ArticlePloS one2012
Risk of maltreatment-related injury: a cross-sectional study of children under five years old admitted to hospital with a head or neck injury or fracture.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Adverse childhood experiences and child mental health: an electronic birth cohort study.BMC medicine · 2021Article
- Identification of physical abuse-related hospitalizations in young children: Impact of the transition to ICD-10-CM coding.Child abuse & neglect · 2021Article
- Child maltreatment in Dubai and the Northern United Arab Emirates: dental hygienists and assistants' knowledge.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021Article
- Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study.The Lancet. Public health · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo determine the predictive value and sensitivity of demographic features and injuries (indicators) for maltreatment-related codes in hospital discharge records of children admitted with a head or neck injury or fracture.
methodsSTUDY
designPopulation-based, cross sectional study.
settingNHS hospitals in England. SUBJECTS: Children under five years old admitted acutely to hospital with head or neck injury or fracture. DATA SOURCE: Hospital Episodes Statistics, 1997 to 2009.
main outcome measureMaltreatment-related injury admissions, defined by ICD10 codes, were used to calculate for each indicator (demographic feature and/or type of injury): i) the predictive value (proportion of injury admissions that were maltreatment-related); ii) sensitivity (proportion of all maltreatment-related injury admissions with the indicator).
resultsOf 260,294 childhood admissions for fracture or head or neck injury, 3.2% (8,337) were maltreatment-related. With increasing age of the child, the predictive value for maltreatment-related injury declined but sensitivity increased. Half of the maltreatment-related admissions occurred in children older than one year, and 63% occurred in children with head injuries without fractures or intracranial injury.
conclusionsHighly predictive injuries accounted for very few maltreatment-related admissions. Protocols that focus on high-risk injuries may miss the majority of maltreated children.
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