000 | 03130nab a22003737a 4500 | ||
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_c9107 _d9107 |
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005 | 20250625151721.0 | ||
008 | 250116s2024 -nz||||| |||| 00| 0 eng d | ||
040 | _aAFVC | ||
082 | _a362.7 KEL | ||
100 |
_aKelly, Patrick _91477 |
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245 |
_aFactors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand _cPatrick Kelly, Joanne Knappstein, Natalie Durup and Peter Reed |
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260 |
_c2024 _aElsevier, |
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500 | _aChild Abuse & Neglect, 2024, 158: 107142 | ||
520 | _aBackground 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. Objective 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. Participants and setting All children <5 years old admitted from 2010 to 2019 with skull fracture or intracranial injury. Methods 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. Results 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). Conclusions 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 |
_97583 _aABUSIVE HEAD TRAUMA |
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650 | 0 |
_aĀRAI WHATITATA _95546 |
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650 | 0 |
_aCHILD ABUSE _9103 |
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650 | 0 |
_aCHILD PROTECTION _9118 |
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650 | 0 |
_aDATA ANALYSIS _9181 |
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650 | 0 |
_aHAUORA _9281 |
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650 | 0 |
_aHEALTH SERVICES _9290 |
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650 | 0 |
_aPATU TAMARIKI _95534 |
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650 | 0 |
_aRISK FACTORS _9505 |
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650 | 0 |
_aTATAURANGA _9598 |
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650 | 0 |
_aTRAUMATIC BRAIN INJURY _93258 |
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651 | 4 |
_aNEW ZEALAND _92588 |
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700 |
_aKnappstein, Joanne _913678 |
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700 |
_aDurup, Natalie _913679 |
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700 |
_aReed, Peter _92994 |
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773 | 0 | _tChild Abuse & Neglect, 2024, 158: 107142 | |
830 |
_aChild Abuse & Neglect _94477 |
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856 |
_uhttps://doi.org/10.1016/j.chiabu.2024.107142 _zDOI: 10.1016/j.chiabu.2024.107142 (Open access) |
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942 |
_2ddc _cARTICLE _hnews132 |