Abusive head trauma and the triad: a critique on behalf of RCPCH of 'Traumatic shaking: the role of the triad in medical investigations of suspected traumatic shaking'.
Arch Dis Child
; 103(6): 606-610, 2018 06.
Article
in En
| MEDLINE
| ID: mdl-29510999
ABSTRACT
The Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) has recently published what they purported to be a systematic review of the literature on 'isolated traumatic shaking' in infants, concluding that 'there is limited evidence that the so-called triad (encephalopathy, subdural haemorrhage, retinal haemorrhage) and therefore its components can be associated with traumatic shaking'. This flawed report, from a national body, demands a robust response. The conclusions of the original report have the potential to undermine medico-legal practice. We have conducted a critique of the methodology used in the SBU review and have found it to be flawed, to the extent that children's lives may be put at risk. Thus, we call on this review to be withdrawn or to be subjected to international scrutiny.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Publications
/
Research Design
/
Child Abuse
/
Shaken Baby Syndrome
/
Biomedical Research
Type of study:
Diagnostic_studies
/
Health_technology_assessment
Limits:
Humans
/
Infant
Language:
En
Journal:
Arch Dis Child
Year:
2018
Document type:
Article