|Basic InformationMore InformationLatest News|Are All Those 'Fidget Spinners' Really Helping Kids?1 in 5 U.S. Kids Killed in Crashes Not Restrained ProperlyHelping Ease Kids' Fears After Manchester Terror AttackOverweight in Childhood May Up Lifetime Risk of DepressionOverweight Boys Face Higher Colon Cancer Risk as AdultsHeavy Kids Face Triple the Odds for Depression in AdulthoodHealth Tip: Limit a Young Child's Media TimeMany Parents Underestimate Drowning RisksChildren Express Positive Views of Digital Tracking by StrangersToo Many Parents Say No to Helmets for Kids on WheelsHear This! Keep Cotton Swabs Out of Kids' EarsHealth Tip: Be a Safe Driver for Your Kids'Dr. Google' May Undermine Parents' Trust in Their PediatricianPAS: Hospitalizations Up for Suicidal Thoughts, Actions in KidsGuns Send About 16 U.S. Kids to the Hospital Every DayWhen Grandparents Raise Grandkids, Are They Up to Date on Child Safety?More Starring Roles for Booze in Kids' Movies, Study FindsThe Family That Eats Together, BenefitsAre Smartphones Helping or Harming Kids' Mental Health?More Active Kids Could Save U.S. Billions in Health Costs: StudyTrump Administration Rolls Back Obama-Era School Lunch RulesAre Bullies Getting Run Out of U.S. Schools?Health Tip: Turn Off Those ScreensKids' Sun Safety Means 'Slip, Slap, Slop'Pediatricians Missing Elevated Blood Lead Levels in U.S.AAP Stresses Medical Home Best for Acute Health ConcernsAre Kids' Vaccines a Victim of Their Own Success?Checklist for Family-Centered Rounds Deemed BeneficialChildren With Suspected Child Abuse Present to Hospital LateCancer Risk Rises After Childhood Organ Transplant: StudyModel Predicts Which Pediatric ER Patients Likely to Be AdmittedObesity Quadruples Kids' Type 2 Diabetes Risk: StudyAre You Raising an 'Emotional Eater'?More Risks on School Playgrounds Linked to Happier ChildrenKids Face Their Own Death Risks When a Sibling DiesIn America's Poorest Communities, a Greater Risk of Child Abuse DeathsFDA Warns Against Children Taking Codeine, TramadolNext Seven Great Achievements in Pediatric Research PredictedMany Students Reluctant to Use Asthma Inhalers at SchoolDon't Give Kids Medicines With Codeine, Tramadol: FDAMany Kids Still Being Injured on ATVsHypnosis Doesn't Improve Post-Op Anxiety, Pain in ChildrenHealth Tip: Minimizing Violence During Screen TimeHealth Tip: Concerned About Your Child's Weight?What's the Best Seasonal Allergy Med for Your Kid?Web-Based Platform Better for Delivering Pre-Op InformationKids Can Pick Up Nicotine on Their HandsHealth Tip: Checking Your Child's MolesCould a Clinical Trial Help Your Child?Direct-Acting Antivirals Approved for Children 12+ With HCVQuestions and AnswersLinks
Children With Suspected Child Abuse Present to Hospital Late
Updated: Apr 26th 2017
WEDNESDAY, April 26, 2017 (HealthDay News) -- Children with suspected child abuse (SCA) present late to the hospital, and most arrive at hospitals that are not designated pediatric-capable major trauma centers, according to a study published online April 24 in the Emergency Medicine Journal.
Ffion C. Davies, M.B.Ch.B., from the University Hospitals of Leicester NHS Trust in the United Kingdom, and colleagues evaluated data (April 2012 to June 2015) from the pediatric database of the national trauma registry of England and Wales, Trauma Audit and Research Network. They compared the patient pathway for cases of SCA with that of accidental injury (AI).
Overall, 94 percent of the 7,825 children were classified as AI and 6 percent as SCA. The researchers found that compared with AI, SCA cases were younger (median, 0.4 versus 7 years), had a higher Injury Severity Score (median, 16 versus 9), and had higher mortality (5.7 versus 2.2 percent). Other differences included arrival at the hospital by nonambulance means (74 percent) and delayed presentation from time of injury (median, eight hours versus 1.8 hours for AI). SCA infants were less likely to receive key interventions in a timely manner despite more severe injuries. Few infants (20 percent) arrived at a designated pediatric-capable major trauma center. If needed, secondary transfer to specialist care took a median of 21.6 hours from injury in SCA cases compared with 13.8 hours for AI cases.
"These data show that children with major trauma that is inflicted rather than accidental follow a different pathway through the trauma system," the authors write.
This article: Copyright © 2017 HealthDay. All rights reserved.