Yield of Skeletal Survey by Age in Children Referred to Abuse Specialists
Yield of Skeletal Survey by Age in Children Referred to Abuse Specialists
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DOI：
10.1016/j.jpeds.2014.01.068
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发表时间：
2014-06-01
影响因子：
5.1
通讯作者：
Harper, Nancy S.
中科院分区：
文献类型：
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作者：
Lindberg, Daniel M.;Berger, Rachel P.;Harper, Nancy S.
目的确定骨骼调查完成率和损伤识别作为年龄的函数在儿童谁进行亚专业评估关注的身体abuse.Study design这是一个回顾性的二次分析的观察性研究2609名儿童50%的科目，但利率下降到小于35%的科目>36个月。24-36月龄儿童（10.3%，95%CI 7.2-14.2）和12-24月龄儿童（12.0%，95%CI 9.2-15.3）之间骨骼调查的新骨折识别率相似。结论骨骼调查识别了因身体虐待而转介专科咨询的儿童中的重要部分的新骨折。这些数据支持认为所有这些儿童都必须进行骨骼调查的指导方针
Objective To determine rates of skeletal survey completion and injury identification as a function of age among children who underwent subspecialty evaluation for concerns of physical abuse.Study design This was a retrospective secondary analysis of an observational study of 2609 children 50% of subjects, but rates decreased to less than 35% for subjects >36 months. New fracture identification rates for skeletal survey were similar between children 24-36 months of age (10.3%, 95% CI 7.2-14.2) and children 12-24 months of age (12.0%, 95% CI 9.2-15.3)Conclusions Skeletal surveys identify new fractures in an important fraction of children referred for subspecialty consultation with concerns of physical abuse. These data support guidelines that consider skeletal survey mandatory for all such children