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ERIC Number: EJ906840
Record Type: Journal
Publication Date: 2010-Dec
Pages: 8
Abstractor: As Provided
Reference Count: 0
ISSN: ISSN-0145-2134
Missed and Missing Cases of Abusive Injuries: The Magnitude and the Measurement of the Problem
Chadwick, David L.; Castillo, Edward M.; Kuelbs, Cynthia; Cox, Susan A.; Lindsay, Suzanne P.
Child Abuse & Neglect: The International Journal, v34 n12 p943-950 Dec 2010
Objective: The authors' objective is to describe the disparity between the case-fatality rates for inflicted versus unintentional injuries of children, and to emphasize its utility as a way of estimating the effectiveness of the ascertainment of inflicted injuries of children. Method: Determination, comparison, and explanation of the case-fatality-rate disparity in four injury databases were derived from hospitalized injury cases. Results: The CFR disparity is 6-14-fold in the 4 injury databases. The CFR disparity varies strongly and inversely with the observed incidence of inflicted injuries in the databases. Conclusions: A large disparity between the case fatality rates (CFRs) of inflicted and unintentional injuries exists in a number of injury databases. Inflicted injuries have much higher CFRs than unintentional injuries. The disparity can be accounted for by "missed" (incorrectly diagnosed) and "missing" (unseen) cases. Practice implications: Present diagnostic criteria for physically abusive (inflicted) injuries are forensically-driven and too conservative for public health purposes. New public-health-oriented case definitions for "inflicted injury" are needed. Programs to reduce injury recidivism in young children should be a part of overall injury prevention. (Contains 7 tables.)
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A