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Development of screening tool for child abuse in the korean emergency department
- Source :
- Medicine
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- Mandatory reporting rate of suspected child abuse by health care provider is relatively low in South Korea. The purpose of the study was to develop a screening tool for child abuse and evaluate the feasibility of using this screening tool in emergency department (ED) of South Korea. Injured children younger than 14 years old in the ED were enrolled as subjects to use this screening tool. Candidate items for screening tool were decided after reviewing relevant previous studies by researchers. Using the modified Delphi method, it was judged that the consensus for items of screening tool was achieved in 2 rounds, and the final item of the screening tool was decided through the discussion in the final round. The registry including the developed screening tool was applied to 6 EDs over 10 weeks. Variables of the registry were retrospectively analyzed. A child abuse screening tool called Finding Instrument for Non-accidental Deeds (FIND) was developed. It included 8 questions. One item (suspected signs in physical examination) had 100% agreement; 3 items (inconsistency with development, inconsistent history by caregivers, and incompatible injury mechanism) had 86.7% agreement; and 4 items (delayed visit, inappropriate relationship, poor hygiene, and head or long bone injury in young infants) had 80% agreement. During the period of registry enrollment, the rate of screening with FIND was 72.9% (n = 2815). 36 (1.3%) cases had 1 or more “positive” responses among 8 items. Two (0.07%) cases were reported to the Child Protection Agency. An ED based screening tool for child abuse consisting of 8 questions for injured children younger than 14 years old was developed. The use of screening tools in Korean ED is expected to increase the reporting rate of child abuse. However, further study is necessary to investigate the accuracy of this screening tool using a national child abuse registry.
- Subjects :
- Male
Child abuse
Emergency Medical Services
medicine.medical_specialty
Consensus
Adolescent
Delphi Technique
emergency department
child abuse
Health Personnel
Delphi method
Observational Study
Poison control
Physical examination
Occupational safety and health
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Republic of Korea
Injury prevention
medicine
Humans
Mass Screening
Registries
030212 general & internal medicine
Child
Retrospective Studies
medicine.diagnostic_test
feasibility studies
business.industry
screening
Infant, Newborn
Infant
General Medicine
Emergency department
Child protection
Child, Preschool
Family medicine
Female
Emergency Service, Hospital
business
Research Article
Subjects
Details
- ISSN :
- 15365964 and 00257974
- Volume :
- 97
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....7fb2b733de3370381aae7df0b8a884c1