Paediatric abusive head trauma in the emergency department : (Record no. 7158)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03385nab a22003377a 4500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250625151551.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210608s2020 -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 abusive head trauma in the emergency department : |
| Remainder of title | a multicentre prospective cohort study |
| Statement of responsibility, etc | Franz E Babl, Helena Pfeiffer, Patrick Kelly, Stuart R. Dalziel, Ed Oakley, Meredith L Borland, Amit Kochar, Sarah Dalton, John A Cheek, Yuri Gilhotra, Jeremy Furyk, Mark D Lyttle, Silvia Bressan, Susan Donath, Stephen J C Hearps, Anne Smith, 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 | 2020 |
| 500 ## - GENERAL NOTE | |
| General note | Journal of Paediatrics and Child Health, 2020, 56(4): 615-621 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc | Aim:<br/>Abusive head trauma (AHT) is associated with high morbidity and mortality. We aimed to describe characteristics of cases where clinicians suspected AHT and confirmed AHT cases and describe how they differed.<br/><br/>Methods:<br/>This was a planned secondary analysis of a prospective multicentre cohort study of head injured children aged <18 years across five centres in Australia and New Zealand. We identified cases of suspected AHT when emergency department clinicians raised suspicion on a clinical report form or based on research assistant-assigned epidemiology codes. Cases were categorised as AHT positive, negative and indeterminate after multidisciplinary review. Suspected and confirmed AHT and non-AHT cases were compared using odds ratios with 95% confidence intervals.<br/><br/>Results:<br/>AHT was suspected in 70 of 13 371 (0.5%) head-injured children. Of these, 23 (32.9%) were categorised AHT positive, 18 (25.7%) AHT indeterminate and 29 (27.1%) AHT negative. Median age was 0.8 years in suspected, 1.4 years in confirmed AHT and 4.1 years in non-AHT cases. Odds ratios (95% confidence interval) for presenting features and outcomes in confirmed AHT versus non-AHT were: loss of consciousness 2.8 (1.2–6.9), scalp haematoma 3.9 (1.7–9.0), seizures 12.0 (4.0–35.5), Glasgow coma scale ≤12 30.3 (11.8–78.0), abnormal neuroimaging 38.3 (16.8–87.5), intensive care admission 53.4 (21.6–132.5) and mortality 105.5 (22.2–500.4).<br/><br/>Conclusions:<br/>Emergency department presentations of children with suspected and confirmed AHT had higher rates of loss of consciousness, scalp haematomas, seizures and low Glasgow coma scale. These cases were at increased risk of abnormal computed tomography scans, need for intensive care and death. (Authors' abstract). Record #7158<br/> |
| 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 | |
| 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 | PHYSICAL ABUSE |
| 9 (RLIN) | 439 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name as entry element | PREVALENCE |
| 9 (RLIN) | 457 |
| 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 |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Geographic name | INTERNATIONAL |
| 9 (RLIN) | 3624 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pfeiffer, Helena |
| 9 (RLIN) | 8892 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Kelly, Patrick |
| 9 (RLIN) | 1477 |
| 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 | Journal of Paediatrics and Child Health, 2020, 56(4): 615-621 |
| 830 ## - SERIES ADDED ENTRY--UNIFORM TITLE | |
| Uniform title | Journal of Paediatrics and Child Health |
| 9 (RLIN) | 4649 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.1111/jpc.14700">https://doi.org/10.1111/jpc.14700</a> |
| Public note | DOI: 10.1111/jpc.14700 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Journal article |
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