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Would shared health visitor and emergency department records improve recognition of child maltreatment within the emergency department? A prospective multicentre study

Nuttall, Diane; Rea, David; Bennett, C Verity; Hollén, Linda; Mullen, Stephen; Maguire, Sabine; Emond, Alan; Kemp, Alison; Deave, Toity

Would shared health visitor and emergency department records improve recognition of child maltreatment within the emergency department? A prospective multicentre study Thumbnail


Authors

Diane Nuttall

David Rea

C Verity Bennett

Linda Hollén

Stephen Mullen

Sabine Maguire

Alan Emond

Alison Kemp

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Toity Deave Toity.Deave@uwe.ac.uk
Associate Professor in Child & Family Health



Abstract

Burns are common causes of paediatric emergency care attendance; approximately ten per cent result from maltreatment. Following emergency department (ED) attendance with a burn by 232 under five-year-olds, 11 risk factors for maltreatment were collected via health visitor (HV) telephone surveys. Three of these risk factors (domestic violence, social care involvement and developmental impairment) were also available in ED records, and information collected was compared between the two. Non-parametric Fisher's exact tests were applied. Fifty-nine per cent of children lived in families with risk factors for maltreatment. Prominent risk factors known by HVs included: prior injuries (n = 55, 23.7%), carer/parent mental health problems (n = 48, 20.7%), domestic violence (n = 47, 20.3%) and social care involvement (n = 45, 19.4%). A total of 158 cases had complete data for all 11 risk factors: 49 (31.0%) lived in households with one factor, 22 (13.9%) with two factors and 27 (17.1%) with three or more risk factors. In cases where HVs recorded the following risk factors as present, EDs recorded five of 47 (10.6%) for domestic violence, ten of 45 (22.2%) with social care involvement and four of 23 (17.4%) with developmental impairment. Many risk factors that were known to HVs were not identified by EDs staff despite being part of a standardised proforma. Maltreatment risk assessment could be improved if EDs staff had access to HV information. © 2020 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES: • Fifty-nine per cent of preschool children who attended an ED with a burn live in a family with one or more maltreatment risk factors, as identified by HV records.

Citation

Nuttall, D., Rea, D., Bennett, C. V., Hollén, L., Mullen, S., Maguire, S., …Deave, T. (2020). Would shared health visitor and emergency department records improve recognition of child maltreatment within the emergency department? A prospective multicentre study. Child Abuse Review, 29(6), 518-528

Journal Article Type Article
Acceptance Date Jan 7, 2020
Online Publication Date Jan 7, 2021
Publication Date 2020-12
Deposit Date Jun 25, 2021
Publicly Available Date Mar 29, 2024
Journal Child Abuse Review
Print ISSN 0952-9136
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 29
Issue 6
Pages 518-528
Public URL https://uwe-repository.worktribe.com/output/6995377

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Would shared Health Visitor and Emergency Department records improve recognition of child maltreatment within the ED? A prospective multi-centre study (57 Kb)
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Copyright Statement
This is the peer reviewed version of the following article: [Nuttall, D., Rea, D., Bennett, C. V., Hollén, L., Mullen, S., Maguire, S., …Deave, T. (2020). Would shared health visitor and emergency department records improve recognition of child maltreatment within the emergency department? A prospective multicentre study. Child Abuse Review, 29(6), 518-528], which has been published in final form at https://doi.org/10.1002/car.2641. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions


Would shared Health Visitor and Emergency Department records improve recognition of child maltreatment within the ED? A prospective multi-centre study (267 Kb)
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Licence
http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: [Nuttall, D., Rea, D., Bennett, C. V., Hollén, L., Mullen, S., Maguire, S., …Deave, T. (2020). Would shared health visitor and emergency department records improve recognition of child maltreatment within the emergency department? A prospective multicentre study. Child Abuse Review, 29(6), 518-528], which has been published in final form at https://doi.org/10.1002/car.2641. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions




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