Child abuse and neglect presentations to a pediatric emergency department

2002 ◽  
Vol 23 (4) ◽  
pp. 341-345 ◽  
Author(s):  
Reza Keshavarz ◽  
Rebekah Kawashima ◽  
Chris Low
Keyword(s):  
Emergency Department ◽  
Child Abuse ◽  
Child Abuse And Neglect ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Abuse And Neglect

scholarly journals Pediatric emergency department visits due to child abuse and neglect following COVID-19 public health emergency declaration in the Southeastern United States

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Rose Bullinger ◽  
Angela Boy ◽  
Stephen Messner ◽  
Shannon Self-Brown
Keyword(s):  
Public Health ◽  
United States ◽  
Emergency Department ◽  
Child Abuse ◽  
Southeastern United States ◽  
Pediatric Emergency ◽  
Public Health Emergency ◽  
Pediatric Emergency Department ◽  
Abuse And Neglect ◽  
Ed Visits

Abstract Background The ongoing worldwide COVID-19 pandemic has heightened several risk factors  for child abuse and neglect (CAN). We study whether COVID-19 and the public health response to it affected CAN-related pediatric emergency department (ED) visits in the southeastern United States (US). Methods We performed a retrospective chart review on medical records of ED visits from a level I pediatric hospital system serving one of the largest metropolitan areas in the southeastern US from January through June 2018–2020. We used multivariate Poisson regression and linear regression to compare professionally identified CAN-related ED visits before and after a COVID-19 public health emergency declaration in 2020, relative to trends over the same period in 2018 and 2019. Results Although the number of both overall pediatric ED visits and CAN-related ED visits declined, the number of CAN-related ED visits due to neglect from inadequate adult supervision increased by 62 % (p < 0.01). The number of CAN visits per 1,000 pediatric ED visits also increased by 97 % (p < 0.01). Finally, the proportion of CAN-related ED visits due to neglect from inadequate supervision increased by 100 % (p < 0.01). Conclusions Physicians should be aware that patients who present with injuries during a pandemic may be victims of neglect due to changes in social structures in their households. In particular, maltreatment presenting to the ED shifted toward treating injuries and abuse resulting from inadequate supervision. Policymakers should consider the impacts of stay-at-home orders on child well-being when determining appropriate public health responses in the midst of a pandemic. Trial Registration Not applicable.

Response to child abuse in the pediatric emergency department

1999 ◽  
Vol 15 (6) ◽  
pp. 376-382 ◽  
Author(s):  
ROSALIND J. WRIGHT ◽  
ROBERT O. WRIGHT ◽  
LORI FARNAN ◽  
NANCY E. ISAAC
Keyword(s):  
Emergency Department ◽  
Child Abuse ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

Parents’ Opinion About a Routine Head-to-Toe Examination of Children as a Screening Instrument for Child Abuse and Neglect in Children Visiting the Emergency Department

2016 ◽  
Vol 42 (2) ◽  
pp. 128-138 ◽  
Author(s):  
Arianne Hélène Teeuw ◽  
Eva M. Hoytema van Konijnenburg ◽  
Tessa Sieswerda-Hoogendoorn ◽  
Sjaak Molenaar ◽  
Hugo S. Heymans ◽  
...  
Keyword(s):  
Emergency Department ◽  
Child Abuse ◽  
Child Abuse And Neglect ◽  
Screening Instrument ◽  
Abuse And Neglect

Child Abuse and Nonaccidental Trauma

2018 ◽  
Author(s):  
S Terez Malka
Keyword(s):  
Child Abuse ◽  
Child Neglect ◽  
Child Abuse And Neglect ◽  
Pediatric Emergency ◽  
Laboratory Evaluation ◽  
X Rays ◽  
Nonaccidental Trauma ◽  
Fracture Patterns ◽  
Abuse And Neglect

Child abuse accounts for over 1% of visits to pediatric emergency departments (EDs), and injuries related to abuse have higher morbidity and mortality than accidental injuries. Recognizing child abuse and neglect in the ED is challenging but critical to prevent recurrent episodes of abuse and long-term physical and emotional sequelae. This review defines child abuse and neglect and explores historical and physical examination findings, assessment and diagnosis, treatment, disposition, and outcomes for victims of child abuse. Figures show x-rays demonstrating common fracture patterns associated with abusive injury and an algorithm for evaluation of nonaccidental trauma in the ED. Tables list key historical elements in the evaluation for abuse or neglect, bruising characteristics suggestive of abuse, fractures that are specific for abuse, and recommended laboratory evaluation for suspected abuse.  This review contains 4 figures, 5 tables, and 36 references. Key words: child abuse, child neglect, nonaccidental trauma, sexual abuse

Child Abuse and Nonaccidental Trauma

2017 ◽  
Author(s):  
S Terez Malka
Keyword(s):  
Child Abuse ◽  
Child Neglect ◽  
Child Abuse And Neglect ◽  
Pediatric Emergency ◽  
Laboratory Evaluation ◽  
X Rays ◽  
Nonaccidental Trauma ◽  
Fracture Patterns ◽  
Abuse And Neglect

Child abuse accounts for over 1% of visits to pediatric emergency departments (EDs), and injuries related to abuse have higher morbidity and mortality than accidental injuries. Recognizing child abuse and neglect in the ED is challenging but critical to prevent recurrent episodes of abuse and long-term physical and emotional sequelae. This review defines child abuse and neglect and explores historical and physical examination findings, assessment and diagnosis, treatment, disposition, and outcomes for victims of child abuse. Figures show x-rays demonstrating common fracture patterns associated with abusive injury and an algorithm for evaluation of nonaccidental trauma in the ED. Tables list key historical elements in the evaluation for abuse or neglect, bruising characteristics suggestive of abuse, fractures that are specific for abuse, and recommended laboratory evaluation for suspected abuse.  This review contains 4 figures, 4 tables, and 37 references. Key words: child abuse, child neglect, nonaccidental trauma, sexual abuse

Child Abuse and Nonaccidental Trauma

2018 ◽  
Author(s):  
S Terez Malka
Keyword(s):  
Child Abuse ◽  
Child Neglect ◽  
Child Abuse And Neglect ◽  
Pediatric Emergency ◽  
Laboratory Evaluation ◽  
X Rays ◽  
Nonaccidental Trauma ◽  
Fracture Patterns ◽  
Abuse And Neglect

Child abuse accounts for over 1% of visits to pediatric emergency departments (EDs), and injuries related to abuse have higher morbidity and mortality than accidental injuries. Recognizing child abuse and neglect in the ED is challenging but critical to prevent recurrent episodes of abuse and long-term physical and emotional sequelae. This review defines child abuse and neglect and explores historical and physical examination findings, assessment and diagnosis, treatment, disposition, and outcomes for victims of child abuse. Figures show x-rays demonstrating common fracture patterns associated with abusive injury and an algorithm for evaluation of nonaccidental trauma in the ED. Tables list key historical elements in the evaluation for abuse or neglect, bruising characteristics suggestive of abuse, fractures that are specific for abuse, and recommended laboratory evaluation for suspected abuse.  This review contains 4 figures, 4 tables, and 37 references. Key words: child abuse, child neglect, nonaccidental trauma, sexual abuse

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