Accidental Physical Trauma in Children and Youth with Special Health Care Needs: A Scoping Review.

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2024-10-10 DOI:10.1016/j.acap.2024.10.002

Denise F Lillvis, Brooks Harmon, Hector Osei, Samantha Ribeiro, Ahmad Zrik, Vipreet Janjua, Justin Assioun, Nell Aronoff, Dennis Z Kuo

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引用次数: 0

Abstract

Background: Children and youth with special health care needs (CYSHCN) may be at greater risk for accidental physical trauma. Interventions should be informed by the literature indicating incident characteristics and at-risk subpopulations.

Objective: To conduct a scoping review of accidental physical trauma in CYSHCN to characterize published literature and identify gaps.

Data sources: Peer-reviewed literature within CINAHL, Embase, and PubMed, 1998 to February 2021.

Study eligibility criteria: Studies that included individuals younger than 19 with special health care need(s) with accidental injuries classified as trauma.

Study appraisal and synthesis methods: The study team extracted: research method, author field, special health care needs, geographic scope, author country, demographics, incident characteristics, and injury characteristics.

Results: We included 85 articles from an initial yield of 10,481. Pediatrics (32%) was the most-represented field among authors published on this topic. Publications most often considered developmental conditions (77.7%), including Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD). Studies differed in how often they reported demographic characteristics: gender (96.5%); social determinants of health/socioeconomic status (41.2%) or race and ethnicity (25.9%). Few articles included injury time of day (10.6%) and day of week (2.4%); 40% did not include information about the place of injury.

Limitations: Our search term development focused on diagnosis rather than need; we did not search reference lists or grey literature.

Conclusions and implications of key findings: This review reveals key gaps in the literature pertaining to incident characteristics and place of injury for CYSHCN. Those advising families and/or planning interventions focused on mitigating risk for CYSHCN have limited evidence upon which to rely for certain conditions.

Systematic review registration number: PROSPERO registration is not applicable to scoping reviews.

查看原文本刊更多论文

有特殊健康护理需求的儿童和青少年的意外身体创伤：范围审查。

背景：有特殊医疗保健需求的儿童和青少年（CYSHCN）可能面临更大的意外身体创伤风险。干预措施应参考表明事故特征和高危亚人群的文献资料：对幼儿特殊健康儿童意外身体创伤进行范围审查，以确定已发表文献的特点并找出差距：研究资格标准：研究评估和综合方法：研究小组提取了：研究方法、作者领域、特殊医疗需求、地理范围、作者国家、人口统计学、事故特征和伤害特征：我们从最初的 10,481 篇文章中收录了 85 篇。在就此主题发表文章的作者中，儿科（32%）的作者最多。发表的文章最常考虑的是发育状况（77.7%），包括注意力缺陷障碍/多动症。研究在报告人口统计学特征的频率上有所不同：性别（96.5%）、健康的社会决定因素/社会经济地位（41.2%）或种族/民族（25.9%）。很少有文章包括受伤的时间（10.6%）和星期（2.4%）；40%的文章没有包括受伤地点的信息：局限性：我们的检索词开发侧重于诊断而非需求；我们没有检索参考文献目录或灰色文献：本综述揭示了与儿童青少年健康和安全相关的事件特征和受伤地点有关的文献中存在的主要空白。那些为家庭提供建议和/或计划采取干预措施以降低幼儿健康和儿童风险的人，在某些情况下可依据的证据有限：PROSPERO 注册不适用于范围界定综述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.