Evidence map›Paper›PMID 36625431›Full record

Observational studyBMJ paediatrics open2023

Injuries among children attributed to violence and social funding: a 10-year observational study.

Louise Morris, David N Naumann, John-Joe Reilly, Samuel Kitchen, Lauren Blackburn, Jonathan Bishop, Adam Brooks

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 1 country.

Louise MorrisEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.ORCID 0000-0003-3101-8409
David N NaumannEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK d.n.naumann@bham.ac.uk.ORCID 0000-0003-2243-2325
John-Joe ReillyEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Samuel KitchenEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Lauren BlackburnEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Jonathan BishopUniversity of Birmingham, Birmingham, UK.
Adam BrooksEast Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Nottingham University Hospitals NHS Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMechanisms and patterns of injury in children are changing, with violent mechanisms becoming more prevalent over time. Government funding of services for children and young people has reduced nationally over the last decade. We aimed to investigate the trends in admissions of injured children to a Major Trauma Centre (MTC) and examine the relationship between injuries sustained by violent mechanisms and local authority funding of children and youth services within the same catchment area.

methodsA 10-year observational study included all patients aged<18 years treated at a regional MTC between April 2012 and April 2022. Number of admissions with violent trauma, mechanism of injury, requirement for operative intervention and mortality were compared with published annual local authority expenditure reports.

results1126 children were included; 71.3% were boys, with median age 11 years (IQR 3-16). There were 154/1126 (14%) children who were victims of violent trauma; they were more likely to be boys than children injured by non-violent mechanisms (84% vs 69%). The proportion of injuries attributed to violence increased over the study period at the same time as reductions in local authority funding of services for the early years, families and youth services. However, there were insufficient data to formally assess the interdependency between these factors.

conclusionsThe proportion of injuries attributed to violence has increased over time, and government spending on specific children and young people's services has decreased over the same time period. Further work is needed to examine the interdependency between spending and violent injuries in children, and public health interventions to target violence-related injuries should take into account youth service funding.

Indexed as

Trauma CentersViolenceAdolescentChildFemaleHealth ExpendituresHospitalizationHumansMalePublic Healthadolescent healthepidemiologyhealth services researchsocial work

Identifiers

PMID36625431
PMCPMC9835938
OpenAlexW4313989913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.