A Model to Improve Detection of Nonaccidental Pediatric Burns
Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental. A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patien...
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Veröffentlicht in: | AMA journal of ethics 2018-06, Vol.20 (1), p.552-559 |
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creator | Nigro, Lauren C Feldman, Michael J Foster, Robin L Pozez, Andrea L |
description | Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental.
A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period.
We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented.
Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse. |
doi_str_mv | 10.1001/journalofethics.2018.20.6.org1-1806 |
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A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period.
We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented.
Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse.</description><identifier>ISSN: 2376-6980</identifier><identifier>EISSN: 2376-6980</identifier><identifier>DOI: 10.1001/journalofethics.2018.20.6.org1-1806</identifier><identifier>PMID: 29905133</identifier><language>eng</language><publisher>United States</publisher><subject>Accidents ; Age Factors ; Burns - etiology ; Burns - pathology ; Child Abuse - diagnosis ; Child Protective Services ; Child Welfare ; Child, Preschool ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Models, Theoretical ; Pediatrics ; Quality Improvement ; Severity of Illness Index ; Social Workers</subject><ispartof>AMA journal of ethics, 2018-06, Vol.20 (1), p.552-559</ispartof><rights>2018 American Medical Association. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3136-b474aef6d61a803100c3e3c164324f3760c4295c7340b1632d3118b8aad496293</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29905133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nigro, Lauren C</creatorcontrib><creatorcontrib>Feldman, Michael J</creatorcontrib><creatorcontrib>Foster, Robin L</creatorcontrib><creatorcontrib>Pozez, Andrea L</creatorcontrib><title>A Model to Improve Detection of Nonaccidental Pediatric Burns</title><title>AMA journal of ethics</title><addtitle>AMA J Ethics</addtitle><description>Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental.
A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period.
We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented.
Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse.</description><subject>Accidents</subject><subject>Age Factors</subject><subject>Burns - etiology</subject><subject>Burns - pathology</subject><subject>Child Abuse - diagnosis</subject><subject>Child Protective Services</subject><subject>Child Welfare</subject><subject>Child, Preschool</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Models, Theoretical</subject><subject>Pediatrics</subject><subject>Quality Improvement</subject><subject>Severity of Illness Index</subject><subject>Social Workers</subject><issn>2376-6980</issn><issn>2376-6980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtPwzAQhC0EolXpX0A-IqEEv-LYBw6lvCqVxwHOluM4kCqJi50g8e9x1IIQl9k9jGZnPwDOMUoxQvhi4wbf6cZVtn-vTUgJwiJKylPn33CCBeIHYEpozhMuBTr8s0_APIQNiimMC5nJYzAhUqIMUzoFlwv44ErbwN7BVbv17tPCa9tb09eug66Cj67TxtSl7XrdwGdb1rr3tYFXsU84AUeVboKd7-cMvN7evCzvk_XT3Wq5WCeGYsqTguVM24qXHGuBaHzIUEsN5owSVsWeyDAiM5NThgrMKSkpxqIQWpdMciLpDJztcmPBj8GGXrV1MLZpdGfdEBRBGadSCiKidbmzGu9C8LZSW1-32n8pjNSIUv1DqUaUURRXI0o1oowpp_uDQ9Ha8jfjBxz9BlhsdLQ</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Nigro, Lauren C</creator><creator>Feldman, Michael J</creator><creator>Foster, Robin L</creator><creator>Pozez, Andrea L</creator><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>7X8</scope></search><sort><creationdate>20180601</creationdate><title>A Model to Improve Detection of Nonaccidental Pediatric Burns</title><author>Nigro, Lauren C ; Feldman, Michael J ; Foster, Robin L ; Pozez, Andrea L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3136-b474aef6d61a803100c3e3c164324f3760c4295c7340b1632d3118b8aad496293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accidents</topic><topic>Age Factors</topic><topic>Burns - etiology</topic><topic>Burns - pathology</topic><topic>Child Abuse - diagnosis</topic><topic>Child Protective Services</topic><topic>Child Welfare</topic><topic>Child, Preschool</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Models, Theoretical</topic><topic>Pediatrics</topic><topic>Quality Improvement</topic><topic>Severity of Illness Index</topic><topic>Social Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nigro, Lauren C</creatorcontrib><creatorcontrib>Feldman, Michael J</creatorcontrib><creatorcontrib>Foster, Robin L</creatorcontrib><creatorcontrib>Pozez, Andrea L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>AMA journal of ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nigro, Lauren C</au><au>Feldman, Michael J</au><au>Foster, Robin L</au><au>Pozez, Andrea L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Model to Improve Detection of Nonaccidental Pediatric Burns</atitle><jtitle>AMA journal of ethics</jtitle><addtitle>AMA J Ethics</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>20</volume><issue>1</issue><spage>552</spage><epage>559</epage><pages>552-559</pages><issn>2376-6980</issn><eissn>2376-6980</eissn><abstract>Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental.
A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period.
We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented.
Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse.</abstract><cop>United States</cop><pmid>29905133</pmid><doi>10.1001/journalofethics.2018.20.6.org1-1806</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accidents Age Factors Burns - etiology Burns - pathology Child Abuse - diagnosis Child Protective Services Child Welfare Child, Preschool Hospitalization Humans Infant Infant, Newborn Models, Theoretical Pediatrics Quality Improvement Severity of Illness Index Social Workers |
title | A Model to Improve Detection of Nonaccidental Pediatric Burns |
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