March 2010. Volume 6. Number 1

Apnoea and retinal haemorrhages are clinical findings that can help distinguish brain damage  caused by child abuse from other types

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Maguire S, Pickerd N, Farewell, Mann M, Tempest V, Kemp AM. Which clinical features distinguish inflicted from non- inflicted brain injury? A systematic review. Arch Dis Child. 2009;94:860-7
Reviewers: González de Dios J1, Perdikidis Olivieri L2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2EAP Juncal. Torrejón de Ardoz. Madrid. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Acceptance date: 25/02/2010
Publication date: 25/03/2010

Abstract

Authors’ conclusions: apnoea and retinal haemorrhages are clinical  findings that have a strong association with brain damage secondary to child abuse.

Reviewers’ commentary:  the PPV and OR of seven clinical findings is evaluated to establish their relation with the causes of brain injury. The findings with the strongest statistical association with iBI (inflicted brain injury) are apnoea (OR 17) and/or retinal haemorrhage (OR 3,5). Even though rib fractures, seizures and bone fractures are more frequent in iBI and cranial fractures and bruising of head/neck in niBI (non inflicted brain injury)  these differences are non significant and therefore, not useful to discriminate one type of injury from the others. In any case none of these findings are exclusive of iBI.

How to cite this article

González de Dios J, Perdikidis Olivieri L. La apnea y las hemorragias retinianas pueden ser hallazgos que permitan distinguir el daño cerebral secundario a maltrato de otros tipos de daño. Evid Pediatr. 2010;6:8.

AVC | Critically appraised articles

Maguire S, Pickerd N, Farewell, Mann M, Tempest V, Kemp AM. Which clinical features distinguish inflicted from non- inflicted brain injury? A systematic review. Arch Dis Child. 2009;94:860-7
Reviewers: González de Dios J1, Perdikidis Olivieri L2.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2EAP Juncal. Torrejón de Ardoz. Madrid. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Acceptance date: 25/02/2010
Publication date: 25/03/2010

How to cite this article

González de Dios J, Perdikidis Olivieri L. La apnea y las hemorragias retinianas pueden ser hallazgos que permitan distinguir el daño cerebral secundario a maltrato de otros tipos de daño. Evid Pediatr. 2010;6:8.

References

  1. Newton AW, Vandeven AM. Update on child maltreatment. Curr Opin Pediatr. 2009;21:252-61.
  2. Runyan DK. The challenges of assessing the incidence of inflicted traumatic brain injury: a world perspective. Am J Prev Med. 2008;34(4 Suppl):S112-5.
  3. Canadian Paediatric Society. Multidisciplinary guidelines on the identification, investigation and management of suspected abusive head trauma.December 2007 [consultado 2 mar 2010]. Disponible en https://www.cps.ca/english/statements/PP/AHT.pdf.
25/03/2010

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