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Preventing abusive head trauma: what do frontline healthcare workers (HCW) know about normal infant crying?
BMJ Paediatr Open
December 2024
Department of Paediatrics, Midland Regional Hospital Mullingar, Mullingar, Ireland.
It is well reported that one of the main precipitants of abusive head trauma (AHT) is frequent and consistent periods of crying. The cornerstones in the management of excessive infant crying are reassurance and education. Our study showed a knowledge deficit in frontline healthcare workers (HCW) understanding of normal infant crying.
View Article and Find Full Text PDFCharacteristics and Popularity of Videos of Abusive Head Trauma Prevention: Systematic Appraisal.
J Med Internet Res
December 2024
Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France.
Background: Numerous strategies for preventing abusive head trauma (AHT) have been proposed, but controlled studies failed to demonstrate their effectiveness. Digital tools may improve the effectiveness of AHT prevention strategies by reaching a large proportion of the adult population.
Objective: This study aimed to describe the characteristics of videos of AHT prevention published on the internet, including their quality content, and to study their association with popularity.
Factors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand.
Child Abuse Negl
December 2024
ReedNZ Ltd, Rotorua, New Zealand. Electronic address:
Article Synopsis
- Aotearoa New Zealand has a significant rate of abusive head trauma (AHT) among children, prompting the need for referrals to a specialized child protection team (CPT), but no prior research has explored what influences these referral decisions.
- The study analyzed data from children under 5 years old with head injuries from 2010 to 2019 to identify factors affecting the likelihood of being referred to the CPT.
- Results showed that various factors, like age under one, inconsistent injury histories, and social concerns, significantly influenced referral decisions, aligning with existing literature and resulting in a high model accuracy (AUROC of 0.95).
Critical care EEG monitoring in children with abusive head trauma: A retrospective study of seizure burden and predictors of neurological outcomes.
Seizure
December 2024
Epilepsy Program, Division of Neurology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, M5G1x8, Canada. Electronic address:
Objectives: Abusive Head Trauma (AHT) remains an important cause of acute seizures, morbidity, and mortality in children. We aimed to assess the clinical and electrographic seizure burden in children with AHT and to explore predictors of morbidity and mortality.
Methods: We conducted a retrospective chart review of all children admitted with AHT who underwent continuous electroencephalographic monitoring (cEEG) between January 1st, 2015, and April 15th, 2021.
Neurological symptoms in pediatric abusive head trauma: Multi-center data for clinical forensic medicine.
Forensic Sci Int
December 2024
Institute of Legal Medicine, University Hospital Bonn, University of Bonn, Bonn, Germany. Electronic address:
Central nervous system-associated lesions can frequently be found in abusive head trauma (AHT) cases. Since there are frequently no visible signs of injury on the body surface, the diagnosis of AHT can be challenging. In particular, if the affected child shows only isolated neurological symptoms, these are often misinterpreted as a minor illness.
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