Bennett Susan, Grenier Danielle, Medaglia Andrea
Department of Pediatrics, University of Ottawa, Ontario, Canada.
Am J Prev Med. 2008 Apr;34(4 Suppl):S140-2. doi: 10.1016/j.amepre.2008.01.026.
The extent and nature of head injury secondary to child maltreatment in Canada is inadequately understood. These cases, although reasonably rare, are of great clinical importance as a large proportion of them result in death or permanent neurologic deficits. Internationally, published incidence data may underestimate the extent of the problem because of the failure of professionals to recognize and report inflicted head injury. National data on head injury secondary to suspected child maltreatment can inform educational efforts for early detection, guide prevention strategies, and be a foundation for the development of policies and programs to effectively address the needs of victims and their families. The Canadian Paediatric Surveillance Program is described as a system for active surveillance of uncommon high-impact conditions and is ideally suited to the collection of data on head injury secondary to child maltreatment.
在加拿大，受虐待儿童继发头部损伤的程度和性质尚未得到充分了解。这些病例虽然相当罕见，但具有重大临床意义，因为其中很大一部分会导致死亡或永久性神经功能缺损。在国际上，已公布的发病率数据可能低估了问题的严重程度，原因是专业人员未能识别和报告受虐头部损伤。关于疑似虐待儿童继发头部损伤的全国数据可为早期发现的教育工作提供信息，指导预防策略，并为制定有效满足受害者及其家庭需求的政策和项目奠定基础。加拿大儿科监测项目被描述为一个主动监测罕见高影响疾病的系统，非常适合收集受虐待儿童继发头部损伤的数据。
