| 000 | 03385nab a22003377a 4500 | ||
|---|---|---|---|
| 999 |
_c7158 _d7158 |
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| 005 | 20250625151551.0 | ||
| 008 | 210608s2020 -nz|| |||| 00| 0 eng d | ||
| 040 | _aAFVC | ||
| 100 |
_aBabl, Franz E. _98891 |
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| 245 |
_aPaediatric abusive head trauma in the emergency department : _ba multicentre prospective cohort study _cFranz 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) |
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| 260 |
_bWiley, _c2020 |
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| 500 | _aJournal of Paediatrics and Child Health, 2020, 56(4): 615-621 | ||
| 520 | _aAim: 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. Methods: 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. Results: 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). Conclusions: 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 | ||
| 650 | 0 |
_97583 _aABUSIVE HEAD TRAUMA |
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| 650 | 4 |
_aCHILD ABUSE _9103 |
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| 650 |
_aCHILDREN _9127 |
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| 650 |
_aINFANTS _9313 |
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| 650 |
_aPHYSICAL ABUSE _9439 |
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| 650 |
_aPREVALENCE _9457 |
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| 650 | 0 |
_aTRAUMATIC BRAIN INJURY _93258 |
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| 651 | 4 |
_aAUSTRALIA _92597 |
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| 651 | 4 |
_aNEW ZEALAND _92588 |
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| 651 |
_aINTERNATIONAL _93624 |
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| 700 |
_aPfeiffer, Helena _98892 |
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| 700 |
_aKelly, Patrick _91477 _4et al., on behalf of the |
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| 710 |
_aPaediatric Research in Emergency Departments International Collaborative (PREDICT) _98894 |
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| 773 | 0 | _tJournal of Paediatrics and Child Health, 2020, 56(4): 615-621 | |
| 830 |
_aJournal of Paediatrics and Child Health _94649 |
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| 856 |
_uhttps://doi.org/10.1111/jpc.14700 _zDOI: 10.1111/jpc.14700 |
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| 942 |
_2ddc _cARTICLE |
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