Extra-axial haemorrhages in young children with skull fractures: abuse or accident?

ObjectiveInfant and toddler subdural haemorrhages (SDH) are often considered indicative of abuse or major trauma. However, accidental impact events, such as falls, cause contact extra-axial haemorrhages (EAHs). The current study sought to determine frequency and clinical behaviour of EAHs with infan...

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Bibliographic Details
Published in:Archives of disease in childhood 2022-07, Vol.107 (7), p.650-655
Main Authors: Wallace, Jordan, Metz, James Benson, Otjen, Jeffrey, Perez, Francisco A, Done, Stephen, Brown, Emily C B, Wiester, Rebecca T, Boos, Stephen C, Ganti, Sheila, Feldman, Kenneth W
Format: Article
Language:English
Subjects:
Accidents
Child Abuse
Child abuse & neglect
Children
Consciousness
Fainting
Fractures
Glasgow Coma Scale
Head injuries
Hemorrhage
Hospitals
Infants
Injuries
Meta Analysis
Neurological complications
neurosurgery
Observational studies
Paediatric Emergency Medicine
Pediatrics
Programming Languages
Records (Forms)
Regression (Statistics)
Science and Society
Skull
Statistical Analysis
Sutures
Trauma
Victims
Young Children
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Summary:ObjectiveInfant and toddler subdural haemorrhages (SDH) are often considered indicative of abuse or major trauma. However, accidental impact events, such as falls, cause contact extra-axial haemorrhages (EAHs). The current study sought to determine frequency and clinical behaviour of EAHs with infant and toddler accidental and abusive skull fractures.Patients and methodsChildren aged
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2021-322327