Evidence map›Paper›PMID 31757508›Full record

ArticleJournal of pediatric surgery2020

Identifying Populations at Risk for Child Abuse: A Nationwide Analysis.

Hallie J Quiroz, Joshua Parreco, Lavanya Easwaran, Brent Willobee, Anthony Ferrantella, Rishi Rattan, Chad M Thorson, Juan E Sola, Eduardo A Perez

Abstract read
In one paragraph

Article in Journal of pediatric surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Identifying Risk Factors of Children Who Suffered Physical Abuse: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Disparities in detection of suspected child abuse.Journal of pediatric surgery · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. Child Abuse in Times of Crises: Lessons Learned.Clinical pediatric emergency medicine · 2020
    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

9 authors.

Hallie J QuirozDewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, RMSB RM 1010, 1600 NW 10(th) Avenue, Miami, Florida 33136. Electronic address: hjq4@med.miami.edu.
Joshua ParrecoDivision of Trauma Surgery and Surgical Critical Care, Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Lavanya EaswaranUniversity of Miami Miller School of Medicine.
Brent WillobeeDewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Anthony FerrantellaDewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Rishi RattanDivision of Trauma Surgery and Surgical Critical Care, Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Chad M ThorsonDivision of Pediatric Surgery, Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Juan E SolaDivision of Pediatric Surgery, Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.
Eduardo A PerezDivision of Pediatric Surgery, Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine.

Funding

Research Training Program in Surgical OncologyT32CA211034 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MERCHANT, NIPUN B. · 2016 to 2025
$2.7M
NCI NIH HHS T32 CA211034
6 · The paper itself

Abstract

purposeChild abuse is a national, often hidden, epidemic. The study objective was to determine at-risk populations that have been previously hospitalized prior to their admission for child abuse.

methodsThe Nationwide Readmissions Database (NRD) was queried for all children hospitalized for abuse. Outcomes were previous admissions and diagnoses. χ

results31,153 children were hospitalized for abuse (half owing to physical abuse) during the study period. 11% (n = 3487) of these children had previous admissions (one in three to a different hospital), while 3% (n = 1069) had multiple hospitalizations. 60% of prior admissions had chronic conditions, and 12% had traumatic injuries. Children with chronic conditions were more likely to have sexual abuse (89% vs. 57%, p < 0. 001) and emotional abuse (75% vs. 60%, p < 0. 01). 25% of chronic diagnoses were psychiatric, who were also more likely to have sexual and emotional abuse (47% vs. 5.5% and 10% vs. 1%, all p < 0. 001).

conclusionThis study uncovers a hidden population of children with past admissions for chronic conditions, especially psychiatric diagnoses that are significantly associated with certain types of abuse. Improved measures to accurately identify at-risk children must be developed to prevent future childhood abuse and trauma. LEVEL OF EVIDENCE: Level III. TYPE OF STUDY: Retrospective comparative study.

Indexed as

AdolescentChildChild AbuseChild Abuse, SexualChild, PreschoolChronic DiseaseDatabases, FactualFemaleHumansInfantMaleMental DisordersPatient ReadmissionRetrospective StudiesRisk FactorsUnited StatesAbusePsychiatric diagnosisTraumatic injuries

Identifiers

PMID31757508
PMCPMC7848807

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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.