Evidence map›Paper›PMID 19471629›Full record

ReviewDeutsches Arzteblatt international2009

Shaken baby syndrome: a common variant of non-accidental head injury in infants.

Jakob Matschke, Bernd Herrmann, Jan Sperhake, Friederike Körber, Thomas Bajanowski, Markus Glatzel

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Abusive Head Trauma Animal Models: Focus on Biomarkers.International journal of molecular sciences · 2023
    Review
  5. A Meta-Analytic Framework for Developing Protocols to Attend Child and Adolescent Victims of Sexual Violence.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. [Unilateral retinal hemorrhage in infants-two cases of shaken baby syndrome?]Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020
    Article
  11. Infantile Colic-The Perspective of German and Polish Pediatricians in 2020.International journal of environmental research and public health · 2020
    Article
  12. Understanding Subdural Collections in Pediatric Abusive Head Trauma.AJNR. American journal of neuroradiology · 2019
    Review
  13. Article
  14. Article
  15. [Retinal bleeding and venous stasis in a 10-month-old infant after a fall?].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2016
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Characteristics and trends of hospitalized pediatric abuse head trauma in Wuhan, China: 2002–2011.International journal of environmental research and public health · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jakob MatschkeForensische Neuropathologie, Institut für Neuropathologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg. matschke@uke.de
Bernd Herrmann
Jan Sperhake
Friederike Körber
Thomas Bajanowski
Markus Glatzel
University Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent cases of child abuse reported in the media have underlined the importance of unambiguous diagnosis and appropriate action. Failure to recognize abuse may have severe consequences. Abuse of infants often leaves few external signs of injury and therefore merits special diligence, especially in the case of non-accidental head injury, which has high morbidity and mortality.

methodsSelective literature review including an overview over national and international recommendations.

resultsShaken baby syndrome is a common manifestation of non-accidental head injury in infancy. In Germany, there are an estimated 100 to 200 cases annually. The characteristic findings are diffuse encephalopathy and subdural and retinal hemorrhage in the absence of an adequate explanation. The mortality can be as high as 30%, and up to 70% of survivors suffer long-term impairment. Assessment of suspected child abuse requires meticulous documentation in order to preserve evidence as well as radiological, ophthalmological, laboratory, and forensic investigations.

conclusionsThe correct diagnosis of shaken baby syndrome requires understanding of the underlying pathophysiology. Assessment of suspected child abuse necessitates painstaking clinical examination with careful documentation of the findings. A multidisciplinary approach is indicated. Continuation, expansion, and evaluation of existing preventive measures in Germany is required.

Indexed as

Child AbuseHead Injuries, ClosedHumansIncidenceInfantInfant, NewbornShaken Baby SyndromeSurvival RateTerminology as Topicbrain damagechild abuseforensic medicinehead injurypediatric care

Identifiers

PMID19471629
PMCPMC2680569
OpenAlexW1563255763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.