Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study

Lyttle, Mark D.; Babl, Franz E; Pfeiffer, Helena; Dalziel, Stuart R; Oakley, Ed; Anderson, Vicki; Borland, Meredith L; Phillips, Natalie; Kochar, Amit; Dalton, Sarah; Cheek, John A; Gilhotra, Yuri; Furyk, Jeremy; Neutze, Jocelyn; Lyttle, Mark D; Bressan, Silvia; Donath, Susan; Hearps, Stephen JC; Crowe, Louise

Abstract

© 2018 Australasian College for Emergency Medicine Objective: Although there is a large body of research on head injury (HI) inflicted by caregivers in young children, little is known about intentional HI in older children and inflicted HI by perpetrators other than carers. Therefore, we set out to describe epidemiology, demographics and severity of intentional HIs in childhood. Methods: A planned secondary analysis of a prospective multicentre cohort study was conducted in 10 EDs in Australia and New Zealand, including children aged 1 day or admission ≥2 days with abnormal computed tomography [CT]) was descriptively analysed. Results: Intentional injuries were identified in 372 of 20 137 (1.8%) head-injured children. Injuries were caused by caregivers (103, 27.7%), by peers (97, 26.1%), by siblings (47, 12.6%), by strangers (35, 9.4%), by persons with unknown relation to the patient (21, 5.6%), other intentional injuries (8, 2.2%) or undetermined intent (61, 16.4%). About 75.7% of victims of assault by caregivers were

Citation

Lyttle, M. D., Babl, F. E., Pfeiffer, H., Dalziel, S. R., Oakley, E., Anderson, V., …Crowe, L. (2019). Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study. Emergency Medicine Australasia, 31(4), 546-554. https://doi.org/10.1111/1742-6723.13202

• Journal Article Type: Article
• Acceptance Date: Oct 10, 2018
• Online Publication Date: Nov 26, 2018
• Publication Date: Aug 1, 2019
• Deposit Date: Dec 3, 2018
• Publicly Available Date: Nov 27, 2019
• Journal: EMA - Emergency Medicine Australasia
• Print ISSN: 1742-6731
• Electronic ISSN: 1742-6723
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 31
• Issue: 4
• Pages: 546-554
• DOI: https://doi.org/10.1111/1742-6723.13202
• Keywords: paediatric head injury, intentional, bullying
• Public URL: https://uwe-repository.worktribe.com/output/856796
• Publisher URL: http://dx.doi.org/10.1111/1742-6723.13202
• Additional Information: Additional Information : This is the peer reviewed version of the following article: [Babl, F. E., Pfeiffer, H., Dalziel, S. R., Oakley, Ed, Anderson, V., Borland, M. L., Phillips, N., Kochar, A., Dalton, S., Cheek, J. A., Gilhotra, Y., Furyk, J., Neutze, J., Lyttle, M. D., Bressan, S., Donath, S., Hearps, S. J. and Crowe, L. (2018) Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study. Emergency Medicine Australasia. ISSN 1742-6731], which has been published in final form at http://dx.doi.org/10.1111/1742-6723.13202. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.