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Intimate Partner Violence, Clinical Indications, and Other Family Risk Factors Associated With Pediatric Abusive Head Trauma
- Source :
- Journal of interpersonal violence. 37(9-10)
- Publication Year :
- 2020
-
Abstract
- Over half of fatal pediatric traumatic brain injuries are estimated to be the result of physical abuse, i.e., abusive head trauma (AHT). Although intimate partner violence (IPV) is a well-established risk for child maltreatment, little is known about IPV as an associated risk factor specifically for AHT. We performed a single-institution, retrospective review of all patients (0–17 years) diagnosed at a Level 1 pediatric trauma center with head trauma who had been referred to an in-hospital child protection team for suspicion of AHT between 2010 and 2016. Data on patient demographics, hospitalization, injury, family characteristics, sociobehavioral characteristics, physical examination, laboratory findings, imaging, discharge, and forensic determination of AHT were extracted from the institution’s forensic registry. Descriptive statistics (mean, median), chi-square and Mann–Whitney U tests were used to compare patients with fatal head injuries to patients with nonfatal head injuries by clinical characteristics, family characteristics, and forensic determination. Multiple logistic regression was used to estimate adjusted odds ratios for the presence of IPV as an associated risk of AHT while controlling for other clinical and family factors. Of 804 patients with suspicion for AHT in the forensic registry, there were 240 patients with a forensic determination of AHT; 42 injuries were fatal. There were 101 families with a reported history of IPV; 64.4% of patients in families with reported IPV were
- Subjects :
- Child abuse
medicine.medical_specialty
Intimate Partner Violence
Physical examination
Head trauma
03 medical and health sciences
0302 clinical medicine
Risk Factors
030225 pediatrics
medicine
Craniocerebral Trauma
Humans
0501 psychology and cognitive sciences
Child Abuse
Risk factor
Child
Applied Psychology
medicine.diagnostic_test
business.industry
05 social sciences
Infant
Odds ratio
medicine.disease
Clinical Psychology
Physical abuse
Physical Abuse
Cohort
Emergency medicine
business
050104 developmental & child psychology
Pediatric trauma
Subjects
Details
- ISSN :
- 15526518
- Volume :
- 37
- Issue :
- 9-10
- Database :
- OpenAIRE
- Journal :
- Journal of interpersonal violence
- Accession number :
- edsair.doi.dedup.....cff2de1c65a5addf0efd69982eec20b9