Pediatric Nonaccidental Trauma: Experience at a Level 1 Trauma Center
Joint Authors
Goldman, Taylor
Burjonrappa, Sathyaprasad
Source
International Journal of Pediatrics
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Pediatric nonaccidental trauma (NAT) is difficult to diagnose.
Several isolated injuries in NAT could happen in the setting of accidental trauma (AT), and having a high index of suspicion is important to correctly identify abuse.
NAT has a significant mortality rate if the sentinel event is not adequately diagnosed, and the infant is not separated from the perpetrator.
Level 1 pediatric trauma centers (PTC) see a significant number of NAT.
We evaluated the injury patterns of NAT admissions at our level 1 PTC.
Methods.
Retrospective analysis of all cases of NAT for children under the age of two admitted at an ACS level 1 pediatric trauma center between the years of 2016 and 2018.
Charts were queried for demographic data, injury patterns, mortality, and disposition.
Correlation between disposition status and injury patterns was performed.
The Fisher Exact test and student t-test were used to study the significance of differences in categorical and continuous data, respectively.
Results.
32/91 (35%) trauma patients under the age of two years were diagnosed as NAT in the three-year study period.
21/32 (39%) male and 11/26 (42%) female admissions were confirmed NAT (p=NS).
20 were under 1 year of age, and 12 were aged between 1 and 2 years (p=NS).
13 (41%) were Caucasian, 6 (19%) were Hispanic/Latino, 11 (34%) were Black, and 2(6%) were of unknown ethnicity (p=NS).
Facial, torso, lower extremity, retinal, and internal organ injury were significantly more common with NAT.
Medicaid coverage was noted in 31/32 (97%) NAT patients.
20/32 (62.5%) patients were legally displaced as a result of the NAT.
Conclusion.
1/3rd of all admissions at a pediatric level 1 trauma center were identified as NAT.
A high index of suspicion is necessary to not miss NAT, as injury patterns are variable.
Nearly 1/3rd of all victims go back to the same environment where they sustained NAT increasing their susceptibility to future NAT.
American Psychological Association (APA)
Goldman, Taylor& Burjonrappa, Sathyaprasad. 2020. Pediatric Nonaccidental Trauma: Experience at a Level 1 Trauma Center. International Journal of Pediatrics،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1173643
Modern Language Association (MLA)
Goldman, Taylor& Burjonrappa, Sathyaprasad. Pediatric Nonaccidental Trauma: Experience at a Level 1 Trauma Center. International Journal of Pediatrics No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1173643
American Medical Association (AMA)
Goldman, Taylor& Burjonrappa, Sathyaprasad. Pediatric Nonaccidental Trauma: Experience at a Level 1 Trauma Center. International Journal of Pediatrics. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1173643
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173643