Observational studyChild abuse & neglect2024
Yield of skeletal surveys in national network of child abuse pediatricians: Age is key.
Observational study in Child abuse & neglect, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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, 1 synthesis or guideline pooled it.
- Has This Child Experienced Physical Abuse?: The Rational Clinical Examination Systematic Review.JAMA · 2025Pooled it
- Injuries in Children Undergoing Subspecialty Abuse Evaluations Because of Intimate Partner Violence.Pediatrics open science · 2026Article
- Skeletal surveys for suspected infant abuse: patient-specific radiation dose estimation using a hybrid computational phantom.Pediatric radiology · 2025Article
- Prevalence of Abuse-Specific Injuries in Infants With Prior Injury Evaluated for Abuse.Pediatrics open science · 2025Article
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Authors and funding
19 authors.
Funding
Abstract
backgroundSkeletal surveys (SS) are recommended for the evaluation of suspected physical abuse in children <2 years old. No guidelines exist for SS completion in children between 2 and 5 years old.
objectiveTo determine rates of SS completion by age and examine variables associated with occult fracture identification in older children. PARTICIPANTS AND
settingObservational cross-sectional multi-center study of 10 US pediatric centers 2/2021-9/2022 including children <6 years old evaluated for physical child abuse.
methodsThe principal outcome is occult fracture identified on SS. Non-parametric tests were conducted from comparison between age groups and those with and without occult fractures.
resultsThe rate of SS completion declined with increasing age from a high of 91 % in infants <6 months old to 7 % in children 5-5.9 years old. The proportion of SS with occult fractures also decreased with age. Of 450 children 2-5 years old with a SS, 20 [4 % (95 % CI: 3-8 %)] had an occult fracture. The rate of occult fractures among children 2-5 years old who were diagnosed with abuse and not admitted to the hospital was 0.3 % (95 % CI 0-0.6 %)]. Over 30 % of children 2-5 years old were diagnosed with child abuse by a child abuse pediatrician without completion of a SS.
conclusionIn children 2-5 years of age being evaluated for physical abuse, use of SS and the rate of occult fractures is low. The number of SS performed in children in this age group could potentially be decreased by up to 60 % by limiting SS to children admitted to the hospital.
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