ArticleChild abuse & neglect2021
Functional status impairment at six-month follow-up is independently associated with child physical abuse mechanism.
Article in Child abuse & neglect, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed.
- Predictors and Complications of Delayed Femoral Shaft Fracture Fixation in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Development and validation of a risk prediction model for unplanned 7-day readmission to PICU.Scientific reports · 2025Article
- Functional status of pediatric patients with trauma and risk factors for mortality from a single center in China.Frontiers in pediatrics · 2023Article
- Observational
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Authors and funding
10 authors.
Funding
Abstract
backgroundChildren with abusive injuries have worse mortality, length-of-stay, complications, and healthcare costs compared to those sustaining an accidental injury. Long-term functional impairment is common in children with abusive head trauma but has not been examined in a cohort with heterogeneous body region injuries.
objectiveTo assess for an independent association between child physical abuse and functional impairment at discharge and six-month follow-up. PARTICIPANTS AND
settingSeriously injured children (<15 years) treated at seven pediatric trauma centers.
methodsFunctional status was compared between child physical abuse and accidental injury groups at discharge and six-month follow-up. Functional impairment was defined at discharge ("new domain morbidity") as a change from pre-injury ≥2 points in any of the six domains of the Functional Status Scale (FSS), and impairment at six-month follow-up as an abnormal total FSS score.
resultsChildren with abusive injuries accounted for 10.5% (n = 45) of the cohort. New domain morbidity was present in 17.8% (n = 8) of child physical abuse patients at discharge, with 10% (n = 3) of children having an abnormal FSS at six-months. There were no differences in new domain morbidity at hospital discharge between children injured by abuse and or accidental injury. However, children injured by physical abuse were 4.09 (2.15, 7.78) times more likely to have functional impairment at six months.
conclusionsChild physical abuse is an independent risk factor for functional impairment at six-month follow-up. Functional status measurement for this high-risk group of children should be routinely measured and incorporated into trauma center quality assessments.
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