| The epidemiology of nonaccidental trauma in children. | |
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MedLine Citation:
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PMID: 20857249 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Abuse of children is abhorrent in Western society and, yet, is not uncommon. Nonaccidental trauma (NAT) is the result of a complex sociopathology. Not all of the causative factors of NAT are known, many are incompletely described, not all function in each case, and many are secondary to preexisting pathology in other areas. QUESTIONS/PURPOSES: We therefore addressed the following questions in this review: (1) what is the general incidence of NAT; (2) what factors are intrinsic to the abused child, family, and society; and (3) what orthopaedic injuries are common in NAT? METHODS: We searched Medline, Medline In Process & Other Non-Indexed Citations, and Embase using OVID. Only one article fit our inclusion criteria; therefore, this is a descriptive generalized review of the epidemiology of NAT. RESULTS: The general incidence of NAT ranges from 0.47 per 100,000 to 2000 per 100,000. Younger children are at greater risk of NAT than older children. Parents are often the perpetrators of the abuse. Rib fractures are highly indicative of NAT in young children. CONCLUSIONS: It is important to consider child, family, and societal factors when confronted with suspicions of child abuse. Our review demonstrates the currently limited information on the true incidence of NAT. To determine a much more accurate incidence of NAT, there needs to be a population-based surveillance program conducted through primary care providers. |
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Authors:
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Kishore Mulpuri; Bronwyn L Slobogean; Stephen J Tredwell |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 469 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-03 Completed Date: 2011-03-24 Revised Date: 2012-09-20 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 759-67 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics, University of British Columbia, British Columbia Children's Hospital, Vancouver, BC, Canada. kmulpuri@cw.bc.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents* Child Child Abuse / diagnosis, statistics & numerical data* Child, Preschool Crime Victims* Humans Incidence Infant Rib Fractures / diagnosis, epidemiology, etiology Risk Factors Social Environment Wounds and Injuries / diagnosis, epidemiology* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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