ArticleAnnals of the Child Neurology Society2023
Data-driven evidence shows truthful caregiver histories and significant overdiagnosis of abusive head trauma.
Article in Annals of the Child Neurology Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Shaken Baby Syndrome/Abusive Head Injury: The Role of Expert Witness Testimony and a Recent Case Development.Journal of bioethical inquiry · 2025Article
- Retino-dural hemorrhages in infants are markers of degree of intracranial pathology, not of violent shaking.Annals of the Child Neurology Society · 2024Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: We analyzed the veracity of caregiver-provided histories when infants present with intracranial pathologies and abusive head trauma (AHT) is suspected. Methods: A comparison of medical findings is made using data from 335 infants with acute intracranial pathologies and no extracranial findings associated with abuse. Two null hypotheses were tested: (1) that cases where caregivers reported accidental trauma have similar medical findings to independently witnessed accidents; and (2) that cases where caregivers reported no trauma have similar medical findings as cases where caregivers reported accidental trauma. Results: The first null hypothesis is not rejected, corroborating caregiver histories of accidental trauma, yet such cases are diagnosed as AHT at significantly higher rates than accidents witnessed by unbiased independent observers. The second null hypothesis is rejected, corroborating caregiver histories that no trauma occurred. Conclusions: Data suggest that caregivers can provide valuable diagnostic information when infants present with acute intracranial pathologies and suggest substantial rates of misdiagnosis of AHT.
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