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http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2509| Título : | Abusive head trauma at a tertiary care children's hospital in Mexico City. A preliminary study |
| Creador: | Díaz Olavarrieta C., |
| Nivel de acceso: | Open access |
| Palabras clave : | Adolescente Adulto Maltrato a los Niños - diagnóstico Maltrato a los Niños - estadística & datos numéricos Preescolar Traumatismos Craneocerebrales - diagnóstico Traumatismos Craneocerebrales - epidemiología Estudios Transversales Composición Familiar Femenino Hospitales Pediátricos Humanos Lactante masculino México Mediana Edad Embarazo Embarazo no Planeado Prevalencia Factores de Riesgo Adulto Joven Adolescent Adult Child Abuse - diagnosis Child Abuse - statistics & numerical data Child, Preschool Craniocerebral Trauma - diagnosis Craniocerebral Trauma - epidemiology Cross-Sectional Studies Family Characteristics Female Hospitals, Pediatric Humans Infant Male Mexico Middle Aged Pregnancy Pregnancy, Unplanned Prevalence Risk Factors Young Adult Traumatismos Craneoencefálicos Maltrato a los Niños México Abusive head trauma Child abuse Mexico |
| Descripción : | Objectives: Determine the prevalence, clinical signs and symptoms, and demographic and family characteristics of children attending a tertiary care hospital in Mexico City, Mexico, to illustrate the characteristics of abusive head trauma among this population. Methods: This is a cross-sectional descriptive study of infants and children under 5, who suffered head trauma and were admitted to the National Pediatrics Institute in Mexico City, a tertiary care referral center. We reviewed medical records and extracted data on clinical and neurological signs and symptoms, fundus, radiological (long bones, thorax, CAT scan), and laboratory tests. We administered a standardized questionnaire assessing child abuse and neglect to the parents of the children included in the study. Results: One hundred and twenty children, under 5 presenting with head trauma, were recruited, 13 (11%) were considered abusive head trauma (AbHT) and 107 (89%) were diagnosed as accidental head injury (AcHI). The AbHT group comprised younger infants (mean age 8 months) and the AcHI group included toddlers about an average of 25 months. To account for this significant age difference, we performed a comparison of age matched cases. The children in the AbHT were more likely to be female, the result of the first unintended pregnancy and the children of younger mothers (17-19). Mothers in this group had attended fewer than 5 prenatal care visits and fathers had a history of alcohol abuse. Five (38%) of the 13 AbHT children did not survive their injuries and overall showed greater neurological and respiratory compromise, increased prothrombin time (PT), and lower hematocrit values. The most common intracranial injuries suffered by children in the AbHT group were subdural/epidural hematoma and parenchymal/subarachnoid hemorrhage. Retinal hemorrhage was the most frequent ocular injury. Conclusions: In a tertiary care children's hospital, 11% of the children presenting with head trauma, were considered of abusive origin. Unintended pregnancy among teen mothers and substance abuse in the father were associated with abusive head trauma in this descriptive study. © 2011. |
| Colaborador(es) u otros Autores: | García-Piña C.A. Loredo-Abdala A. Paz F. Garcia S.G. Schilmann A. |
| Fecha de publicación : | 2011 |
| Tipo de publicación: | Artículo |
| Formato: | |
| Identificador del Recurso : | 10.1016/j.chiabu.2011.05.017 |
| Fuente: | Child Abuse and Neglect 35(11):915 - 923 |
| URI : | http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2509 |
| Idioma: | eng |
| Aparece en las colecciones: | Artículos |
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