Risk factors and physical signs of child abuse in hospitalized children in Taiwan |
| |
| Institution: | 1. Department of Nursing, National Tainan Junior College of Nursing, No. 78, Sec. 2, Minzu Rd., Tainan 700, Taiwan;2. Institute of Public Health, College of Medicine, National Chen Kung University, No. 1, University Rd., Tainan 701, Taiwan;3. Department of Orthopedics, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan 701, Taiwan;4. Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Rd., Tainan 704, Taiwan;5. Department of Nursing, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan 701, Taiwan;6. Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan 701, Taiwan;7. Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Rd., Tainan 704, Taiwan;1. Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Anhui, China;2. Department of Epidemiology and Biostatistics School of Public Health, Tongji Medical College Huazhong University of Science and Technology, Wuhan, China;3. Department of Human Anatomy, Histology & Embryology, Anhui Medical College, Anhui, China;4. Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui, China;1. Department of Epidemiology, Biostatistics, and Occupational Health, School of Population and Global Health, Faculty of Medicine, McGill University, 1020 Avenue des Pins Ouest, H3A 1A2, Montréal (QC), Canada;2. Department of Medicine, Division of Infectious Disease and Chronic Viral Illness Service, McGill University Health Centre, 1001 Boulevard Décarie, H4A 3J1, Montréal (QC), Canada;3. Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, 5252 Boulevard de Maisonneuve Ouest, H4A 3S5, Montréal (QC), Canada;4. Département de Médecine Sociale et Préventive, Université Laval, 1050 Avenue de la Médecine, G1V 016, Québec (QC), Canada;5. Axe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec-Université Laval, 1050 Chemin Sainte-Foy, G1S 4L8, Québec (QC), Canada;6. Institut National de Santé Publique du Québec, 945 Avenue Wolfe, G1V 5B3, Québec (QC), Canada;1. Department of Nursing, College of Medicine, National Cheng Kung University, 1 University Rd., Tainan 70101, Taiwan;2. Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng Li Rd., Tainan 70403, Taiwan;3. Department of Public Health, College of Medicine, National Cheng Kung University, 138 Sheng Li Rd., Tainan 70403, Taiwan;4. Health Intelligence Company, 225 N Michigan Ave, Chicago, IL 60601-7757, United States;5. School of Nursing, College of Medicine, National Taiwan University, 1, Sec. 1, Jen-Ai Rd., Taipei 10051, Taiwan |
| |
| Abstract: | PurposeThis study used the Criteria for Distinguishing Abuse from Accidents Chinese version (CDAA-C) to determine cases of child abuse, undetermined intent, and unintentional injury, and compared risk factors and injury profiles among hospitalized children in Taiwan.DesignA retrospective chart review study.MethodsWe selected children aged 0–3 who were hospitalized with a discharge diagnosis of injury or child maltreatment in a medical center in southern Taiwan between 2007 and 2009. The CDAA-C was used to collect children's demographics and injury types and to determine the intent of injury. Children's charts with records and notes of admission, surgery and emergency care were reviewed and analyzed.ResultsAmong 157 eligible cases, the CDAA-C identified 13 child abuse cases including additional 8 victims who were not previously coded in ICD-9-CM. Most abused children suffered from brain injuries, had ≥ 2 in jury incidents, and had a misdiagnosis in the previous visit. Abused children were younger and more likely to be born premature.ConclusionsThis study highlighted the under-diagnosis of child abuse in Taiwan. An easy-to-use standardized screening tool for child abuse in Taiwan is needed. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
