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Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011
School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, 430071, China
Case Western Reserve University, Cleveland, OH 44120, USA
Wuhan Children's Hospital, 100 Hongkong Road, Wuhan, 430016, China
Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA
The Ohio State University College of Medicine, 370 West 9th Avenue, Columbus, OH 43210, USA
School of Public Health and Family Medicine, Capital Medical University, 10 Xitoutiao, Youanmen, Beijing, 100069, China
* Authors to whom correspondence should be addressed.
Received: 20 October 2012; in revised form: 12 November 2012 / Accepted: 12 November 2012 / Published: 15 November 2012
Abstract: This study investigated characteristics and trends of hospitalized abuse-related traumatic brain injuries (TBI) treated at a large pediatric medical center in Wuhan, China during the past 10 years. De-identified hospital discharge data for patients 0–4 years old hospitalized at the Wuhan Medical Care Center for Women and Children were analyzed, and ICD-10 codes were used to identify cases of TBI. Medical notes provided by doctors in the medical record were used to identify TBI cases in which suspected child abuse was the cause. From 2002 to 2011, 3,061 pediatric TBI patients were hospitalized and 4.6% (140) of these cases were suspected child abuse-related. The majority of suspected child abuse cases involved children younger than 1 year of age (68.6%) and usually affected males (63.6%). Children with non-Abusive Head Trauma (AHT) were more likely to have full recovery outcome (68.4%, 95% CI: 66.6%–70.0%) than children with suspected AHT (44.3%, 95% CI: 36.1%–52.5%). The proportion of all childhood TBI attributable to abuse did not appear to have increased in the 10-year period at this medical center. This is the first comprehensive study highlighting the important role of suspected child abuse in causing TBIs among Chinese children. Child abuse as a major cause of TBIs among infants in China should be studied further, and there should be greater awareness of this important social and medical problem in China.
Keywords: abusive head trauma; child abuse; children; China
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Xia, X.; Xiang, J.; Shao, J.; Smith, G.A.; Yu, C.; Zhu, H.; Xiang, H. Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011. Int. J. Environ. Res. Public Health 2012, 9, 4187-4196.
Xia X, Xiang J, Shao J, Smith GA, Yu C, Zhu H, Xiang H. Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011. International Journal of Environmental Research and Public Health. 2012; 9(11):4187-4196.
Xia, Xin; Xiang, Joe; Shao, Jianbo; Smith, Gary A.; Yu, Chuanhua; Zhu, Huiping; Xiang, Huiyun. 2012. "Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011." Int. J. Environ. Res. Public Health 9, no. 11: 4187-4196.