Infant Abusive Head Trauma in a Military Cohort
Evaluate the rate of, and risk factors for, abusive head trauma (AHT) among infants born to military families and compare with civilian population rates. Electronic International Classification of Diseases data from the US Department of Defense (DoD) Birth and Infant Health Registry were used to ide...
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| Veröffentlicht in: | Pediatrics (Evanston) 2013-10, Vol.132 (4), p.668-676 |
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| creator | GUMBS, Gia R KEENAN, Heather T SEVICK, Carter J CONLIN, Ava Marie S LLOYD, David W RUNYAN, Desmond K RYAN, Margaret A. K SMITH, Tyler C |
| description | Evaluate the rate of, and risk factors for, abusive head trauma (AHT) among infants born to military families and compare with civilian population rates.
Electronic International Classification of Diseases data from the US Department of Defense (DoD) Birth and Infant Health Registry were used to identify infants born to military families from 1998 through 2005 (N = 676 827) who met the study definition for AHT. DoD Family Advocacy Program data were used to identify infants with substantiated reports of abuse. Rates within the military were compared with civilian population rates by applying an alternate AHT case definition used in a civilian study.
Applying the study definition, the estimated rate of substantiated military AHT was 34.0 cases in the first year of life per 100 000 live births. Using the alternate case definition, the estimated AHT rate was 25.6 cases per 100 000 live births. Infant risk factors for AHT included male sex, premature birth, and a diagnosed major birth defect. Parental risk factors included young maternal age ( |
| doi_str_mv | 10.1542/peds.2013-0168 |
| format | Article |
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Electronic International Classification of Diseases data from the US Department of Defense (DoD) Birth and Infant Health Registry were used to identify infants born to military families from 1998 through 2005 (N = 676 827) who met the study definition for AHT. DoD Family Advocacy Program data were used to identify infants with substantiated reports of abuse. Rates within the military were compared with civilian population rates by applying an alternate AHT case definition used in a civilian study.
Applying the study definition, the estimated rate of substantiated military AHT was 34.0 cases in the first year of life per 100 000 live births. Using the alternate case definition, the estimated AHT rate was 25.6 cases per 100 000 live births. Infant risk factors for AHT included male sex, premature birth, and a diagnosed major birth defect. Parental risk factors included young maternal age (<21 years), lower sponsor rank or pay grade, and current maternal military service.
This is the first large database study of AHT with the ability to link investigative results to cases. Overall rates of AHT were consistent with civilian populations when using the same case definition codes. Infants most at risk, warranting special attention from military family support programs, include infants with parents in lower military pay grades, infants with military mothers, and infants born premature or with birth defects.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2013-0168</identifier><identifier>PMID: 23999963</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Adult and adolescent clinical studies ; Age ; Babies ; Biological and medical sciences ; Child abuse ; Child Abuse - diagnosis ; Child Abuse - prevention & control ; Child Abuse - trends ; Cohort Studies ; Craniocerebral Trauma - diagnosis ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - prevention & control ; Demographic aspects ; Female ; General aspects ; Humans ; Infant ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Military personnel ; Military Personnel - psychology ; Organic mental disorders. Neuropsychology ; Parents & parenting ; Pediatrics ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Registries ; Risk Factors ; Shaken baby syndrome ; Social aspects ; Traumas. Diseases due to physical agents ; United States - epidemiology ; United States Department of Defense - trends</subject><ispartof>Pediatrics (Evanston), 2013-10, Vol.132 (4), p.668-676</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Academy of Pediatrics Oct 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-2f81acf4f46655ad027b6fcfefc695cb7f22b0ced53009899565144d49f9e0273</citedby><cites>FETCH-LOGICAL-c424t-2f81acf4f46655ad027b6fcfefc695cb7f22b0ced53009899565144d49f9e0273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27770826$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23999963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GUMBS, Gia R</creatorcontrib><creatorcontrib>KEENAN, Heather T</creatorcontrib><creatorcontrib>SEVICK, Carter J</creatorcontrib><creatorcontrib>CONLIN, Ava Marie S</creatorcontrib><creatorcontrib>LLOYD, David W</creatorcontrib><creatorcontrib>RUNYAN, Desmond K</creatorcontrib><creatorcontrib>RYAN, Margaret A. K</creatorcontrib><creatorcontrib>SMITH, Tyler C</creatorcontrib><title>Infant Abusive Head Trauma in a Military Cohort</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Evaluate the rate of, and risk factors for, abusive head trauma (AHT) among infants born to military families and compare with civilian population rates.
Electronic International Classification of Diseases data from the US Department of Defense (DoD) Birth and Infant Health Registry were used to identify infants born to military families from 1998 through 2005 (N = 676 827) who met the study definition for AHT. DoD Family Advocacy Program data were used to identify infants with substantiated reports of abuse. Rates within the military were compared with civilian population rates by applying an alternate AHT case definition used in a civilian study.
Applying the study definition, the estimated rate of substantiated military AHT was 34.0 cases in the first year of life per 100 000 live births. Using the alternate case definition, the estimated AHT rate was 25.6 cases per 100 000 live births. Infant risk factors for AHT included male sex, premature birth, and a diagnosed major birth defect. Parental risk factors included young maternal age (<21 years), lower sponsor rank or pay grade, and current maternal military service.
This is the first large database study of AHT with the ability to link investigative results to cases. Overall rates of AHT were consistent with civilian populations when using the same case definition codes. Infants most at risk, warranting special attention from military family support programs, include infants with parents in lower military pay grades, infants with military mothers, and infants born premature or with birth defects.</description><subject>Adult and adolescent clinical studies</subject><subject>Age</subject><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Child abuse</subject><subject>Child Abuse - diagnosis</subject><subject>Child Abuse - prevention & control</subject><subject>Child Abuse - trends</subject><subject>Cohort Studies</subject><subject>Craniocerebral Trauma - diagnosis</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - prevention & control</subject><subject>Demographic aspects</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Military personnel</subject><subject>Military Personnel - psychology</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Shaken baby syndrome</subject><subject>Social aspects</subject><subject>Traumas. Diseases due to physical agents</subject><subject>United States - epidemiology</subject><subject>United States Department of Defense - trends</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0c1LwzAYBvAgipsfV49SEMFLtzefbY5jqBMmXuY5pGkyK107k1b0vzdlU8GTueTyS3jf50HoAsMEc0amW1uGCQFMU8AiP0BjDDJPGcn4IRoDUJwyAD5CJyG8AgDjGTlGI0JlPIKO0fShcbrpklnRh-rdJgury2Tldb_RSdUkOnms6qrT_jOZty-t787QkdN1sOf7-xQ9392u5ot0-XT_MJ8tU8MI61LicqyNY44JwbkugWSFcMZZZ4TkpsgcIQUYW3IKcWApueCYsZJJJ23E9BTd7P7d-vatt6FTmyoYW9e6sW0fFGaC8bgr8H9QRmkuAeeRXv2hr23vm7jIoGKKMTgWVbpTa11bVTWmbTr70Zm2ru3aqrjn_EnNKOcc55KJ6Cc7b3wbgrdObX21iZkpDGpoSQ0tqaElNbQUH1zux-iLjS1_-HctEVzvgQ5G187rxlTh12VZBjkR9AtZcZX-</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>GUMBS, Gia R</creator><creator>KEENAN, Heather T</creator><creator>SEVICK, Carter J</creator><creator>CONLIN, Ava Marie S</creator><creator>LLOYD, David W</creator><creator>RUNYAN, Desmond K</creator><creator>RYAN, Margaret A. K</creator><creator>SMITH, Tyler C</creator><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20131001</creationdate><title>Infant Abusive Head Trauma in a Military Cohort</title><author>GUMBS, Gia R ; KEENAN, Heather T ; SEVICK, Carter J ; CONLIN, Ava Marie S ; LLOYD, David W ; RUNYAN, Desmond K ; RYAN, Margaret A. K ; SMITH, Tyler C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-2f81acf4f46655ad027b6fcfefc695cb7f22b0ced53009899565144d49f9e0273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Age</topic><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Child abuse</topic><topic>Child Abuse - diagnosis</topic><topic>Child Abuse - prevention & control</topic><topic>Child Abuse - trends</topic><topic>Cohort Studies</topic><topic>Craniocerebral Trauma - diagnosis</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - prevention & control</topic><topic>Demographic aspects</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Infant</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Military personnel</topic><topic>Military Personnel - psychology</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Shaken baby syndrome</topic><topic>Social aspects</topic><topic>Traumas. Diseases due to physical agents</topic><topic>United States - epidemiology</topic><topic>United States Department of Defense - trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GUMBS, Gia R</creatorcontrib><creatorcontrib>KEENAN, Heather T</creatorcontrib><creatorcontrib>SEVICK, Carter J</creatorcontrib><creatorcontrib>CONLIN, Ava Marie S</creatorcontrib><creatorcontrib>LLOYD, David W</creatorcontrib><creatorcontrib>RUNYAN, Desmond K</creatorcontrib><creatorcontrib>RYAN, Margaret A. 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K</au><au>SMITH, Tyler C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infant Abusive Head Trauma in a Military Cohort</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>132</volume><issue>4</issue><spage>668</spage><epage>676</epage><pages>668-676</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Evaluate the rate of, and risk factors for, abusive head trauma (AHT) among infants born to military families and compare with civilian population rates.
Electronic International Classification of Diseases data from the US Department of Defense (DoD) Birth and Infant Health Registry were used to identify infants born to military families from 1998 through 2005 (N = 676 827) who met the study definition for AHT. DoD Family Advocacy Program data were used to identify infants with substantiated reports of abuse. Rates within the military were compared with civilian population rates by applying an alternate AHT case definition used in a civilian study.
Applying the study definition, the estimated rate of substantiated military AHT was 34.0 cases in the first year of life per 100 000 live births. Using the alternate case definition, the estimated AHT rate was 25.6 cases per 100 000 live births. Infant risk factors for AHT included male sex, premature birth, and a diagnosed major birth defect. Parental risk factors included young maternal age (<21 years), lower sponsor rank or pay grade, and current maternal military service.
This is the first large database study of AHT with the ability to link investigative results to cases. Overall rates of AHT were consistent with civilian populations when using the same case definition codes. Infants most at risk, warranting special attention from military family support programs, include infants with parents in lower military pay grades, infants with military mothers, and infants born premature or with birth defects.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>23999963</pmid><doi>10.1542/peds.2013-0168</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult and adolescent clinical studies Age Babies Biological and medical sciences Child abuse Child Abuse - diagnosis Child Abuse - prevention & control Child Abuse - trends Cohort Studies Craniocerebral Trauma - diagnosis Craniocerebral Trauma - epidemiology Craniocerebral Trauma - prevention & control Demographic aspects Female General aspects Humans Infant Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Military personnel Military Personnel - psychology Organic mental disorders. Neuropsychology Parents & parenting Pediatrics Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Registries Risk Factors Shaken baby syndrome Social aspects Traumas. Diseases due to physical agents United States - epidemiology United States Department of Defense - trends |
| title | Infant Abusive Head Trauma in a Military Cohort |
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