Child abuse & neglect · 2026
Early childhood risk of physical abuse with isolated subconjunctival hemorrhages.
СтатьяНазвание и аннотация: Перевод в очереди
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Tayama Tricia M, Samiezade-Yazd Zahra, Young-Wolff Kelly, Lindberg Daniel M, Maleknia Lydia, Greeley Christopher S, Damrose John F, Armstrong Mary Anne, Evans Michèle
Аннотация
BACKGROUND: While subconjunctival hemorrhages (SCHs) have been suggested by some to be sentinel injuries which should prompt further evaluation for abuse, the risk of abuse in children with isolated SCHs is not currently known.
OBJECTIVE: To determine if infants and young children with isolated SCHs have current or subsequent concerns for physical abuse.
PARTICIPANTS AND SETTING: Children 1 to <48 months old with SCHs diagnosed between 2011 and 2015 within a large, integrated healthcare system were included and followed until their fifth birthdays.
METHODS: Retrospective cohort study. Children with isolated SCHs had no other injuries identified within 7 days before or after the SCHs. Child physical abuse before the child's fifth birthday was identified by diagnosis codes and free-text review of medical notes and radiology reports.
RESULTS: We identified 1281 patients with SCHs (mean [SD] age 22.5 [14] months), 603 (47.1%) were female. Only 12 children (0.9%) had physical abuse. Among children with isolated SCHs, 0.4% had physical abuse, compared to 3.0% of those with non-isolated SCHs (p < 0.001). For infants <12 months old, 0.6% with isolated SCHs had physical abuse, compared to 10.0% of those with non-isolated SCHs.
CONCLUSIONS: Most children with SCHs in our study did not have child physical abuse before their fifth birthday. Children with isolated SCHs had a lower risk of future abuse compared to children with non-isolated SCHs.
OBJECTIVE: To determine if infants and young children with isolated SCHs have current or subsequent concerns for physical abuse.
PARTICIPANTS AND SETTING: Children 1 to <48 months old with SCHs diagnosed between 2011 and 2015 within a large, integrated healthcare system were included and followed until their fifth birthdays.
METHODS: Retrospective cohort study. Children with isolated SCHs had no other injuries identified within 7 days before or after the SCHs. Child physical abuse before the child's fifth birthday was identified by diagnosis codes and free-text review of medical notes and radiology reports.
RESULTS: We identified 1281 patients with SCHs (mean [SD] age 22.5 [14] months), 603 (47.1%) were female. Only 12 children (0.9%) had physical abuse. Among children with isolated SCHs, 0.4% had physical abuse, compared to 3.0% of those with non-isolated SCHs (p < 0.001). For infants <12 months old, 0.6% with isolated SCHs had physical abuse, compared to 10.0% of those with non-isolated SCHs.
CONCLUSIONS: Most children with SCHs in our study did not have child physical abuse before their fifth birthday. Children with isolated SCHs had a lower risk of future abuse compared to children with non-isolated SCHs.