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门诊环境中儿童虐待的预测。

Prediction of child abuse in an ambulatory setting.

作者信息

Rosenberg N M, Meyers S, Shackleton N

出版信息

Pediatrics. 1982 Dec;70(6):879-82.

PMID:7145542
Abstract

A prospective random study was performed on 476 patients, up to 2 years of age, by full-time registered nurses in the emergency room. The parent (caretaker) and child were assessed in an effort to predict child abuse. The incidence of abuse rose from 2.5% to 15.2% if one or more abnormal features were present in parent or child (p less than .0003). Abuse developed in 19% of unkempt children and 28% of children with abnormal bruises, burns, or bites. The incidence of abuse increased to 42% (P less than .002) when these factors were present together. An unkempt child with an abnormal parenting pattern and a 30% chance of being abused (P = .007).

摘要

在急诊室,由全职注册护士对476名2岁及以下儿童进行了一项前瞻性随机研究。对父母(照顾者)和孩子进行评估,以预测儿童虐待情况。如果父母或孩子存在一个或多个异常特征,虐待发生率从2.5%上升至15.2%(p小于0.0003)。在邋遢的儿童中,19%发生了虐待;在有异常瘀伤、烧伤或咬伤的儿童中,28%发生了虐待。当这些因素同时存在时,虐待发生率增至42%(p小于0.002)。一个邋遢且养育模式异常的儿童,被虐待的几率为30%(p = 0.007)。

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引用本文的文献

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Insufficient evidence for the use of a physical examination to detect maltreatment in children without prior suspicion: a systematic review.对于在无事先怀疑的情况下使用体格检查来检测儿童虐待行为,证据不足:一项系统评价。
Syst Rev. 2013 Dec 6;2:109. doi: 10.1186/2046-4053-2-109.
2
Observational study of suspected maltreatment in Italian paediatric emergency departments.意大利儿科急诊科疑似虐待情况的观察性研究。
Arch Dis Child. 2005 Apr;90(4):406-10. doi: 10.1136/adc.2003.040790.