powered by centersite dot net
Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
Health Tip: Rewarding Kids Without FoodDo Older Dads Produce Brainy Boys?USPSTF Concludes Screening for Obesity Beneficial for ChildrenFirearms Kill or Wound 7,000 U.S. Children AnnuallyGuns Kill or Wound 7,000 U.S. Kids a Year: ReportTime for Some Summer Sun Safety TipsHealth Tip: Applying Sunscreen on ChildrenMany Preemies Don't Struggle in SchoolHealth Tip: When Your Child Won't Eat LunchResearchers Target Zolmitriptan Dosing for Pediatric MigraineMigraine Warning Signs May Differ in Kids, AdultsHealth Tip: Keep Germs Out of Pool WaterWhen a Divorce Turns Bitter, Kids' Immune Systems May Pay a PriceBrush Up on Swim Safety for SummerLawn Mowers Are Risky Business for KidsAre 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 AttackHealth 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'?Kids 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 PredictedDon't Give Kids Medicines With Codeine, Tramadol: FDA
Questions and AnswersVideosLinksBook Reviews
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Parenting
Child Development & Parenting: Infants (0-2)
Child Development & Parenting: Early (3-7)
Child Development & Parenting: Middle (8-11)
Child Development Theory: Adolescence (12-24)

Children With Suspected Child Abuse Present to Hospital Late


HealthDay News
Updated: Apr 26th 2017

new article illustration

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.

Abstract/Full Text