Factors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand (Record no. 9107)
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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 |
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 |
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Dewey Decimal Classification | Vine library | Vine library | 16/01/2025 | Online | ON5010012 | 16/01/2025 | 16/01/2025 | Access online |