ArticleAcademic pediatrics
Impact of Child Abuse Clinical Pathways on Skeletal Survey Performance in High-Risk Infants.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The trial behind it
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Who cites it
11 citing papers in PubMed, 30 citations in OpenAlex.
- Child Maltreatment Evaluations Following Out-of-Hospital Cardiac Arrests.Academic pediatrics · 2025Article
- Improving the evaluation of non-accidental trauma across multiple specialties at a single institution.BMJ open quality · 2025Article
- Identifying Child Abuse in Patients With Femur Fractures Through Pathway Compliance: A Pilot Study.Cureus · 2024Article
- Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.BMC public health · 2023Article
- Impact of standardization on racial and socioeconomic disparities in non-accidental trauma evaluations in infants in a pediatric emergency department.Injury epidemiology · 2023Article
- Orthopedic manifestations of child abuse.Pediatric research · 2022Review
- Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse.Academic pediatrics · 2022Article
- Article
- Practice Variation in Use of Neuroimaging Among Infants With Concern for Abuse Treated in Children's Hospitals.JAMA network open · 2022Observational
- Clinical evaluation and management of children with suspected physical abuse.Pediatric radiology · 2021Review
- Improving Follow-Up Skeletal Survey Completion in Children with Suspected Nonaccidental Trauma.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWe sought: 1) to examine the association between the presence of a child abuse pathway and the odds of skeletal survey performance in infants with injuries associated with high risk of abuse and 2) to determine whether pathway presence decreased disparities in skeletal survey performance.
methodsIn this retrospective study of children <1 year diagnosed with injuries associated with high risk of abuse at hospitals in the Pediatric Hospital Information System, information regarding the presence of a child abuse pathway was collected via survey. We examined whether the presence of a child abuse pathway was associated with the odds of obtaining a skeletal survey, adjusting for patient-level factors.
resultsAmong 2085 included cases 55% were male, 69% had public insurance, and 64% were white. Fifty-eight percent presented to a hospital when a pathway was present. Skeletal surveys were performed in 86% of children between 0 and 5 months and 73% of children 6-11 months. In our regression model, adjusted for covariates (age, race, insurance, injury) the presence of a child abuse pathway in a hospital was associated with greater odds of skeletal survey performance (odds ratio [OR], 1.46, 95% confidence interval [CI], 1.02-2.08). Children with public insurance had greater odds of receiving a skeletal survey (OR 2.75, 95% CI 2.11-3.52) despite presence of pathway.
conclusionsWhen a child abuse clinical pathway was present, children with injuries associated with a high risk of abuse had a greater odds of receiving a skeletal survey. Differences in skeletal survey performance exist between infants with public vs. private insurance regardless of a pathway.
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