Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis

ObjectiveElectronic health records (EHRs) are routinely used to identify family violence, yet reliable evidence of their validity remains limited. We conducted a systematic review and meta-analysis to evaluate the positive predictive values (PPVs) of coded indicators in EHRs for identifying intimate partner violence (IPV) and child maltreatment (CM), including prenatal neglect.MethodsWe searched 18 electronic databases between January 1980 and May 2020 for studies comparing any coded indicator of IPV or CM including prenatal neglect defined as neonatal abstinence syndrome (NAS) or fetal alcohol syndrome (FAS), against an independent reference standard. We pooled PPVs for each indicator using random effects meta-analyses.ResultsWe included 88 studies (3 875 183 individuals) involving 15 indicators for identifying CM in the prenatal period and childhood (0–18 years) and five indicators for IPV among women of reproductive age (12–50 years). Based on the International Classification of Disease system, the pooled PPV was over 80% for NAS (16 studies) but lower for FAS (<40%; seven studies). For young children, primary diagnoses of CM, specific injury presentations (eg, rib fractures and retinal haemorrhages) and assaults showed a high PPV for CM (pooled PPVs: 55.9%–87.8%). Indicators of IPV in women had a high PPV, with primary diagnoses correctly identifying IPV in >85% of cases.ConclusionsCoded indicators in EHRs have a high likelihood of correctly classifying types of CM and IPV across the life course, providing a useful tool for assessment, support and monitoring of high-risk groups in health services and research.

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Interplay between traumatic brain injury and intimate partner violence: data driven analysis utilizing electronic health records

BMC Women s Health ◽

10.1186/s12905-020-01104-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Larry Y. Liu ◽

William S. Bush ◽

Mehmet Koyutürk ◽

Günnur Karakurt

Keyword(s):

Traumatic Brain Injury ◽

Intimate Partner Violence ◽

Brain Injury ◽

Electronic Health Records ◽

Health Effects ◽

Partner Violence ◽

Intimate Partner ◽

Data Driven ◽

Health Records ◽

Electronic Health

Abstract Background It is estimated that a majority of intimate partner violence (IPV) victims suffer from blunt force to the head, neck and the face area. Injuries to head and neck are among the major causes for traumatic brain injury (TBI). Methods In this interdisciplinary study, we aimed to characterize the key associations between IPV and TBI by mining de-identified electronic health records data with more than 12 M records between 1999 to 2017 from the IBM Explorys platform. For this purpose, we formulated a data-driven analytical framework to identify significant health correlates among IPV, TBI and six control cohorts. Using this framework, we assessed the co-morbidity, shared prevalence, and synergy between pairs of conditions. Results Our findings suggested that health effects attributed to malnutrition, acquired thrombocytopenia, post-traumatic wound infection, local infection of wound, poisoning by cardiovascular drug, alcoholic cirrhosis, alcoholic fatty liver, and drug-induced cirrhosis were highly significant at the joint presence of IPV and TBI. Conclusion To develop a better understanding of how IPV is related to negative health effects, it is potentially useful to determine the interactions and relationships between symptom categories. Our results can potentially improve the accuracy and confidence of existing clinical screening techniques on determining IPV-induced TBI diagnoses.

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PROTOCOL: Technology‐based and digital interventions for intimate partner violence: A meta‐analysis and systematic review

Campbell Systematic Reviews ◽

10.1002/cl2.1132 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Chuka Emezue ◽

Tina L. Bloom

Keyword(s):

Systematic Review ◽

Intimate Partner Violence ◽

Partner Violence ◽

Meta Analysis ◽

Intimate Partner ◽

Digital Interventions

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The impact of electronic health records on healthcare quality: a systematic review and meta-analysis

European Journal of Public Health ◽

10.1093/eurpub/ckv122 ◽

2015 ◽

Vol 26 (1) ◽

pp. 60-64 ◽

Cited By ~ 77

Author(s):

Paolo Campanella ◽

Emanuela Lovato ◽

Claudio Marone ◽

Lucia Fallacara ◽

Agostino Mancuso ◽

...

Keyword(s):

Systematic Review ◽

Electronic Health Records ◽

Meta Analysis ◽

Healthcare Quality ◽

Health Records ◽

Electronic Health ◽

The Impact

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Do hospitals with electronic health records have lower costs? A systematic review and meta-analysis

International Journal of Healthcare Management ◽

10.1080/20479700.2019.1616895 ◽

2019 ◽

Vol 13 (1) ◽

pp. 65-71 ◽

Cited By ~ 3

Author(s):

Tina Highfill

Keyword(s):

Systematic Review ◽

Electronic Health Records ◽

Meta Analysis ◽

Health Records ◽

Electronic Health

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Meta-analysis and systematic review for the treatment of perpetrators of intimate partner violence

Neuroscience & Biobehavioral Reviews ◽

10.1016/j.neubiorev.2019.08.006 ◽

2019 ◽

Vol 105 ◽

pp. 220-230 ◽

Cited By ~ 9

Author(s):

Günnur Karakurt ◽

Esin Koç ◽

Ezgi Elif Çetinsaya ◽

Zozan Ayluçtarhan ◽

Shari Bolen

Keyword(s):

Systematic Review ◽

Intimate Partner Violence ◽

Partner Violence ◽

Meta Analysis ◽

Intimate Partner

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Intimate Partner Violence (IPV) Against HIV-Positive Women in Sub-Saharan Africa: A Mixed-Method Systematic Review and Meta-Analysis

Trauma Violence & Abuse ◽

10.1177/1524838020906560 ◽

2020 ◽

pp. 152483802090656 ◽

Cited By ~ 2

Author(s):

Eric Y. Tenkorang ◽

Michael Asamoah-Boaheng ◽

Adobea Y. Owusu

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Intimate Partner Violence ◽

Partner Violence ◽

Meta Analysis ◽

Intimate Partner ◽

Sub Saharan Africa ◽

Hiv Positive ◽

Hiv Positive Women ◽

Sub Saharan

Objectives: To systematically analyze and summarize the literature on intimate partner violence (IPV) against HIV-positive women in sub-Saharan Africa (SSA) and to identify their risk factors for IPV. Method: A comprehensive review of the literature using the Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA) and Meta-Analyses of Observational Studies in Epidemiology (MOOSE) yielded 1,879 articles (PubMed = 1,251, Embase = 491, Web of Science = 132, and identified additional records = 5). Twenty were selected for quantitative and qualitative assessment and synthesis. We employed a random effects model with generic inverse variance method and estimated the odds ratios. Findings: Results indicated a high prevalence of physical, sexual, and emotional violence against women living with HIV/AIDS in SSA. Educational background, alcohol use, marital status, previous experiences with IPV, and employment status were identified as significant risk factors. We also assessed the methodological quality of the articles by examining publication bias and some heterogeneity statistics. Conclusion: There is limited research on IPV against HIV-positive women in SSA. However, the few existing studies agree on the importance of targeting HIV-positive women with specific interventions given their vulnerability to IPV and to address factors exacerbating these risks and vulnerabilities.

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