NEW ZEALAND
9 (RLIN) 2588
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://hdl.handle.net/2292/53050">http://hdl.handle.net/2292/53050</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis / dissertation
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Dewey Decimal Classification     Vine library Vine library 20/01/2021   Online ON21010022 20/01/2021 20/01/2021 Access online
    Dewey Decimal Classification     Vine library Vine library 20/01/2021   TRO 362.7 KEL FV21010023 20/01/2021 20/01/2021 Thesis / dissertation