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Caregiver Reports of Infant Distress and Injury in Abused Infants.
Rabbitt, Angela L; Olson, Nora L; Liegl, Melodee Nugent; Simpson, Pippa; Sheets, Lynn K.
Afiliação
  • Rabbitt AL; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI; Child Advocacy and Protection Services, Children's Wisconsin, Milwaukee, WI. Electronic address: arabbitt@chw.org.
  • Olson NL; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
  • Liegl MN; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
  • Simpson P; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
  • Sheets LK; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI; Child Advocacy and Protection Services, Children's Wisconsin, Milwaukee, WI.
J Pediatr ; 245: 190-195.e2, 2022 06.
Article em En | MEDLINE | ID: mdl-35351533
OBJECTIVES: To determine whether in infants evaluated for physical abuse, medical encounters for infant distress are correlated with physical abuse or a history of sentinel injuries. STUDY DESIGN: This retrospective, case-control analysis of infants aged <12 months evaluated for physical abuse identified demographic characteristics, prior injuries, and medical encounters for infant distress. Variables were compared between abused infants and nonabused infants with and without sentinel injuries. A nonparametric recursive classification tree analysis assessed interactions between variables. RESULTS: Infant distress was associated with abuse (67.9% vs 44.7%; P = .008; OR, 2.6; 95% CI, 1.3-5.2). Infants with sentinel injuries had higher rates of infant distress (74.1% vs 42.4%; P ≤ .001) and crying (81.5% vs 62.7%; P = .012). Previous falls (32.6% vs 18.1%; P = .03) and nonsentinel injuries (18.2% vs 5.4%; P = .002) also were associated with abuse, although sentinel injuries were the most important predictor of abuse, followed by infant distress. CONCLUSIONS: Infants with medical encounters for distress and injury may be at higher risk for abuse and may benefit from intensive educational and support services for their caregivers. Additional research evaluating the most effective interventions for caregivers of fussy infants is needed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Maus-Tratos Infantis / Cuidadores Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans / Infant Idioma: En Revista: J Pediatr Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Maus-Tratos Infantis / Cuidadores Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans / Infant Idioma: En Revista: J Pediatr Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos