The influence of the inpatient unit on referral for relevant examinations in child abuse

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-05-01 DOI:10.1016/j.arcped.2025.02.003

Florian Manoeuvrier , Pierre Tourneux , Anne-Gaelle Le Moing , Richard Gouron , Cécile Manaouil , Céline Klein

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引用次数: 0

Abstract

Background

Physical abuse affects 4–20 % of children per year. There is a lack of knowledge and skills about child abuse among doctors, which can lead to a failure to report the child abuse situation to the authorities.

Objective

The objective of this study was to evaluate the influence of the inpatient unit on whether imaging examinations and social assessments are performed.

Method

A retrospective cohort study was carried out of children under 3 years old suspected of suffering child abuse. Demographic, clinical, and examination data were collected. In univariate analysis, we evaluated the relationship between the experience of the inpatient unit and the realization or not of imaging examinations and social assessments.

Results

Inpatient units not experienced in the management of child abuse situations were associated with a significantly increased risk of not performing cerebral magnetic resonance imaging (OR: 10.0; 95 % CI [3.8–26.3]), skeletal survey (OR: 19.0; 95 %CI [6.0–60.6]), bone scintigraphy (OR: 24.6; 95 % CI [8.5–70.8]), and fundus (OR: 13.6; 95 % CI [5.1–35.8]) examinations.

Conclusion

It is essential to improve medical and paramedical knowledge as well as skills in the recognition and management of suspected child abuse.

查看原文本刊更多论文

虐童个案的住院单位对转介有关检查的影响

每年有4 - 20%的儿童受到身体虐待。医生缺乏关于虐待儿童的知识和技能，这可能导致未能向当局报告虐待儿童的情况。目的本研究的目的是评估住院单位对是否进行影像学检查和社会评估的影响。方法对3岁以下疑似受虐儿童进行回顾性队列研究。收集了人口统计学、临床和检查数据。在单变量分析中，我们评估了住院单元的经验与实现或不实现影像学检查和社会评估之间的关系。结果：在没有处理过虐待儿童情况的病人单位，不进行脑磁共振成像的风险显著增加(OR: 10.0；95% CI[3.8-26.3])，骨骼调查(OR: 19.0；95% CI[6.0-60.6])，骨显像(OR: 24.6；95% CI[8.5-70.8])和眼底(OR: 13.6；95% CI[5.1 ~ 35.8])检查。结论在疑似虐待儿童的识别和管理中，应提高医学和辅助医学知识和技能。

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

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.