Transfer of knowledge to diagnose infant abuse and its incidence - a time-series analysis from Sweden.
Implement Sci
; 17(1): 15, 2022 02 04.
Article
em En
| MEDLINE
| ID: mdl-35120543
ABSTRACT
AIM:
To analyse the transfer of knowledge on how to detect physical abuse, especially shaken baby syndrome/abusive head trauma (SBS/AHT), and its association to trends in infant abuse diagnoses (maltreatment and assault).METHODS:
Design:
retrospective population-based and quasi-experimental.SETTING:
Sweden 1987-2019. PATIENTS Children below age 1 year, selected from the National Patient Register (n = 1150). Exposures Literature search for transfer of knowledge by diffusion, dissemination and implementation, and whether supportive or disruptive of the SBS/AHT paradigm. MAIN OUTCOMEMEASURE:
Abuse diagnoses (maltreatment or assault). ANALYSES Incidence rate, incidence rate ratio (IRR).RESULTS:
The overall incidence rate of abuse was 32.23 per 100,000 during the years 1987-2019. It was rather stable 1987-2000. The SBS diagnosis was introduced in the late 1990s. A comprehensive increase of transfer of knowledge on physical abuse, specifically on SBS/AHT and dangers of shaking, took place from 2002 and onward through diffusion, dissemination and implementation. Maltreatment diagnoses, but not assault diagnosis, increased steeply during 2002-2007, peaking in 2008-2013 [IRR 1.63 (95% confidence interval 1.34-1.98)]. Transfer of disruptive knowledge on SBS/AHT during the period 2014-2019 was associated with a decline in maltreatment diagnoses [IRR 0.84 (95% confidence interval 0.71-0.99)].CONCLUSION:
An increase in maltreatment diagnoses was associated with transfer of supportive knowledge of the SBS/AHT paradigm, while a decline occurred toward the end of the study period, which might indicate a burgeoning de-implementation process.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Maus-Tratos Infantis
/
Síndrome do Bebê Sacudido
/
Traumatismos Craniocerebrais
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article