Title |
A Model to Improve Detection of Nonaccidental Pediatric Burns
|
---|---|
Published in |
The AMA Journal of Ethic, June 2018
|
DOI | 10.1001/journalofethics.2018.20.6.org1-1806 |
Pubmed ID | |
Authors |
Lauren C Nigro, Michael J Feldman, Robin L Foster, Andrea L Pozez |
Abstract |
Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental. A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period. We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented. Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 11 | 52% |
Costa Rica | 1 | 5% |
India | 1 | 5% |
Paraguay | 1 | 5% |
Australia | 1 | 5% |
Canada | 1 | 5% |
Unknown | 5 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 38% |
Practitioners (doctors, other healthcare professionals) | 7 | 33% |
Scientists | 6 | 29% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 24 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 4 | 17% |
Student > Bachelor | 4 | 17% |
Other | 3 | 13% |
Student > Master | 3 | 13% |
Student > Doctoral Student | 2 | 8% |
Other | 3 | 13% |
Unknown | 5 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 42% |
Nursing and Health Professions | 4 | 17% |
Psychology | 1 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Social Sciences | 1 | 4% |
Other | 1 | 4% |
Unknown | 6 | 25% |