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
___
Yurdakök K. Çocuk istismar ve ihmali, tanım ve risk faktörleri. Katkı Pediatri Dergisi 2010; 32: 423-433.
Tekşam Ö. Çocuk acil ünitesinde istismar ve ihmal vakalarının tanınması ve uygun yaklaşım. Katkı Pediatri Dergisi 2010; 32: 435-448.
Wheeler KK, Shi J, Xiang H, Haley K, Groner JI. Child maltreatments in U.S. emergency departments: Imaging and admissions. Child Abuse Negl 2017; 69: 96-105.
Davidson-Arad B, Benbenishty R, Chen W, Glasser S, Zur S, Lerner-Geva L. Distinguishing neglect from abuse and accident: analysis of the case files of a hospital child protection team in Israel. Health Soc Care Community 2010; 18: 614-623.
Claudet I, Gurrera E, Honorat R, Rekhroukh H, Casasoprana A, Grouteau E. Home falls in infants before walking acquisition. Arch Pediatr 2013; 20: 484-491.
Leventhal JM. Thinking clearly about evaluations of suspected child abuse. Clin Child Psychol Psychiatry 2000; 5: 139-147.
Tiyyagura G, Gawel M, Koziel JR, Asnes A, Bechtel K. Barriers and facilitators to detecting child abuse and neglect in general emergency departments. Ann Emerg Med 2015; 66: 447-454.
Christian CW; Committee on Child Abuse and Neglect, American Academy of Pediatrics. The evaluation of suspected child physical abuse. Pediatrics 2015; 5: 1337-1354.
Ekinci S. Fiziksel çocuk istismarı. Katkı Pediatri Dergisi 2010; 32: 625-631.
Wood JN, Fakeye O, Feudtner C, Mondestin V, Localio R, Rubin DM. Development of guidelines for skeletal survey in young children with fractures. Pediatrics. 2014; 134: 45-53.
Wood JN, Fakeye O, Mondestin V, Rubin DM, Localio R, Feudtner C. Development of hospital-based guidelines for skeletal survey in young children with bruises. Pediatrics 2015; 135: 312-320.
Oral R, Blum LK, Jonhson C. Fractures in young children: Are physicians in the emergency department and orthopedic clinics adequately for possible abuse? Pediatr Emerg Care 2003; 19: 148-153.
Gencer O, Ozbek A, Bozabali R, Cangar S, Miral S. Suspected child abuse among victims of home accidents being admitted to the emergency department. Pediatr Emerg Care 2006; 22: 794-803.
Estroff JM, Foglia RP, Fuchs JR. A comparison of accidental and nonaccidental trauma: It is worse than you think. J Emerg Med 2015; 48: 274-279.
Deans KJ, Thackeray J, Askegard-Giesmann JR, et al. Mortality increases with recurrent episodes of nonaccidental trauma in children. J Trauma Acute Care Surg 2013; 75: 161-165.
Taitz J, Moran K, O’Mera M. Long bone fractures in children under 3 years of age: Is abuse being missed in emergency department presentations? J Paediatr Child Health 2004; 40: 170-174.
Putnam-Hornstein E, Cleves MA, Licht R, Needell B. Risk of fatal injury in young children following abuse allegations: Evidence from a prospective, populationbased study. Am J Public Health 2013; 103: 39-44.
Şahin F. Çocuk İstismarının Tanımı, Epidemiyolojisi ve Multidispliner Yaklaşımın Önemi. Çocuk İstismarı ve İhmaline Multidisipliner Yaklaşım, Ankara: Ankara Üniversitesi Basımevi; 2006: 5-8.
Rumm PD, Cummings P, Krauss MR, Bell MA, Rivara FP. Identified spouse abuse as a risk factor for child abuse. Child Abuse Negl 2000; 24: 1375-1381.
Şahiner ÜM, Yurdakök K, Kavak US, Çetin İ. Tıbbi açıdan çocuk istismarı. Katkı Pediatri Dergisi 2001; 22: 276-277.
Brown J, Cohen P, Johnson J, Salzinger S. A longitudinal analysis of risk factors for child treatment: Findings of a 17 year prospective study of officially recorded and self reported child abuse and neglect. Child Abuse Negl 1998; 22: 1065-1078.
Lee B, Goerge R. Poverty, early child bearing and child maltreatment: A multinominal analysis. Child Youth Serv Rev 1999; 21: 755-780.
Connell-Carrick K. Ecological correlates of neglect in infants and toddlers. J Interpers Violence 2006; 21: 299-316.
King A, Farst KJ, Jaeger MW, Onukwube JI, Robbins J. Maltreatment -related emergency department visits among children 0 to 3 years old in the United States. Child Maltreat 2015; 20:151-161.
O’Neill JA. Patterns of injury in the battered child syndrome. J Trauma 1973; 13: 332-339.