000			03604nab a22004097a 4500
999			_c6546 _d6546
005			20250625151522.0
008			200224s2019 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aBabl, Franz E. _98891
245			_aPaediatric intentional head injuries in the emergency department : _ba multicentre prospective cohort study _cFranz 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			_bWiley, _c2019
500			_aEmergency Medicine Australasia, 2019, 31(4): 546-554
520			_aObjective: 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. 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. 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. 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	_97583 _aABUSIVE HEAD TRAUMA
650		4	_999 _aCAREGIVERS
650		4	_aCHILD ABUSE _9103
650			_aABUSIVE HEAD TRAUMA _97583
650			_aADOLESCENTS _943
650			_aCHILD ABUSE _9103
650			_aCHILDREN _9127
650			_aINFANTS _9313
650			_aINTERPERSONAL VIOLENCE _98750
650			_aPARENTS _9430
650			_aPHYSICAL ABUSE _9439
650			_aPREVALENCE _9457
650			_aSIBLING ABUSE _9539
650		0	_aTRAUMATIC BRAIN INJURY _93258
651		4	_aAUSTRALIA _92597
651		4	_aNEW ZEALAND _92588
700			_aPfeiffer, Helena _98892
700			_aDalziel, Stuart R. _98893 _4...et al., on behalf of the
710			_aPaediatric Research in Emergency Departments International Collaborative (PREDICT) _98894
773	0		_tEmergency Medicine Australasia, 2019, 31(4): 546-554
830			_aEmergency Medicine Australasia _98895
856			_uhttps://doi.org/10.1111/1742-6723.13202 _yRead abstract
942			_2ddc _cARTICLE