1. Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings
- Author
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Celal Bütün, Figen Sahin, Yavuz Sayar, Serpil Yaylaci, Ali Yikilmaz, Ahmet Gokoglu, Medine Ayşin Taşar, Bulent Degirmenci, Ülkü Tiraş, Feyza Karagoz, Agahan Unlu, Deniz Tekin, Aydın Tunç, Ferhan Kandemir, Fatih Yagmur, Betül Ulukol, Ufuk Beyazova, Fatma Yücel Beyaztaş, Unal Ozum, Mesut Eryuruk, Ahmet Menkü, Nurperi Gazioglu, Bora Büken, Resmiye Oral, Elvan Iseri, Ayşe Gül Bilen, Turkan Patiroglu, Yasemin Balci, Aysun Baransel Isir, Taner Akar, Meda Kondolot, Yıldız Dallar, [Yaylaci, Serpil] Acibadem Univ, Dept Emergency, Istanbul, Turkey -- [Dallar, Yildiz -- Sayar, Yavuz -- Tasar, Medine Aysin -- Tiras, Ulku] Ankara Hosp, Dept Pediat, Minist Hlth, Ankara, Turkey -- [Tekin, Deniz -- Ulukol, Betul] Ankara Univ, Dept Pediat, Sch Med, Ankara, Turkey -- [Unlu, Agahan] Ankara Univ, Sch Med, Dept Neurosurg, Ankara, Turkey -- [Beyaztas, Fatma Yucel -- Butun, Celal] Cumhuriyet Univ, Dept Forens Med, Sch Med, Sivas, Turkey -- [Ozum, Unal] Cumhuriyet Univ, Sch Med, Dept Neurosurg, Sivas, Turkey -- [Buken, Bora -- Kandemir, Ferhan] Duzce Univ, Sch Med, Dept Forens Med, Bolu, Turkey -- [Gokoglu, Ahmet -- Kondolot, Meda -- Patiroglu, Turkan -- Tunc, Aydin] Erciyes Univ, Sch Med, Dept Pediat, Kayseri, Turkey -- [Menku, Ahmet] Erciyes Univ, Sch Med, Dept Neurosurg, Kayseri, Turkey -- [Yagmur, Fatih] Erciyes Univ, Sch Med, Dept Forens Med, Kayseri, Turkey -- [Yikilmaz, Ali] Erciyes Univ, Sch Med, Dept Radiol, Kayseri, Turkey -- [Akar, Taner -- Degirmenci, Bulent] Gazi Univ, Sch Med, Dept Forens Sci, Ankara, Turkey -- [Beyazova, Ufuk -- Sahin, Figen] Gazi Univ, Sch Med, Dept Pediat, Ankara, Turkey -- [Iseri, Elvan] Gazi Univ, Sch Med, Dept Psychiat, Ankara, Turkey -- [Isir, Aysun Baransel -- Bilen, Ayse Gul] Gaziantep Univ, Dept Forens Med, Gaziantep, Turkey -- [Isir, Aysun Baransel -- Bilen, Ayse Gul] Childrens Hosp, Gaziantep, Turkey -- [Oral, Resmiye] Univ Iowa, Dept Pediat, Iowa City, IA 52242 USA -- [Gazioglu, Nurperi] Istanbul Univ, Istanbul Sch Med, Dept Neurosurg, Istanbul, Turkey -- [Balci, Yasemin -- Eryuruk, Mesut] Osmangazi Univ, Sch Med, Dept Forens Med, Eskisehir, Turkey -- [Karagoz, Feyza] Vakif Gureba Hosp, Dept Neurosurg, Istanbul, Turkey, KARAGOZ GUZEY, FEYZA -- 0000-0002-4260-9821, Sivas Cumhuriyet Üniversitesi, and Acibadem University Dspace
- Subjects
Child abuse ,medicine.medical_specialty ,lcsh:Medicine ,Poison control ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Acil Tıp ,030225 pediatrics ,Injury prevention ,Medicine ,multidisciplinary team ,Abusive head trauma ,business.industry ,lcsh:R ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,Human factors and ergonomics ,Retrospective cohort study ,lcsh:RC86-88.9 ,medicine.disease ,Family medicine ,030221 ophthalmology & optometry ,Etiology ,diagnostic workup ,Medical emergency ,business - Abstract
WOS: 000382873200006, Aim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study. Materials and Methods: This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding. Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8%), more than three children under 7 years of age in 76 families (22.0%), and bad child temper in 16 families (4.6%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7%) was statistically significantly higher than in hospitals without an MDT (2.9%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6%), possibly inflicted in 24 (7.0%), undetermined in 79 (22.9%), and accidental in 164 (47.5%) by the researchers, compared to only three cases (0.8%) diagnosed as inflicted by the treating physicians (p
- Published
- 2016