Evidence map›Paper›PMID 41602585›Full record

ArticlePediatrics open science2025

Prevalence of Abuse-Specific Injuries in Infants With Prior Injury Evaluated for Abuse.

Nara Cho, Kristin G Crichton, Sara Helwig, Krista K Wheeler, Rachel M Stanley, Megan M Letson, Kristine A Campbell, Angela N Bachim, Colleen J Bressler, Carmen M Coombs and 8 more

Abstract read
In one paragraph

Article in Pediatrics open science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Nara ChoThe Center for Family Safety and Healing, Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio.
Kristin G CrichtonThe Center for Family Safety and Healing, Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio.
Sara HelwigDivision of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Krista K WheelerCenter for Injury Research & Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Rachel M StanleyDivision of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Megan M LetsonThe Center for Family Safety and Healing, Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio.
Kristine A CampbellDepartment of Pediatrics, Center for Safe and Healthy Families, University of Utah, Salt Lake City, Utah.
Angela N BachimDivision of Public Health Pediatrics, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, Texas.
Colleen J BresslerDivision of Child Abuse Pediatrics, Division of Pediatric Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Carmen M CoombsDivision of Child Advocacy, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Lori FrasierDepartment of Pediatrics, Center for the Protection of Children, Penn State Health Children's Hospital, Penn State College of Medicine, Hershey, Pennsylvania.
Nicole JohnsonUniversity of Minnesota, Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
Sara KilbrideDepartment of Pediatrics, Division of Child Adversity and Resilience, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Jan LeonardDepartment of Biomedical and Health Informatics, Data Science and Biostatistics Unit, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Daniel M LindbergThe University of Colorado Anschutz Medical Campus, Department of Emergency Medicine, The Kempe Center for the Prevention & Treatment of Child Abuse & Neglect.
Noelle T TranThe University of Missouri-Kansas City School of Medicine; Division of Child Adversity and Resilience, Division of Pediatric Emergency Medicine, Children's Mercy Hospital, Kansas City, Missouri.
Joanne N WoodDivision of General Pediatrics and PolicyLab, Children's Hospital of Philadelphia, Leonard Davis Institute of Health Economics, Perelman School of Medicine at the University of Pennsylvania.
Farah W BrinkThe Center for Family Safety and Healing, Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio.

Funding

CAPNET - Building Research Capacity in Child Abuse PediatricsR24HD098415 · NICHD · UNIVERSITY OF COLORADO DENVER · PI CAMPBELL, KRISTINE A, LINDBERG, DANIEL M · 2020 to 2024
$1.8M
NICHD NIH HHS R24 HD098415
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPhysical abuse is a common cause of morbidity in infants but is often missed in those with medically minor injuries, increasing the risk for escalating violence. Our objective was to compare the prevalence of abuse-specific injuries among infants with and without prior injuries.

methodsThis is a retrospective, multicenter study of infants (aged <12 months) undergoing child abuse pediatrics provider (CAP) consultation for suspected physical abuse between 2/2021 and 12/2022 at 10 participating US centers. Encounters were dichotomized into those with and without history of prior injury. The groups were compared for rates of diagnostic screening and prevalence of abuse-specific injuries. The association of prior injuries with identification of abuse-specific injury was assessed using logistic regression controlling for demographics and presence of prior injury.

resultsWe identified 2352 eligible encounters (median age: 4.2 months), of which 13% had a history of prior injury. In infants who underwent diagnostic testing, injury identification was significantly higher in those with prior injury (45% vs 22%,

conclusionInfants with prior injury undergoing CAP evaluation for suspected physical abuse have higher odds of abuse-specific injuries compared with those without prior injury. This study emphasizes the importance of standardized history and evaluation in infants presenting with concerning injuries.

Identifiers

PMID41602585
PMCPMC12834559

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.