Abusive head trauma in children : the extent and clinical characteristics
المؤلفون المشاركون
al-Mahrus, Fadilah Tahir
al-Amir, Ishraq A.
al-Hashimi, Hakim A.
Abd Allah, Adil M.
Hamid, Nabil H.
المصدر
العدد
المجلد 33، العدد 4 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-9، 9ص.
الناشر
تاريخ النشر
2011-12-31
دولة النشر
البحرين
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Abusive head trauma (AHT) is the leading cause of death in child abuse.
Knowledge about AHT in Bahrain is lacking.
The objectives are to identify the extent of AHT in Bahrain, victims’ characteristics and the clinical features.
Setting : Child Protection Unit, Salmaniya Medical Complex.
Design : Retrospective review.
Method : Abusive head traumas were evaluated between 2000 and 2009.
Victims’ characteristics, patterns of presentation and result of investigations were recorded.
SPSS version 17 for Windows was used for data management and statistical analyses.
Result: Twenty-three patients with the diagnosis of AHT were identified.
In 18 (78 %) the age is one year or below; 16 (70%) were males.
No plausible explanation for the head injuries was given in 16 (70 %) patients.
Vomiting was seen in 13 (56.5 %), seizures in 13 (56.5 %), altered state of consciousness in 12 (52 %), irritability in 12 (52 %), difficulty of breathing in 9 (39 %), coma in 8 (35 %), apnea in 4 (17 %), chocking episodes in 3 (13 %) and two were dead on arrival.
The total death after AHT was four (17 %).
Subdural hemorrhage was identified in 19 (83 %), cerebral hemorrhage in 17 (74 %) and retinal hemorrhage in 13 (56.5%).
Evidence of blunt impact were bruises in 13 (56.5 %), skull fractures in 9 (39 %), localized scalp swelling in 5 (22 %) and subgaleal hematoma in 2 (9 %).
Conclusion : AHT is associated with a high morbidity and mortality.
The presenting symptoms of AHT are non-specific ; therefore, maintaining a high index of suspicion is paramount.
All children presenting with a life-threatening event or head injuries without a plausible explanation should undergo a multidisciplinary assessment for AHT.
A prospective national study is required.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Mahrus, Fadilah Tahir& al-Amir, Ishraq A.& al-Hashimi, Hakim A.& Abd Allah, Adil M.& Hamid, Nabil H.. 2011. Abusive head trauma in children : the extent and clinical characteristics. Bahrain Medical Bulletin،Vol. 33, no. 4, pp.1-9.
https://search.emarefa.net/detail/BIM-602374
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Mahrus, Fadilah Tahir…[et al.]. Abusive head trauma in children : the extent and clinical characteristics. Bahrain Medical Bulletin Vol. 33, no. 4 (Dec. 2011), pp.1-9.
https://search.emarefa.net/detail/BIM-602374
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Mahrus, Fadilah Tahir& al-Amir, Ishraq A.& al-Hashimi, Hakim A.& Abd Allah, Adil M.& Hamid, Nabil H.. Abusive head trauma in children : the extent and clinical characteristics. Bahrain Medical Bulletin. 2011. Vol. 33, no. 4, pp.1-9.
https://search.emarefa.net/detail/BIM-602374
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-9
رقم السجل
BIM-602374
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر