Risk factors and physical signs of child abuse in hospitalized children in Taiwan

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Abstract

Purpose: This study used the Criteria for Distinguishing Abuse from Accidents Chinese version (CDAA-C) to determine cases of child abuse, undetermined intent, and unintentional injury, and compared risk factors and injury profiles among hospitalized children in Taiwan. Design: A retrospective chart review study. Methods: We selected children aged 0-3 who were hospitalized with a discharge diagnosis of injury or child maltreatment in a medical center in southern Taiwan between 2007 and 2009. The CDAA-C was used to collect children's demographics and injury types and to determine the intent of injury. Children's charts with records and notes of admission, surgery and emergency care were reviewed and analyzed. Results: Among 157 eligible cases, the CDAA-C identified 13 child abuse cases including additional 8 victims who were not previously coded in ICD-9-CM. Most abused children suffered from brain injuries, had ≥. 2 in jury incidents, and had a misdiagnosis in the previous visit. Abused children were younger and more likely to be born premature. Conclusions: This study highlighted the under-diagnosis of child abuse in Taiwan. An easy-to-use standardized screening tool for child abuse in Taiwan is needed.

Original languageEnglish
Pages (from-to)137-141
Number of pages5
JournalChildren and Youth Services Review
Volume58
DOIs
Publication statusPublished - 2015 Nov 1

Fingerprint

Hospitalized Child
abuse of children
Child Abuse
Taiwan
Wounds and Injuries
Accidents
abuse
accident
Emergency Medical Services
International Classification of Diseases
Diagnostic Errors
Brain Injuries
Demography
maltreatment
surgery
incident
brain

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Education
  • Sociology and Political Science

Cite this

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title = "Risk factors and physical signs of child abuse in hospitalized children in Taiwan",
abstract = "Purpose: This study used the Criteria for Distinguishing Abuse from Accidents Chinese version (CDAA-C) to determine cases of child abuse, undetermined intent, and unintentional injury, and compared risk factors and injury profiles among hospitalized children in Taiwan. Design: A retrospective chart review study. Methods: We selected children aged 0-3 who were hospitalized with a discharge diagnosis of injury or child maltreatment in a medical center in southern Taiwan between 2007 and 2009. The CDAA-C was used to collect children's demographics and injury types and to determine the intent of injury. Children's charts with records and notes of admission, surgery and emergency care were reviewed and analyzed. Results: Among 157 eligible cases, the CDAA-C identified 13 child abuse cases including additional 8 victims who were not previously coded in ICD-9-CM. Most abused children suffered from brain injuries, had ≥. 2 in jury incidents, and had a misdiagnosis in the previous visit. Abused children were younger and more likely to be born premature. Conclusions: This study highlighted the under-diagnosis of child abuse in Taiwan. An easy-to-use standardized screening tool for child abuse in Taiwan is needed.",
author = "Wu, {Min Fung} and Tsung-Hsueh Lu and Chii-Jeng Lin and Jui-Ying Feng",
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doi = "10.1016/j.childyouth.2015.09.015",
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journal = "Children and Youth Services Review",
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T1 - Risk factors and physical signs of child abuse in hospitalized children in Taiwan

AU - Wu, Min Fung

AU - Lu, Tsung-Hsueh

AU - Lin, Chii-Jeng

AU - Feng, Jui-Ying

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Purpose: This study used the Criteria for Distinguishing Abuse from Accidents Chinese version (CDAA-C) to determine cases of child abuse, undetermined intent, and unintentional injury, and compared risk factors and injury profiles among hospitalized children in Taiwan. Design: A retrospective chart review study. Methods: We selected children aged 0-3 who were hospitalized with a discharge diagnosis of injury or child maltreatment in a medical center in southern Taiwan between 2007 and 2009. The CDAA-C was used to collect children's demographics and injury types and to determine the intent of injury. Children's charts with records and notes of admission, surgery and emergency care were reviewed and analyzed. Results: Among 157 eligible cases, the CDAA-C identified 13 child abuse cases including additional 8 victims who were not previously coded in ICD-9-CM. Most abused children suffered from brain injuries, had ≥. 2 in jury incidents, and had a misdiagnosis in the previous visit. Abused children were younger and more likely to be born premature. Conclusions: This study highlighted the under-diagnosis of child abuse in Taiwan. An easy-to-use standardized screening tool for child abuse in Taiwan is needed.

AB - Purpose: This study used the Criteria for Distinguishing Abuse from Accidents Chinese version (CDAA-C) to determine cases of child abuse, undetermined intent, and unintentional injury, and compared risk factors and injury profiles among hospitalized children in Taiwan. Design: A retrospective chart review study. Methods: We selected children aged 0-3 who were hospitalized with a discharge diagnosis of injury or child maltreatment in a medical center in southern Taiwan between 2007 and 2009. The CDAA-C was used to collect children's demographics and injury types and to determine the intent of injury. Children's charts with records and notes of admission, surgery and emergency care were reviewed and analyzed. Results: Among 157 eligible cases, the CDAA-C identified 13 child abuse cases including additional 8 victims who were not previously coded in ICD-9-CM. Most abused children suffered from brain injuries, had ≥. 2 in jury incidents, and had a misdiagnosis in the previous visit. Abused children were younger and more likely to be born premature. Conclusions: This study highlighted the under-diagnosis of child abuse in Taiwan. An easy-to-use standardized screening tool for child abuse in Taiwan is needed.

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