Missed and Missing Cases of Abusive Injuries: The Magnitude and the Measurement of the Problem

Autor/inn/en	Chadwick, David L.; Castillo, Edward M.; Kuelbs, Cynthia; Cox, Susan A.; Lindsay, Suzanne P.
Titel	Missed and Missing Cases of Abusive Injuries: The Magnitude and the Measurement of the Problem
Quelle	In: Child Abuse & Neglect: The International Journal, 34 (2010) 12, S.943-950 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2010.08.001
Schlagwörter	Health Promotion; Prevention; Injuries; Public Health; Databases; Child Abuse; Measurement; Comparative Analysis; Hospitals; Death; Evaluation Criteria; Crime; Definitions; Recidivism; Young Children + Suchen Sie Ihr Suchwort? Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Prävention; Vorbeugung; Gesundheitswesen; Datenbank; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Messverfahren; Krankengymnast; Krankenhaus; Sterbefall; Tod; Todesfall; Crimes; Delict; Delicts; Delikt; Begriffsbestimmung; Rückfall; Frühe Kindheit
Abstract	Objective: The authors' objective is to describe the disparity between the case-fatality rates for inflicted versus unintentional injuries of children, and to emphasize its utility as a way of estimating the effectiveness of the ascertainment of inflicted injuries of children. Method: Determination, comparison, and explanation of the case-fatality-rate disparity in four injury databases were derived from hospitalized injury cases. Results: The CFR disparity is 6-14-fold in the 4 injury databases. The CFR disparity varies strongly and inversely with the observed incidence of inflicted injuries in the databases. Conclusions: A large disparity between the case fatality rates (CFRs) of inflicted and unintentional injuries exists in a number of injury databases. Inflicted injuries have much higher CFRs than unintentional injuries. The disparity can be accounted for by "missed" (incorrectly diagnosed) and "missing" (unseen) cases. Practice implications: Present diagnostic criteria for physically abusive (inflicted) injuries are forensically-driven and too conservative for public health purposes. New public-health-oriented case definitions for "inflicted injury" are needed. Programs to reduce injury recidivism in young children should be a part of overall injury prevention. (Contains 7 tables.) (As Provided).
Anmerkungen	Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10