Hospitalisations for physical abuse in infants and children less than 5 years, 2013–2021: a multinational cohort study using administrative data from five European countries

IF 13.6 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Europe Pub Date : 2025-03-20 DOI:10.1016/j.lanepe.2025.101270

Catherine Quantin , Jonathan Cottenet , Colleen Chambers , Natasha Kennedy , Sadhbh Whelan , Geoff Debelle , Diogo Lamela , Ulugbek Nurmatov , Donna O'Leary , Christian Torp-Pedersen , Sinéad Brophy , Marcella Broccia , Ruth Gilbert , Troels Græsholt-Knudsen , Laura Elizabeth Cowley

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引用次数: 0

Abstract

Background

Child physical abuse (CPA) is a global public health problem associated with lifelong negative consequences, yet reliable epidemiologic data are lacking. This multinational cohort study analyses trends in CPA hospitalisations from 2013 to 2021.

Methods

We used medico-administrative databases to identify children aged one month to five years hospitalised in Denmark, England, France, Ireland, and Wales. We identified CPA using a validated algorithm based on ICD-10 codes. We calculated the number, proportion, and incidence rate of children hospitalised for CPA, and the number and proportion of total hospitalisations for CPA, by year and age group (<1 and <5). We determined the proportion of CPA hospitalisations recorded using different ICD-10 codes, by country.

Findings

The pooled incidence rate of infants <1 year hospitalised for CPA was stable over time (around 42/100,000 per year), ranging on average from 33 to 48/100,000 between countries. The pooled proportion of infant hospitalisations for CPA was around 0.17% (N = 750) per year (range 0.15–0.21%, N range 674–785), increasing significantly during the COVID-19 pandemic in 2020 (0.21%, N = 674). In children <5, the incidence rate (around 18/100,000 per year) and proportion of CPA hospitalisations (around 0.11% per year (N = 1600), range 0.10–0.14% (N range 1341–1657) were lower than in infants, but also increased in 2020 (0.14%, N = 1341). There were national differences in the distribution of ICD-10 codes used to record CPA and differences in year-on-year trends between countries.

Interpretation

Comparing temporal trends in CPA hospitalisations between countries is feasible. Hospital data are one of several valuable sources for CPA surveillance.

Funding

European COST Action EURO-CAN. European Union (HORIZON Europe SERENA project).

查看原文本刊更多论文

背景儿童身体虐待（CPA）是一个全球性的公共卫生问题，会带来终生的负面影响，但目前尚缺乏可靠的流行病学数据。这项多国队列研究分析了 2013 年至 2021 年期间 CPA 住院趋势。我们使用基于 ICD-10 编码的有效算法来识别 CPA。我们按年份和年龄组（1 和 5）计算了因 CPA 住院的儿童人数、比例和发病率，以及因 CPA 住院的总人数和比例。我们按国家确定了使用不同 ICD-10 编码记录的 CPA 住院病例的比例。研究结果因 CPA 住院的 1 岁婴儿的总发病率在一段时间内保持稳定（约为每年 42/100,000），各国之间的平均发病率从 33 到 48/100,000。每年因 CPA 住院的婴儿总比例约为 0.17%（N = 750）（范围为 0.15-0.21%，N 范围为 674-785），在 2020 年 COVID-19 大流行期间显著增加（0.21%，N = 674）。5岁以下儿童的发病率（约为每年18/100,000）和CPA住院比例（约为每年0.11%（N = 1600），范围为0.10-0.14%（N范围为1341-1657））低于婴儿，但在2020年也有所增加（0.14%，N = 1341）。用于记录 CPA 的 ICD-10 编码的分布存在国家差异，国家间的同比趋势也存在差异。医院数据是 CPA 监测的几个重要来源之一。欧盟（HORIZON Europe SERENA 项目）。

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

Lancet Regional Health-Europe Multiple-

CiteScore

19.90

自引率

1.40%

发文量

260

审稿时长

9 weeks

期刊介绍： The Lancet Regional Health – Europe, a gold open access journal, is part of The Lancet's global effort to promote healthcare quality and accessibility worldwide. It focuses on advancing clinical practice and health policy in the European region to enhance health outcomes. The journal publishes high-quality original research advocating changes in clinical practice and health policy. It also includes reviews, commentaries, and opinion pieces on regional health topics, such as infection and disease prevention, healthy aging, and reducing health disparities.