1,343 results match your criteria: "Neonatal Injuries in Child Abuse"

Child maltreatment mortality in Canada: An analysis of coroner and medical examiner data.

Child Abuse Negl

January 2025

Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON K1A 0K9, Canada; School of Arctic and Subarctic Studies, Labrador Campus, Memorial University, 171 Hamilton River Road, Happy Valley-Goose Bay, NL A0P 1E0, Canada. Electronic address:

Background: Fatalities are the most severe consequence of child maltreatment, but there are gaps in what is known about the epidemiology of such deaths in Canada.

Objectives: The objectives of this study were to: (1) identify child maltreatment deaths among those classified as homicide or undetermined manner; (2) estimate rates of child maltreatment mortality by sex, age, geography, and year; and (3) measure differences between rates of child maltreatment mortality and homicide mortality.

Methods: We used a cross-sectional design and analyzed mortality data from the Canadian Coroner and Medical Examiner Database for a ten-year period (2007 to 2016).

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Article Synopsis
  • The study examines the healthcare use of infants under one year old involved in Section 31 Care and Supervision proceedings compared to a control group of infants not in proceedings in Wales from January 2011 to February 2020.
  • The research found that infants in s.31 proceedings had significantly higher rates of healthcare events, especially emergency hospital admissions due to injuries and poisoning.
  • The results emphasize the need for increased support and intervention for infants in precarious situations to address their elevated healthcare needs.
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Intracranial findings associated with low odds of retinal hemorrhage among children under 2 years of age at a single pediatric trauma center.

Child Abuse Negl

December 2024

Dell Children's Trauma and Injury Research Center, United States of America; Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, United States of America.

Background: Evaluation by a pediatric ophthalmologist to look for retinal hemorrhages (RH) is often part of screening for occult injury among young children with intracranial hemorrhage (ICH) presenting to a trauma center. While important, this examination may lengthen the time a child and family remain at the hospital.

Objective: We sought to identify injury patterns associated with a low likelihood of RH, which may help streamline child abuse screening protocols for very young children with ICH.

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  • 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).
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  • The study examined the rates and risk factors for unintentional injury hospitalizations (UIH) in children under 5 years old in Australia's Northern Territory, focusing on both Aboriginal and non-Aboriginal communities.
  • It found an overall incidence of UIH at 25.8 per 1,000 person-years, with Aboriginal children experiencing a 28.6% higher rate than their non-Aboriginal peers, although rates equalized after adjusting for various risk factors.
  • Key identified risk factors included being male, living in remote areas, and having a history of child maltreatment, highlighting a significant connection between UIH and potential child abuse or neglect issues.
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[The status of violence against children in China, 2013-2021].

Zhonghua Liu Xing Bing Xue Za Zhi

October 2024

National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

This study aims to obtain the prevalence and features associated with Violence Against Children (VAC) in China and, thus, formulate a prevention strategy. The mortality-related data of VAC was sourced from the National Disease Surveillance Points System (DSP) during 2013-2021. We analyzed the DSP data regarding children aged 0-17 years old who died from violence.

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  • - The study investigates the risk of subdural hemorrhages (SDHs) in extremely premature infants, focusing on their prevalence, identification agreement in MRI evaluations, and measuring subarachnoid spaces.
  • - A total of 121 infants underwent MRI, revealing no significant SDHs, but 49.5% had some form of intracranial hemorrhage related to prematurity, with reliable identification rates for hemorrhage across observers.
  • - The findings suggest that premature infants are not more susceptible to SDHs not caused by abuse in the first few months, though many exhibited enlarged subarachnoid spaces.
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  • Fetal alcohol spectrum disorder (FASD) is the most common congenital condition leading to developmental and intellectual disabilities globally, often going undiagnosed by healthcare providers.
  • Life underwriters and medical directors need to recognize the signs of FASD to effectively evaluate and determine mortality risk associated with affected individuals.
  • The report discusses three specific cases of suspected undiagnosed FASD, highlighting the increased mortality risks due to prenatal alcohol exposure and underscoring the importance of proper care for these individuals to ensure they can be insured.
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Neonatal chemical burns and child neglect.

Leg Med (Tokyo)

November 2024

Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via Luciano Armanni, 5, 80138, Naples, Italy.

Differential diagnosis of agents of chemical burns can be challenging in neonates, especially in absence of a clear history of the event. A wide variety of chemical agents, from acids to basics, can be involved. Massive chemical burns over 21% of the body surface of a four-day-old male neonate were observed.

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Pediatric Burn Injuries: Risk Factors for Increased Mortality.

J Surg Res

September 2024

Division of Pediatric Surgery, Children's of Alabama, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Article Synopsis
  • Burn injuries are a leading cause of unintentional death in children, and this study focuses on understanding mortality risk factors, particularly for nonaccidental burns.
  • Researchers used a database from 2017-2019 to analyze pediatric burn patients, finding that those with burns on multiple body regions and older children (especially ages 5-10) faced higher mortality risks.
  • The study revealed racial disparities, with Black children experiencing higher mortality rates than White children, and indicated that nonaccidental burns resulted in double the mortality compared to accidental burns, influencing insurance trends among deceased patients.
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Aims: To assess institutional compliance with, and test characteristics of, a child abuse screen performed by emergency department (ED) nurses for children <5 years old who were diagnosed with fractures.

Methods: A secondary analysis of a retrospective observational study of children 0-5 years old with fractures seen at a pediatric ED between January 2018 and April 2023 was performed. We analyzed demographics, ED visit data, and results of the nurse-completed abuse screen.

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Article Synopsis
  • Researchers wanted to understand how often young kids under two get fractures and if they’re from accidents or abuse.
  • They looked at various studies from 1946 to 2024 and found that about 5 to 9 kids out of every 1,000 get fractures each year.
  • The most common fractures happened in the arm and leg bones, while infants had fewer fractures, mostly in the collarbone.
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A Rare Case:Transphyseal Distal Humerus Fracture in a Newborn.

Acta Chir Orthop Traumatol Cech

May 2024

University of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Orthopeadic and Travmatology Department, Bakirkoy/Istanbul, Turkey.

Transphyseal fractures of the distal humerus are usually seen in children younger than 3 years of age and are considered as Salter-Harris Type I epiphysiolysis. Neonatal transphyseal distal humerus injuries are extremely rare. It usually occurs due to trauma during difficult labour but can also be seen after child abuse.

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Background/objectives: The Family Nurse Partnership is an intensive home visiting programme for adolescent mothers. We aimed to evaluate the effectiveness of the Family Nurse Partnership on outcomes up to age 7 using national administrative data.

Design: We created a linked cohort of all mothers aged 13-19 using data from health, educational and children's social care and defined mothers enrolled in the Family Nurse Partnership or not using Family Nurse Partnership system data.

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Mortality rates, cause and risk factors in people with spina bifida, register-based study over five decades.

Acta Paediatr

August 2024

Department of Pediatric Surgery, Pediatric Uronephrology Center, Queen Silvia Children's Hospital, ERN eUROGEN accredited Center, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.

Aim: Care for people with spina bifida can be improved. This may be done by evaluating mortality rates and causes of death.

Methods: Between 1973 and 2021, 1735 people with spina bifida appeared in registers of the Swedish population.

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Background: Intra-abdominal injury (IAI) is the second leading cause of mortality in abused children. It is challenging to identify in young patients due to their limited verbal skills, delayed symptoms, less muscular abdominal wall, and limited bruising.

Methods: We conducted a retrospective cohort study of children aged 0 to 12 months who were evaluated in the emergency department for suspected child abuse with a skeletal survey and urinalysis between January 1, 2015, and December 31, 2017.

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Background: National estimates suggest pediatric trauma recidivism is uncommon but are limited by short follow up and narrow ascertainment. We aimed to quantify the long-term frequency of trauma recidivism in a statewide pediatric population and identify risk factors for re-injury.

Methods: The Maryland Health Services Cost Review Commission Dataset was queried for 0-19-year-old patients with emergency department or inpatient encounters for traumatic injuries between 2013 and 2019.

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Importance: Youth (those aged <18 years) parental death has been associated with negative health outcomes. Understanding the burden of parental death due to drug poisoning (herein, drugs) and firearms is essential for informing interventions.

Objective: To estimate the incidence of youth parental death due to drugs, firearms, and all other causes.

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Pediatric and Young Adult Trauma Recidivism.

Am Surg

September 2024

Division of Pediatric Surgery, Department of Surgery, Brenner Children's Hospital, Winston-Salem, NC, USA.

Introduction: Unintentional injury is the leading cause of death among children. Much can be gleaned from the adult literature in understanding the characteristics that lead to recidivism in efforts to establish interventions for prevention. Our study aims to evaluate the rates, demographics, and features of pediatric trauma recidivism.

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Aim: Crying seems to be a common trigger for abusive head trauma (AHT), which is the leading cause of fatalities from physical abuse in infants. Our objective was to evaluate knowledge of AHT, crying infants and correct behavioural measures in a general population.

Methods: An online questionnaire (LimeSurvey) was created to assess the risk of shaking.

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Background: Consumption of alcohol is a risk factor for non-communicable and infectious diseases, mental health problems, and can lead injuries and violence. The aim of this study was to evaluate the prevalence of alcohol-involved deaths among decedents who died of external causes and underwent autopsy in Lithuania.

Methods: Study includes age persons of any age (from 0 to 110 years) who died and were autopsied in Lithuania from 1 January 2017 to 31 December 2020.

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