Evidence map›Paper›PMID 30146789›Full record

SynthesisActa paediatrica (Oslo, Norway : 1992)2018

Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking.

Göran Elinder, Anders Eriksson, Boubou Hallberg, Niels Lynøe, Pia Maly Sundgren, Måns Rosén, Ingemar Engström, Björn-Erik Erlandsson

Abstract readSystematic Review
In one paragraph

Synthesis in Acta paediatrica (Oslo, Norway : 1992), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Spread of "triad diagnostics" in suspected Shaken Baby Syndrome.Forensic science international. Synergy · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Agreements and disagreements regarding "shaken baby syndrome".Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  13. Pediatric Neurotrauma and Child Abuse.Journal of Korean Neurosurgical Society · 2022
    Article
  14. Article
  15. Review
  16. Pediatric Abusive Head Trauma: A Systematic Review.Diagnostics (Basel, Switzerland) · 2021
    Review
  17. Article
  18. Article
  19. Pediatric abusive head trauma.Biomedical journal · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Göran ElinderDepartment of Pediatrics, Karolinska Institutet, Stockholm, Sweden.
Anders ErikssonDepartment of Community Medicine and Rehabilitation, Forensic Medicine, Umeå University, Umeå, Sweden.
Boubou HallbergKarolinska Institutet, Stockholm, Sweden.
Niels LynøeMedical Ethics, Karolinska Institutet, Stockholm, Sweden.
Pia Maly SundgrenDiagnostic Radiology, Lund University, Lund, Sweden.
Måns RosénHealth Technology Assessment, Karolinska Institutet, Stockholm, Sweden.
Ingemar EngströmChild and Adolecent Psychiatry, University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Björn-Erik ErlandssonMedical Technology, Royal Institute of Technology, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its components can be associated with traumatic shaking (low-quality evidence). There is insufficient scientific evidence on which to assess the diagnostic accuracy of the triad in identifying traumatic shaking (very low-quality evidence). Limited scientific evidence (low-quality evidence) represents a combined assessment of studies of high or moderate quality which disclose factors that markedly weaken the evidence. It is important to note that limited scientific evidence for the reliability of a method or an effect does not imply complete lack of scientific support. Insufficient scientific evidence (very low-quality evidence) represents either a lack of studies or situations when available studies are of low quality or show contradictory results. Evaluation of the evidence was not based on formal grading of the evidence according to GRADE but on an evaluation of the total scientific basis.

Indexed as

Brain DiseasesChild AbuseDiagnosis, DifferentialHematoma, SubduralHumansInfantInfant, NewbornInfant WelfareRetinal HemorrhageShaken Baby SyndromeSwedenBrain oedemaChild abuseInfantRetinal haemorrhageShaken Baby SyndromeSubdural haematoma

Identifiers

PMID30146789
PMCPMC6585638

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.