Document Detail

The epidemiology of nonaccidental trauma in children.
MedLine Citation:
PMID:  20857249     Owner:  NLM     Status:  MEDLINE    
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.
Kishore Mulpuri; Bronwyn L Slobogean; Stephen J Tredwell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  469     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-03     Completed Date:  2011-03-24     Revised Date:  2013-05-27    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  759-67     Citation Subset:  AIM; IM    
Department of Orthopaedics, University of British Columbia, British Columbia Children's Hospital, Vancouver, BC, Canada.
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MeSH Terms
Child Abuse / diagnosis,  statistics & numerical data*
Child, Preschool
Crime Victims*
Rib Fractures / diagnosis,  epidemiology,  etiology
Risk Factors
Social Environment
Wounds and Injuries / diagnosis,  epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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