ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2022
Confessed versus denied inflicted head injuries in infants: similarities and differences.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 13 citations in OpenAlex.
- Why admitted cases of AHT make a low quality reference standard: A survey of people accused of AHT in France.Forensic science international. Synergy · 2023Article
- Abusive head injuries in infants corroborated versus non-corroborated cases: more answers to more questions.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Interesting data about confessions and AHT, but suboptimal analysis. Commentary to Vinchon et al.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Answer to Lynøe: Interesting data about confessions and abusive head trauma, but suboptimal analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Answer to Squier et al.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
Corrections and comments
- Retraction · 2023-03-09Lack of IRB/IACUC Approval and/or Compliance ·
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeAbusive head injuries (AHI), and in particular shaken baby syndrome (SBS), are common causes of mortality and morbidity in infants. Although SBS is a well-established entity, based on clinical experience and experimental data, and confirmed by the perpetrators' confessions, a growing number of publications challenge the diagnostic criteria, and even the validity of the perpetrators' confession. We decided to study AHI in infants and compare cases with and without confession. MATERIAL AND
methodsWe collected prospectively all cases of infantile traumatic head injuries hospitalized in our institution between 2001 and 2021. From this database, we selected victims of AHI, comparing cases for which the perpetrator confessed during police inquiry ("confession" group) versus cases without confession ("denial" group).
resultsWe studied 350 cases of AHI in infants; 137 of these (39.1%) were confessed. We found no statistically significant difference between the two groups regarding the child's previous history, as well as the personality and previous history of the caretakers. However, the "confession" group showed significantly more severe clinical presentation, cerebral lesions, retinal hemorrhages, and a more pejorative outcome.
conclusionsWe conclude that the diagnosis of AHI was confirmed by the confession in a large number of cases, indicating that the diagnostic criteria of AHI are robust. We also found that denial, although possibly sincere, was likely ill-founded, and that the perpetrators' decision to confess or deny was markedly influenced by the severity of the inflicted lesions.
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