Alanazi Fahad S, Saleheen Hassan, Al-Eissa Majid, Alshamrani Abdullah A, Alhuwaymani Ahmed A, Jarwan Waleed K, Hamaid Mohammed S
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Riyadh, SAU.
Public Health, King Abdullah International Medical Research Center, Riyadh, SAU.
Cureus. 2021 Oct 24;13(10):e19014. doi: 10.7759/cureus.19014. eCollection 2021 Oct.
To examine abusive head trauma (AHT) trends using data obtained from hospital-based child protection centers (CPCs) and the distribution of age in months among young children in Saudi Arabia.
A retrospective study was conducted that includes data obtained from 58 hospital-based CPCs in all 13 regions of Saudi Arabia registered in the National Family Safety Registry from 2010 to 2020. AHT cases (n=106) were identified for inclusion in the registry by a daily review of the emergency department logbooks.
Over the 11-year period, there was a sharp increase in the number of cases, specifically after 2014, from seven cases per year in 2010 to 16 cases in 2020. AHT affects predominantly children aged 0-12 months (72.6%), followed by 13-24 months (17.9%), 25-36 months (3.8%), 37-48 months (3.8%), and 49-60 months (1.9%). Victims were characterized by a predominance of crying infants (23.6%), past history of abuse (13.2%), a child's chronic disease and disability (7.6%), and prematurity (2.8%).
Different training and educational programs need to be performed to raise awareness of AHT. Enacting the pediatrician's mandatory reporting law will improve the rate of reporting cases.
利用从医院儿童保护中心（CPC）获得的数据以及沙特阿拉伯幼儿按月计算的年龄分布情况，研究虐待性头部创伤（AHT）的趋势。
进行了一项回顾性研究，纳入了2010年至2020年在国家家庭安全登记处登记的沙特阿拉伯所有13个地区的58家医院CPC的数据。通过每日查阅急诊科日志来确定纳入登记处的AHT病例（n = 106）。
在这11年期间，病例数量急剧增加，特别是在2014年之后，从2010年的每年7例增加到2020年的16例。AHT主要影响0至12个月大的儿童（72.6%），其次是13至24个月大的儿童（17.9%）、25至36个月大的儿童（3.8%）、37至48个月大的儿童（3.8%）以及49至60个月大的儿童（1.9%）。受害者的特征主要是哭闹的婴儿（23.6%）、有虐待史（13.2%）、患有慢性疾病和残疾（7.6%）以及早产（2.8%）。
需要开展不同的培训和教育项目以提高对AHT的认识。颁布儿科医生强制报告法将提高病例报告率。
