Risk of Maltreatment-Related Injury: A Cross-Sectional Study of Children under Five Years Old Admitted to Hospital with a Head or Neck Injury or FractureReport as inadecuate




Risk of Maltreatment-Related Injury: A Cross-Sectional Study of Children under Five Years Old Admitted to Hospital with a Head or Neck Injury or Fracture - Download this document for free, or read online. Document in PDF available to download.

Objectives

To determine the predictive value and sensitivity of demographic features and injuries indicators for maltreatment-related codes in hospital discharge records of children admitted with a head or neck injury or fracture.

Methods

Study design: Population-based, cross sectional study. Setting: NHS hospitals in England. Subjects: Children under five years old admitted acutely to hospital with head or neck injury or fracture. Data source: Hospital Episodes Statistics, 1997 to 2009. Main outcome measure: Maltreatment-related injury admissions, defined by ICD10 codes, were used to calculate for each indicator demographic feature and-or type of injury: i the predictive value proportion of injury admissions that were maltreatment-related; ii sensitivity proportion of all maltreatment-related injury admissions with the indicator.

Results

Of 260,294 childhood admissions for fracture or head or neck injury, 3.2% 8,337 were maltreatment-related. With increasing age of the child, the predictive value for maltreatment-related injury declined but sensitivity increased. Half of the maltreatment-related admissions occurred in children older than one year, and 63% occurred in children with head injuries without fractures or intracranial injury.

Conclusions

Highly predictive injuries accounted for very few maltreatment-related admissions. Protocols that focus on high-risk injuries may miss the majority of maltreated children.



Author: Joseph Jonathan Lee, Arturo Gonzalez-Izquierdo, Ruth Gilbert

Source: http://plos.srce.hr/



DOWNLOAD PDF




Related documents