ArticlePediatrics2015
Testing and Treatment After Adolescent Sexual Assault in Pediatric Emergency Departments.
Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Health care providers' responses to sexually abused children and adolescents: a systematic review.BMC health services research · 2022Pooled it
- Characteristics of acute sexual assault care in New England emergency departments.Journal of the American College of Emergency Physicians open · 2023Article
- Evaluation of Juvenile and Adolescent Sexual Abuse Victims: A Retrospective Study.Turkish archives of pediatrics · 2022Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Emergency Department Testing Patterns for Sexually Transmitted Diseases in North Texas.Sexually transmitted diseases · 2019Article
- Sexually Transmitted Infection Testing in Adolescents: Current Practices in the Hospital Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo examine rates of recommended of testing and prophylaxis for chlamydia, gonorrhea, and pregnancy in adolescents diagnosed with sexual assault across pediatric emergency departments (EDs) and to determine whether specialized sexual assault pathways and teams are associated with performance of recommended testing and prophylaxis.
methodsIn this retrospective study of 12- to 18-year-old adolescents diagnosed with sexual assault at 38 EDs in the Pediatric Hospital Information System database from 2004 to 2013, information regarding routine practice for sexual assault evaluations and presence and year of initiation of specialized ED sexual assault pathways and teams was collected via survey. We examined across-hospital variation and identified patient- and hospital-level factors associated with testing and prophylaxis using logistic regression models, accounting for clustering by hospital.
resultsAmong 12,687 included cases, 93% were female, 79% were <16 years old, 34% were non-Hispanic white, 38% were non-Hispanic black, 21% were Hispanic, and 52% had public insurance. Overall, 44% of adolescents received recommended testing (chlamydia, gonorrhea, pregnancy) and 35% received recommended prophylaxis (chlamydia, gonorrhea, emergency contraception). Across EDs, unadjusted rates of testing ranged from 6% to 89%, and prophylaxis ranged from 0% to 57%. Presence of a specialized sexual assault pathway was associated with increased rates of prophylaxis even after adjusting for case-mix and temporal trends (odds ratio 1.46, 95% confidence interval 1.15 to 1.86).
conclusionsEvaluation and treatment of adolescent sexual assault victims varied widely across pediatric EDs. Adolescents cared for in EDs with specialized sexual assault pathways were more likely to receive recommended prophylaxis.
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