The Association of Nonaccidental Trauma with Historical Factors, Examination Findings, and Diagnostic Testing During the Initial Trauma Evaluation

• 2017

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• Mauricio Escobar; Katherine Flynn-O'Brien; Marc Auerbach; Gunjan Tiyyagura; Matthew Borgman; Susan Duffy
PMID: 28520688DOI: https://doi.org/10.1097/ta.0000000000001441

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This article explores the correlation between various elements of history, physical examination, and diagnostic tests with a diagnosis of nonaccidental trauma (NAT) in children. It highlights the importance of early recognition to prevent recurrent abuse and associated higher mortality. The study reviews existing high-quality evidence, identifies gaps in current research, and emphasizes the need for validated screening tools to differentiate accidental from nonaccidental injuries, aiming to inform the development of clinical practice guidelines.

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Tags

Focus Area: Trauma

Audience: Physicians

Emergency Management Stage: Preparedness (Prevention / Protection)

Keywords: Child; Child Abuse; Child, Preschool; Diagnostic Tests, Routine; Infant; Infant, Newborn; Medical History Taking; Physical Examination; Wounds and Injuries; Adolescent

Institutions: Mary Bridge Children’s Hospital; Yale University; University of Washington; Brooke Army Medical Center; Uniformed Services University; Brown University; Cincinnati Children's Hospital Medical Center; Children's Hospital Los Angeles; University of Southern California; Medical College of Wisconsin; Cardiff University

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