Home accident or physical abuse: Evaluation of younger children presenting with trauma, burn and poisoning in the Pediatric Emergency Department

Most cases of physical abuse and neglect refer to pediatric emergency clinics,and these patients are diagnosed as only home accidents. Cases that cannotbe diagnosed and managed correctly are again exposed to severe trauma andconsequently, they may die. The aim of this study is to evaluate the physicalabuse and neglect in children younger than three years of age, admitted tothe pediatric emergency department with the complaints of trauma, burn, drugpoisoning and/or caustic ingestion. This prospective study included 132 patientswho were admitted to the pediatric emergency department. Children wereclassified into three groups as “no abuse”, “suspected abuse” and “abused”after being evaluated with a standard form. Additionally, suspected abuseand abused cases were evaluated once again by “The Team of Child Abuseand Neglect Evaluation, Research and Treatment” in Hacettepe University,İhsan Doğramacı Children's Hospital.The frequency of the suspected abuse or abused cases in all burn, trauma andpoisoning cases was found to be 7.5%. It was noticed that 65 of the patients(49.2%) were physically neglected considering the mechanism of occurrence ofevents. Unplanned pregnancy, absence of prenatal follow-up, high number ofsiblings, previous physical abuse in the family, absence of witness during theevent, and hospitalization were statistically significant differences between noabuse and suspected abuse or abused cases (p

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Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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