Identifying Populations at Risk for Child Abuse: A Nationwide Analysis.
Adolescent
Child
Child Abuse
/ diagnosis
Child Abuse, Sexual
/ statistics & numerical data
Child, Preschool
Chronic Disease
/ epidemiology
Databases, Factual
Female
Humans
Infant
Male
Mental Disorders
/ epidemiology
Patient Readmission
/ statistics & numerical data
Retrospective Studies
Risk Factors
United States
/ epidemiology
Wounds and Injuries
/ epidemiology
Abuse
Psychiatric diagnosis
Traumatic injuries
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
07
09
2019
accepted:
29
09
2019
pubmed:
24
11
2019
medline:
4
9
2020
entrez:
24
11
2019
Statut:
ppublish
Résumé
Child abuse is a national, often hidden, epidemic. The study objective was to determine at-risk populations that have been previously hospitalized prior to their admission for child abuse. The Nationwide Readmissions Database (NRD) was queried for all children hospitalized for abuse. Outcomes were previous admissions and diagnoses. χ 31,153 children were hospitalized for abuse (half owing to physical abuse) during the study period. 11% (n = 3487) of these children had previous admissions (one in three to a different hospital), while 3% (n = 1069) had multiple hospitalizations. 60% of prior admissions had chronic conditions, and 12% had traumatic injuries. Children with chronic conditions were more likely to have sexual abuse (89% vs. 57%, p < 0. 001) and emotional abuse (75% vs. 60%, p < 0. 01). 25% of chronic diagnoses were psychiatric, who were also more likely to have sexual and emotional abuse (47% vs. 5.5% and 10% vs. 1%, all p < 0. 001). This study uncovers a hidden population of children with past admissions for chronic conditions, especially psychiatric diagnoses that are significantly associated with certain types of abuse. Improved measures to accurately identify at-risk children must be developed to prevent future childhood abuse and trauma. Level III. Retrospective comparative study.
Identifiants
pubmed: 31757508
pii: S0022-3468(19)30722-5
doi: 10.1016/j.jpedsurg.2019.09.069
pmc: PMC7848807
mid: NIHMS1664659
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
135-139Subventions
Organisme : NCI NIH HHS
ID : T32 CA211034
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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