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Five-Year Review of Patients Presenting with Non-Accidental Injury to a Children's Emergency Unit in Singapore
Annals of the Academy of Medicine, Singapore ; : 413-419, 2018.
Article in English | WPRIM | ID: wpr-777427
ABSTRACT
INTRODUCTION@#There is an increasing trend of physical child abuse cases reported in Singapore. Children presenting to the Emergency Department with injuries require a high index of suspicion for clinicians to distinguish those that are abusive in nature.@*MATERIALS AND METHODS@#A retrospective study of children with diagnosis of NAI presenting to KK Women's and Children's Hospital (KKH) from June 2011 to May 2016 was conducted.@*RESULTS@#There were 1917 cases reported from 1730 subjects, of  which 8.8% of subjects had repeat visits; 55.2% of cases were male; and mean age was 7.69 years. Racial demographics were Chinese 45.5%, Malay 33.4%, Indian 15.4% and Others 5.9%. The most frequent injuries sustained were head and neck (50.8%), limbs (32.2%), and chest (5.7%). Of the type of injuries, 55% had contusions, 21% had cane marks, 16% had lacerations, 4.4% had burn marks and 1% sustained fractures. Males were more likely to be caned ( <0.001); 54.9% of cases were admitted and 38.9% were discharged. Cases that presented without a parent ( <0.001), were known to Child Protective Service ( <0.001), or had a history of  parental substance abuse ( = 0.038), mental illness in caregiver ( = 0.021), or domestic violence ( <0.001) were more likely to require admission.@*CONCLUSION@#Analysing these factors provide a better understanding of  the presentation of  NAI cases, including 'red flags' and vulnerable groups who should have better protection.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Singapore / Wounds and Injuries / Ethnicity / Injury Severity Score / Child Abuse / Sex Factors / Epidemiology / Prevalence / Retrospective Studies / Cohort Studies Type of study: Diagnostic study / Etiology study / Incidence study / Observational study / Prevalence study / Risk factors Limits: Child / Child, preschool / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Singapore / Wounds and Injuries / Ethnicity / Injury Severity Score / Child Abuse / Sex Factors / Epidemiology / Prevalence / Retrospective Studies / Cohort Studies Type of study: Diagnostic study / Etiology study / Incidence study / Observational study / Prevalence study / Risk factors Limits: Child / Child, preschool / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2018 Type: Article