ArticleInternational journal of legal medicine2021
Child maltreatment by non-accidental burns: interest of an algorithm of detection based on hospital discharge database.
Article in International journal of legal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The use of ICD-10 coding for children hospitalized with suspected child physical abuse at a tertiary care pediatric hospital in Greece.European journal of pediatrics · 2025Article
- Factors associated with urinary diversion and fatality of hospitalised acute pyelonephritis patients in France: a national cross-sectional study (FUrTIHF-2).Epidemiology and infection · 2023Article
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8 authors.
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Abstract
objectivesTo build a detection algorithm of non-accidental pediatric burns (NAB) using hospital resumes from the French Hospital Discharge Database (HDD) and to describe cases with no judicial or administrative report. MATERIALS AND
methodsChildren aged 0-16 years old hospitalized at the University Hospital of Tours from 2012 to 2017 with a coded burn were included. "Probable" or "possible" HDD cases of NAB were defined based on the International Classification of Diseases 10th version codes during the inclusion stay or the previous year. A chart review was performed on all the HDD cases and HDD non cases matched on sex and age with a 1:2 ratio. Performance parameters were estimated for three clinical definitions of child maltreatment: excluding neglect, including neglect in a restrictive definition, and in a broad definition. For clinical cases, report to the judicial or administrative authorities was searched.
resultsAmong the 253 included children, 83 "probable" cases and 153 non-cases were analyzed. Sensitivity varied from 48 (
conclusionThe performances of the algorithm varied tremendously according to the clinical definition of child maltreatment. Neglect is obviously complex and tough to clinically detect. Training for healthcare professionals and qualitative studies on obstacles to report should be added to this work.
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