Department of Radiology, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.
University College London Medical School, London, UK.
Pediatr Radiol. 2021 May;51(6):872-875. doi: 10.1007/s00247-020-04917-5. Epub 2021 May 17.
Abusive head trauma (AHT) is the leading cause of death from child abuse in children younger than 5 years. It is well documented that the infant contacts of children presenting with suspected AHT are at an increased risk of abuse when compared to the general infant population. Despite this association, a paucity of literature stratifies this risk and translates it to the clinic such that this high-risk group is stringently screened for abusive injuries. In this light, the authors propose a standardised screening method for all contact children of the index case and call for further consensus on the subject.
虐待性头部外伤 (AHT) 是 5 岁以下儿童虐待致死的主要原因。有充分的证据表明,与一般婴儿群体相比,患有疑似 AHT 的儿童的婴儿接触者遭受虐待的风险增加。尽管存在这种关联,但文献中很少有对这种风险进行分层并将其转化为临床实践的内容,因此,没有对这一高风险群体进行严格的虐待性损伤筛查。有鉴于此,作者为索引病例的所有接触儿童提出了一种标准化的筛查方法,并呼吁就该主题达成进一步共识。