ArticlePediatrics2015
Evaluation for Occult Fractures in Injured Children.
Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Skeletal surveys in young, injured children: A systematic review.Child abuse & neglect · 2018Pooled it
- Validating Use of ICD-10 Diagnosis Codes in Identifying Physical Abuse Among Young Children.Academic pediatrics · 2023Article
- A call to action: education of radiology residents in child abuse imaging.Pediatric radiology · 2021Article
- Responding to Basic and Complex Cases of Child Abuse: a Comparison Study of Recent and Current Child Advocacy Studies (CAST) Students with DSS Workers in the Field.Journal of child & adolescent trauma · 2020Article
- Intracranial Injury Among Children with Abuse-Related Long Bone Fractures.The Journal of emergency medicine · 2020Article
- Integration of physical abuse clinical decision support at 2 general emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- The added value of a second read by pediatric radiologists for outside skeletal surveys.Pediatric radiology · 2019Article
- The "New Science" of Abusive Head Trauma.International journal on child maltreatment : research, policy and practice · 2019Article
- Occult head injury is common in children with concern for physical abuse.Pediatric radiology · 2018Observational
- Temporal Trends and Center Variation in Early Antibiotic Use Among Premature Infants.JAMA network open · 2018Article
- Research priorities for a multi-center child abuse pediatrics network - CAPNET.Child abuse & neglect · 2017Article
- Relationship between Insurance Type and Discharge Disposition From the Emergency Department of Young Children Diagnosed with Physical Abuse.The Journal of pediatrics · 2016Article
- [Accident or maltreatment? Radiographic X‑ray patterns in non‑accidental trauma : The concept of sentinel injuries].Der Radiologe · 2016Review
- Development of Guidelines for Skeletal Survey in Young Children With Intracranial Hemorrhage.Pediatrics · 2016Article
- Paediatric femur fractures at the emergency department: accidental or not?The British journal of radiology · 2016Article
- Outcome Data Needed: Interpreting Variation in the Medical Evaluation of Child Physical Abuse.Pediatrics · 2015Article
- Impact of Child Abuse Clinical Pathways on Skeletal Survey Performance in High-Risk Infants.Academic pediatricsArticle
- Improving Follow-up Skeletal Survey Compliance in Suspected Nonaccidental Trauma Patients: What's the FUSS About?Pediatric quality & safetyArticle
- Use and Utility of Skeletal Surveys to Evaluate for Occult Fractures in Young Injured Children.Academic pediatricsArticle
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo examine variation across US hospitals in evaluation for occult fractures in (1) children <2 years old diagnosed with physical abuse and (2) infants <1 year old with injuries associated with a high likelihood of abuse and to identify factors associated with such variation.
methodsWe performed a retrospective study in children <2 years old with a diagnosis of physical abuse and in infants <1 year old with non-motor vehicle crash-related traumatic brain injury or femur fractures discharged from 366 hospitals in the Premier database from 2009 to 2013. We examined across-hospital variation and identified child- and hospital-level factors associated with evaluation for occult fractures.
resultsEvaluations for occult fractures were performed in 48% of the 2502 children with an abuse diagnosis, in 51% of the 1574 infants with traumatic brain injury, and in 53% of the 859 infants with femur fractures. Hospitals varied substantially with regard to their rates of evaluation for occult fractures in all 3 groups. Occult fracture evaluations were more likely to be performed at teaching hospitals than at nonteaching hospitals (all P < .001). The hospital-level annual volume of young, injured children was associated with the probability of occult fracture evaluation, such that hospitals treating more young, injured patients were more likely to evaluate for occult fractures (all P < .001).
conclusionsSubstantial variation in evaluation for occult fractures among young children with a diagnosis of abuse or injuries associated with a high likelihood of abuse highlights opportunities for quality improvement in this vulnerable population.
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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.