Identifying Abuse and Neglect in Hospitalized Children With Burn Injuries.
J Surg Res
; 257: 232-238, 2021 01.
Article
em En
| MEDLINE
| ID: mdl-32862050
ABSTRACT
BACKGROUND:
The purpose of this study was to identify the pattern of injuries that relates to abuse and neglect in children with burn injuries.METHODS:
The Nationwide Readmissions Database for 2010-2014 was queried for all patients aged less than 18 y admitted with burn injuries. The primary outcome was child maltreatment identified at the index admission. The secondary outcome was readmission for maltreatment. A subgroup analysis was performed on patients without a diagnosis of maltreatment during the index admission. Multivariable logistic regression was performed for each outcome.RESULTS:
There were 57,939 admissions identified and 1960 (3.4%) involved maltreatment at the index admission. Maltreatment was associated with total body surface area burned >20% (odds ratio (OR) 2.79, P < 0.001) and burn of the lower limbs (OR 1.37, P < 0.001). Readmission for maltreatment was found in 120 (0.2%), and the strongest risk factor was maltreatment identified at the index admission (OR 5.11, P < 0.001). After excluding the patients with maltreatment identified at the index admission, 96 (0.17%) children were found to have a readmission for maltreatment that may have been present on the index admission and subsequently missed. The strongest risk factor was burn of the eye or ocular adnexa (OR 3.79, P = 0.001).CONCLUSIONS:
This study demonstrates that a portion of admissions for burn injuries in children could involve maltreatment that was undiagnosed. Identifying these at-risk individuals is critical to prevention efforts.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Queimaduras
/
Maus-Tratos Infantis
/
Criança Hospitalizada
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Diagnóstico Ausente
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article