Factors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand (Record no. 9107)

MARC details
000 -LEADER
fixed length control field 03130nab a22003737a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151721.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 250116s2024 -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 Factors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand
Statement of responsibility, etc Patrick Kelly, Joanne Knappstein, Natalie Durup and Peter Reed
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc 2024
Place of publication, distribution, etc Elsevier,
500 ## - GENERAL NOTE
General note Child Abuse & Neglect, 2024, 158: 107142
520 ## - SUMMARY, ETC.
Summary, etc Background<br/>Aotearoa New Zealand has a high incidence of abusive head trauma (AHT) and a national children's hospital with an established multi-disciplinary child protection team (CPT). Staff concerned about possible AHT are expected to refer to the CPT, but there has been no research into the factors which might influence those referral decisions.<br/>Objective<br/>To identify factors associated with decisions to refer head-injured children to the CPT, and to assess whether those factors are consistent with the literature.<br/>Participants and setting<br/>All children <5 years old admitted from 2010 to 2019 with skull fracture or intracranial injury.<br/>Methods<br/>Retrospective review comparing 25 variables in cases referred and not referred. Multivariable analysis estimated the independent role of each variable and modelled their combined contribution to decisions to refer. The area under the receiver operator characteristic curve (AUROC) and 95 % CI were used to describe performance of the model.<br/>Results<br/>Of 631 head-injured children, 265 (42 %) were referred and 121 (19 %) diagnosed as AHT/undetermined. Variables associated with referral decisions were age < 1 year, p = .0001; injury inconsistent with the history, p < .0001; certain categories of history (motor vehicle accident, no history, history of abuse, fall <1 m, blunt force and penetrating trauma), p < .0001; delayed presentation, p < .0001; past history of injury, p = .0001; social/behavioral concerns, p < .0001 and subdural hemorrhage, p = .01. The AUROC was 0.95 (95 % CI 0.93, 0.97).<br/>Conclusions<br/>Factors associated with referral are generally consistent with the literature. The percentage referred seems justified given the number diagnosed as AHT/undetermined. (Authors' abstract). Record #9107
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 ĀRAI WHATITATA
9 (RLIN) 5546
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 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HAUORA
9 (RLIN) 281
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 PATU TAMARIKI
9 (RLIN) 5534
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element RISK FACTORS
9 (RLIN) 505
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element TATAURANGA
9 (RLIN) 598
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
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Knappstein, Joanne
9 (RLIN) 13678
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Durup, Natalie
9 (RLIN) 13679
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Reed, Peter
9 (RLIN) 2994
773 0# - HOST ITEM ENTRY
Title Child Abuse & Neglect, 2024, 158: 107142
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title Child Abuse & Neglect
9 (RLIN) 4477
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1016/j.chiabu.2024.107142">https://doi.org/10.1016/j.chiabu.2024.107142</a>
Public note DOI: 10.1016/j.chiabu.2024.107142 (Open access)
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article
Classification part news132
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 16/01/2025   Online ON5010012 16/01/2025 16/01/2025 Access online