Medical Visits From Birth to 6 Months Predict Child Maltreatment Diagnoses Up to Age 5
Medical Visits From Birth to 6 Months Predict Child Maltreatment Diagnoses Up to Age 5
复制标题
DOI：
10.1177/0009922820941630
复制
发表时间：
2020-07-22
影响因子：
1.6
通讯作者：
Wu, Jun
中科院分区：
文献类型：
--
作者：
Negriff, Sonya;DiGangi, Mercie J.;Wu, Jun
南加州Kaiser Permanente儿科成员的电子健康记录数据被用来确定早期婴儿(0-6个月)的关键变量(即急诊科就诊次数和提供者数量)，使儿童在生命的头5年被诊断为虐待的风险更高。分析样本包括2009年1月1日至2018年6月30日出生的96462名0至5岁儿童。泊松回归显示，与那些没有去急诊科就诊的儿童相比，从出生到6个月有两次急诊科就诊的儿童在2岁和5岁之前被诊断为虐待的风险是两倍。在出生后的头6个月，初级保健提供者(0-5个提供者)的连续性较高的儿童在2岁和5岁时被诊断为虐待的风险低于那些看过多个提供者的儿童(6+)。有关婴儿早期医疗利用的信息可能有助于医生和其他医疗提供者识别虐待风险较高的儿童，并防止未来发生事故。
Electronic health record data for pediatric members of Kaiser Permanente Southern California were used to identify key variables (ie, the number of emergency department visits and the number of providers) available in early infancy (0-6 months) placing children at higher risk of a maltreatment diagnosis in the first 5 years of life. The analytic sample included 96 462 children age 0 to 5 years born from January 1, 2009, to June 30, 2018. Poisson regression showed that children with >= 2 emergency department visits from birth to 6 months were at twice the risk of a maltreatment diagnosis before age 2 and 5 years compared with those children with no emergency department visits. Children with more continuity of primary care providers (0-5 providers) in the first 6 months of life were at lower risk of a maltreatment diagnosis at 2 years and 5 years than those children who saw multiple providers (6+). Information about medical utilization in early infancy may help physicians and other medical providers identify children at higher risk of maltreatment and prevent future incidents.