Evidence map›Paper›PMID 41917314›Full record

SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026

Abusive head trauma in children under 2 years of age in Latin America: a systematic review.

José Roberto Tude Melo, Maria Antonia Coladeti Fernandes, Júlia Calviello Giordano, Isabela Zampirolli Leal, Caio Vinicius de Almeida Chaves, José Carlos Esteves Veiga

Abstract readSystematic Review
In one paragraph

Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

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

6 authors.

José Roberto Tude MeloDivision of Neurosurgery, Department of Surgery, Santa Casa of São Paulo School of Medical Sciences, São Paulo, Brazil. robertotude@gmail.com.ORCID 0000-0001-7794-4147
Maria Antonia Coladeti FernandesSanta Casa of São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID 0009-0006-1439-927X
Júlia Calviello GiordanoSanta Casa of São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID 0009-0003-5433-0590
Isabela Zampirolli LealSanta Casa of São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID 0009-0009-6803-9060
Caio Vinicius de Almeida ChavesSanta Casa of São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID 0009-0007-2367-0209
José Carlos Esteves VeigaDivision of Neurosurgery, Department of Surgery, Santa Casa of São Paulo School of Medical Sciences, São Paulo, Brazil.ORCID 0000-0002-7723-4396

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Among the types of violence against children, abusive head trauma (AHT) is recognized as one of the main causes of violent death and neurological disabilities in infants. The scope of this systematic review was to examine the scenario and knowledge about AHT in Latin American countries based on studies conducted in Latin America and/or published by Latin American researchers between 2010 and 2024 (15 years). This systematic review was conducted in the PubMed/NIH (National Library of Medicine; National Center for Biotechnology Information), SciELO (Scientific Electronic Library Online), and LILACS (Latin American and Caribbean Literature in Health Sciences) databases. This systematic review was recorded in the Prospective International Registry of Systematic Reviews (PROSPERO CRD42025628791). Among the 462 articles found in the databases, 23 studies were published by Latin American researchers. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, only 7 articles met the eligibility criteria. Among children with traumatic brain injury, the presence of seizures (70% vs. 46%; p < 0.0001), retinal hemorrhages (78% vs. 3%; p < 0.0001), and subdural hematoma (91% vs. 29%; p < 0.0001) prevailed in suspected or confirmed cases of AHT. There is a shortage of scientific articles on AHT with sufficient sample size to allow us to know the geographic distribution of this event in Latin America. However, Latin American researchers recognize an unwitnessed or incoherent history of trauma along with a lowered level of consciousness, seizures, retinal hemorrhages, and subdural hematoma as strong indicators for suspicion of AHT.

Indexed as

Child AbuseCraniocerebral TraumaHumansInfantInfant, NewbornLatin AmericaChildChild maltreatmentDomestic violenceMortalityTraumatic brain injury

Identifiers

PMID41917314
PMCPMC13038663

What OpenQuestion holds

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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.