Age-related incidence of publicly reported shaken baby syndrome cases: Is crying a trigger for shaking?
Age-related incidence of publicly reported shaken baby syndrome cases: Is crying a trigger for shaking?
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DOI：
10.1097/dbp.0b013e3180327b55
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发表时间：
2007-08-01
影响因子：
2.4
通讯作者：
Wicks, Amy
中科院分区：
文献类型：
--
作者：
Lee, Cynthia;Barr, Ronald G.;Wicks, Amy
目的：本研究旨在确定公开报告的摇晃婴儿综合征(SBS)病例的年龄别发病率(1)和公开报告的以哭声为刺激的SBS病例的年龄别发病率(2)是否具有与先前报道的正常哭闹曲线相似的特性。方法：本研究使用2003年1月1日至2004年8月31日期间录入的病例，从国家摇晃婴儿综合征中心的数据集中报告了受创伤时按儿童年龄划分的SBS病例。结果：据报道，有591例1.5岁以下的婴儿受到摇晃或摇晃和身体虐待。其中，166例被报道为哭闹刺激。在两个样本中，特定年龄的发病率曲线开始于2-3周龄，在9-12周龄达到一个明显的峰值，到29-32周龄下降到更稳定的水平，类似于正常的哭闹曲线。这些曲线具有相似的起始点和形状，与正常的哭泣曲线相比，峰值略有延迟。结论：这些发现提供了一致的间接证据，表明哭闹，特别是在出生后4个月内，是SBS的重要刺激因素。
Objective: This study aims to determine whether the age-specific incidences (1) of publicly reported cases of shaken baby syndrome (SBS) and (2) of publicly reported cases of SBS with crying as the stimulus have similar properties to the previously reported normal crying curve. Methods: The study reports cases of SBS by age of the child at the time of the inflicted trauma from the data set of the National Center on Shaken Baby Syndrome using cases entered between January 1, 2003 and August 31, 2004. Results: There were 591 cases of infants up to 1.5 years of age who had been reported to have been shaken or shaken and physically abused. Of these, crying was reported as the stimulus in 166 cases. in both samples, the curves of age-specific incidence started at 2-3 weeks, reached a clear peak at about 9-12 weeks of age, and declined to lower more stable levels by about 29-32 weeks of age, similar to the normal crying curve. These curves have similar onsets and shapes and a slightly later peak compared to the normal crying curve. Conclusions: The findings provide convergent indirect evidence that crying, especially in the first 4 months of age, is an important stimulus for SBS.