Erin Klements , Robin L. Peterson , William A. Anastasiadis , Michael Dichiaro , Amy K. Connery
{"title":"虐待性头部创伤的早产儿和足月婴儿的危险因素和结局:一项回顾性比较研究","authors":"Erin Klements , Robin L. Peterson , William A. Anastasiadis , Michael Dichiaro , Amy K. Connery","doi":"10.1016/j.chiabu.2025.107657","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Premature birth is a risk factor for abusive head trauma (AHT), but no prior studies have compared preterm and term infants with AHT.</div></div><div><h3>Objective</h3><div>To assess differences in demographics, family/contextual factors, and outcomes between preterm and term infants with AHT.</div></div><div><h3>Participants and setting</h3><div>403 patients (70 preterm) treated for AHT between 2012 and 2020 at a tertiary care children's hospital.</div></div><div><h3>Methods</h3><div>Data were collected via chart review. Demographics, family/contextual variables, and a composite score for each Bayley Scales of Infant Development domain were compared between preterm and term patients with independent samples <em>t</em>-tests, chi-square tests, and binary logistic regression. Gestational age (GA) corrected and uncorrected Bayley scores for preterm patients were compared using a repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Preterm infants had significantly lower height (p < .001, d = 0.50) and weight (p < .001, d = 0.44) percentiles, but no other significant demographic or family/contextual differences were found. Preterm children earned numerically higher Bayley scores than term infants with GA correction and lower scores without correction. Corrected Bayley scores were significantly higher than uncorrected for preterm infants in the Cognitive (p < .001, η<sup>2</sup><sub>p</sub> = 0.083), Expressive Language (p = .005, η<sup>2</sup><sub>p</sub> = 0.052), Fine Motor (p = .001, η<sup>2</sup><sub>p</sub> = 0.045), and Gross Motor (p = .008, η<sup>2</sup><sub>p</sub> = 0.031) domains.</div></div><div><h3>Conclusions</h3><div>While no significant differences in demographics or family/contextual variables were observed, age corrected Bayley scores were significantly higher than uncorrected scores for preterm infants with AHT.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"169 ","pages":"Article 107657"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk factors and outcomes in preterm versus full-term infants with abusive head trauma: A retrospective comparative study\",\"authors\":\"Erin Klements , Robin L. Peterson , William A. Anastasiadis , Michael Dichiaro , Amy K. Connery\",\"doi\":\"10.1016/j.chiabu.2025.107657\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Premature birth is a risk factor for abusive head trauma (AHT), but no prior studies have compared preterm and term infants with AHT.</div></div><div><h3>Objective</h3><div>To assess differences in demographics, family/contextual factors, and outcomes between preterm and term infants with AHT.</div></div><div><h3>Participants and setting</h3><div>403 patients (70 preterm) treated for AHT between 2012 and 2020 at a tertiary care children's hospital.</div></div><div><h3>Methods</h3><div>Data were collected via chart review. Demographics, family/contextual variables, and a composite score for each Bayley Scales of Infant Development domain were compared between preterm and term patients with independent samples <em>t</em>-tests, chi-square tests, and binary logistic regression. Gestational age (GA) corrected and uncorrected Bayley scores for preterm patients were compared using a repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Preterm infants had significantly lower height (p < .001, d = 0.50) and weight (p < .001, d = 0.44) percentiles, but no other significant demographic or family/contextual differences were found. Preterm children earned numerically higher Bayley scores than term infants with GA correction and lower scores without correction. Corrected Bayley scores were significantly higher than uncorrected for preterm infants in the Cognitive (p < .001, η<sup>2</sup><sub>p</sub> = 0.083), Expressive Language (p = .005, η<sup>2</sup><sub>p</sub> = 0.052), Fine Motor (p = .001, η<sup>2</sup><sub>p</sub> = 0.045), and Gross Motor (p = .008, η<sup>2</sup><sub>p</sub> = 0.031) domains.</div></div><div><h3>Conclusions</h3><div>While no significant differences in demographics or family/contextual variables were observed, age corrected Bayley scores were significantly higher than uncorrected scores for preterm infants with AHT.</div></div>\",\"PeriodicalId\":51343,\"journal\":{\"name\":\"Child Abuse & Neglect\",\"volume\":\"169 \",\"pages\":\"Article 107657\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child Abuse & Neglect\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0145213425004132\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Abuse & Neglect","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0145213425004132","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
Risk factors and outcomes in preterm versus full-term infants with abusive head trauma: A retrospective comparative study
Background
Premature birth is a risk factor for abusive head trauma (AHT), but no prior studies have compared preterm and term infants with AHT.
Objective
To assess differences in demographics, family/contextual factors, and outcomes between preterm and term infants with AHT.
Participants and setting
403 patients (70 preterm) treated for AHT between 2012 and 2020 at a tertiary care children's hospital.
Methods
Data were collected via chart review. Demographics, family/contextual variables, and a composite score for each Bayley Scales of Infant Development domain were compared between preterm and term patients with independent samples t-tests, chi-square tests, and binary logistic regression. Gestational age (GA) corrected and uncorrected Bayley scores for preterm patients were compared using a repeated measures ANOVA.
Results
Preterm infants had significantly lower height (p < .001, d = 0.50) and weight (p < .001, d = 0.44) percentiles, but no other significant demographic or family/contextual differences were found. Preterm children earned numerically higher Bayley scores than term infants with GA correction and lower scores without correction. Corrected Bayley scores were significantly higher than uncorrected for preterm infants in the Cognitive (p < .001, η2p = 0.083), Expressive Language (p = .005, η2p = 0.052), Fine Motor (p = .001, η2p = 0.045), and Gross Motor (p = .008, η2p = 0.031) domains.
Conclusions
While no significant differences in demographics or family/contextual variables were observed, age corrected Bayley scores were significantly higher than uncorrected scores for preterm infants with AHT.
期刊介绍:
Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.