Child Abuse: Adherence of Clinical Management to Guidelines for Diagnosis of Physical Maltreatment and Neglect in Emergency Settings
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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# 1 | # 2 | # 3 | # 4 | # 5 | # 6 | # 7 | # 8 | |||
---|---|---|---|---|---|---|---|---|---|---|
age | 5 m | 9 m | 4 m | 1 m | 4 m | 8 m | 3 m | 2 y | ||
sex | M | M | M | M | F | M | M | M | ||
observed lesions | integumentary | + | + | - | + | + | - | + | + | |
dental | - | - | - | - | - | - | - | - | ||
neglect | - | + | - | - | - | - | - | - | ||
skeleton | +/Nr | +/Pr | +/Nr | +/Pr | +/Nr | +/Nr | +/Nr | - | ||
fracture sites | 5c; 3p | 2p | ||||||||
instrumental investigations carried out | neuroradiology (CT and MRI) | +/Pr | +/Pr | +/Pr | - | +/Pr | +/Pr | +/Pr | +/Pr | |
fundus | +/Pr | - | +/Pr | +/Pr | +/Pr | +/Pr | +/Pr | - | ||
abdominal ultrasound | - | - | - | - | +/Pr | - | - | - | ||
laboratory investigations carried out | coagulation TEST | +/Nr | - | +/Nr | +/Nr | +/Nr | +/Pr | - | +/Nr | |
bone metabolism | - | - | - | - | - | - | - | - | ||
genetic tests | +/Pr | - | - | - | - | +/Nr | - | - | ||
laboratory (complete blood count, electrolytes, liver and kidney function) | +/Pr | +/Nr | +/Nr | +/Nr | +/Nr | +/Pr | +/Pr | +/Nr | ||
toxicology | - | - | - | - | - | - | - | +/Nr | ||
carried out consultations | neuropsychiatric | - | - | - | - | - | - | - | - | |
rheumatology | - | - | - | - | - | - | - | - | ||
neurosurgical | +/Pr | - | - | - | +/Pr | - | +/Pr | - | ||
dermatological | - | - | - | - | - | - | - | - | ||
orl | - | - | - | - | - | - | - | - | ||
gynecological | - | - | - | - | - | - | - | - | ||
pediatric | + | + | + | + | + | + | + | + | ||
ophthalmological | + | - | + | + | + | + | + | - | ||
medico-legal | - | + | - | + | + | + | - | + | ||
# 9 | # 10 | # 11 | # 12 | # 13 | # 14 | # 15 | # 16 | |||
age | 8 y | 3 m | 7 m | 6 y | 6 m | 1 y | 2 y | 3 y | ||
sex | F | F | F | M | F | F | F | F | ||
observed lesions | integumentary | + | + | - | + | - | + | + | + | |
dental | + | - | - | - | - | - | - | - | ||
neglect | + | - | - | - | - | - | + | - | ||
skeleton | +/Nr | +/Nr | +/Pr | +/Nr | +/Nr | +/Pr | +/Pr | +/Nr | ||
fracture sites | 2c; 1p | 1p | 1p | |||||||
instrumental investigations carried out | neuroradiology (CT and MRI) | +/Pr | +/Pr | +/Nr | +/Pr | +/Pr | - | +/Pr | +/Pr | |
fundus | - | +/Nr | +/Nr | +/Nr | +/Pr | +/Nr | +/Pr | - | ||
abdominal ultrasound | +/Nr | - | +/Nr | - | - | +/Nr | - | - | ||
laboratory investigations carried out | coagulation test | +/Nr | +/Pr | +/Nr | - | +/Pr | +/Pr | - | - | |
bone metabolism | - | - | - | - | - | - | +/Nr | - | ||
genetic tests | - | - | - | - | - | - | - | - | ||
laboratory (complete blood count, electrolytes, liver and kidney function) | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | ||
toxicology | - | - | - | - | - | - | - | - | ||
carried out consultations | neuropsychiatric | - | - | - | +/Pr | - | - | - | - | |
rheumatology | - | - | - | - | - | - | - | - | ||
neurosurgical | - | - | - | - | - | - | - | - | ||
dermatological | - | - | - | - | - | - | +/Pr | - | ||
orl | +/Pr | - | - | - | - | - | - | - | ||
gynecological | - | - | - | - | - | - | - | - | ||
pediatric | + | + | + | + | + | + | + | + | ||
ophthalmological | - | + | + | + | + | + | + | - | ||
medico-legal | + | + | + | + | + | + | + | - | ||
# 17 | # 18 | # 19 | # 20 | # 21 | # 22 | # 23 | # 24 | # 25 | ||
age | 2 y | 1 y | 2 y | 6 m | 8 y | 2 m | 4 y | 3 m | 5 m | |
sex | M | M | F | M | M | M | F | F | M | |
observed lesions | integumentary | + | + | + | - | + | + | + | - | - |
dental | + | - | - | - | - | - | - | - | - | |
neglect | - | + | - | - | - | - | - | - | - | |
skeleton | +/Nr | - | - | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | +/Pr | |
fracture sites | 2c | |||||||||
instrumental investigations carried out | neuroradiology (CT and MRI) | +/Pr | - | - | +/Pr | +/Pr | +/Pr | - | +/Pr | +/Pr |
fundus | +/Nr | +/Nr | - | +/Pr | +/Pr | +/Nr | - | +/Pr | +/Pr | |
abdominal ultrasound | - | +/Nr | +/Nr | - | - | - | +/Nr | - | - | |
laboratory investigations carried out | coagulation test | +/Nr | +/Nr | +/Nr | +/Pr | +/Pr | +/Nr | +/Nr | +/Pr | +/Nr |
bone metabolism | - | - | +/Pr | - | - | - | +/Pr | - | - | |
genetic tests | - | - | - | - | - | +/Nr | - | - | - | |
laboratory (complete blood count, electrolytes, liver and kidney function) | +/Nr | +/Nr | +/Nr | +/Pr | +/Nr | +/Nr | +/Nr | +/Nr | +/Nr | |
toxicology | - | - | - | - | - | - | - | - | - | |
carried out consultations | neuropsychiatric | - | - | - | - | - | - | +/Nr | - | - |
rheumatology | - | - | - | - | - | - | - | - | - | |
neurosurgical | - | - | - | - | +/Pr | - | - | - | - | |
dermatological | - | +/Pr | +/Pr | - | - | - | +/Pr | - | - | |
orl | - | - | - | - | - | - | - | - | - | |
gynecological | - | - | - | - | - | - | +/Nr | - | - | |
pediatric | + | + | + | + | + | + | + | + | + | |
ophthalmological | + | + | - | + | + | + | - | + | + | |
medico-legal | + | + | + | + | + | + | + | + | + | |
# 26 | # 27 | # 28 | # 29 | # 30 | # 31 | # 32 | # 33 | # 34 | ||
age | 8 y | 4 y | 1 m | 20 d | 8 m | 2 y 3 m | 5 m | 3 y | 8 m | |
sex | F | F | M | M | F | F | M | F | F | |
observed lesions | integumentary | + | + | - | + | + | + | - | + | + |
dental | - | - | - | - | - | - | - | - | - | |
neglect | + | + | - | - | - | - | - | - | - | |
skeleton | +/Pr | +/Pr | +/Pr | +/Pr | /Nr | +/Nr | +/Pr | +/Nr | - | |
fracture sites | 6c | 1p | 2c | 1c; 4p | 4c; 5p | |||||
instrumental investigations carried out | neuroradiology (CT and MRI) | - | +/Nr | - | +/Nr | - | - | +/Pr | +/Nr | - |
fundus | +/Nr | +/Pr | +/Nr | +/Nr | +/Nr | +/Nr | +/Pr | +/Nr | - | |
abdominal ultrasound | - | +/Nr | - | +/Nr | - | - | +/Pr | - | +/Pr | |
laboratory investigations carried out | coagulation test | +/Nr | - | - | +/Nr | - | ||||
bone metabolism | +/Pr | - | - | - | - | - | +/Pr | - | +/Pr | |
genetic tests | - | - | +/Nr | - | - | - | - | - | - | |
laboratory (complete blood count, electrolytes, liver and kidney function) | +/Pr | +/Nr | +/Nr | +/Nr | +/Nr | - | - | - | - | |
toxicology | +/Pr | - | - | - | - | +/Nr | +/Nr | +/Nr | +/Nr | |
carried out consultations | neuropsychiatric | - | - | - | - | - | - | - | - | - |
rheumatology | - | - | - | - | - | - | - | +/Pr | +/Pr | |
neurosurgical | - | - | - | +/Nr | +/Nr | - | - | - | + | |
dermatological | - | +/Pr | - | - | +/Pr | - | +/Pr | - | - | |
orl | - | +/Pr | +/Nr | - | - | +/Pr | - | +/Pr | + | |
gynecological | - | - | - | - | - | - | - | - | - | |
pediatric | + | + | + | + | + | + | + | + | + | |
ophthalmological | + | + | + | + | + | + | + | + | - | |
medico-legal | + | + | + | + | + | + | + | + | + |
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Di Lorenzo, P.; Casella, C.; Dei Medici, S.; Policino, F.; Capasso, E.; Niola, M. Child Abuse: Adherence of Clinical Management to Guidelines for Diagnosis of Physical Maltreatment and Neglect in Emergency Settings. Int. J. Environ. Res. Public Health 2023, 20, 5145. https://doi.org/10.3390/ijerph20065145
Di Lorenzo P, Casella C, Dei Medici S, Policino F, Capasso E, Niola M. Child Abuse: Adherence of Clinical Management to Guidelines for Diagnosis of Physical Maltreatment and Neglect in Emergency Settings. International Journal of Environmental Research and Public Health. 2023; 20(6):5145. https://doi.org/10.3390/ijerph20065145
Chicago/Turabian StyleDi Lorenzo, Pierpaolo, Claudia Casella, Serena Dei Medici, Fabio Policino, Emanuele Capasso, and Massimo Niola. 2023. "Child Abuse: Adherence of Clinical Management to Guidelines for Diagnosis of Physical Maltreatment and Neglect in Emergency Settings" International Journal of Environmental Research and Public Health 20, no. 6: 5145. https://doi.org/10.3390/ijerph20065145
APA StyleDi Lorenzo, P., Casella, C., Dei Medici, S., Policino, F., Capasso, E., & Niola, M. (2023). Child Abuse: Adherence of Clinical Management to Guidelines for Diagnosis of Physical Maltreatment and Neglect in Emergency Settings. International Journal of Environmental Research and Public Health, 20(6), 5145. https://doi.org/10.3390/ijerph20065145