Agreement of injury reporting between primary care medical record and maternal interview for children aged 0-3 years: implications for research and clinical care

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
Kimberly E StoneAnne K Duggan

Abstract

To assess agreement of injury reporting between primary care medical record and maternal interview. Cross-sectional study of data from a randomized controlled trial of home visiting. The setting was Hawaii's Healthy Start Program (HSP). Subjects comprised a population-based sample of children in at-risk families with 3 years of primary care medical records and maternal interviews (n = 443). Outcome measures were percentage of children injured unintentionally and mean number of injuries per child in the first 3 years of life by primary care medical record and maternal interview. We identified 490 injuries: 48% by primary care medical record, 22% by maternal interview, and 30% in both sources. More children were reported injured by primary care medical record than maternal interview (51% vs 39%, P< .001). The mean number of injuries per child was 0.87 by primary care medical record and 0.51 by maternal interview (difference 0.36, 95% confidence interval 0.27-0.45, P< .001). Agreement between data sources was fair (kappa = 0.47). This study estimates that 25% of childhood injuries may not be reported in the medical record, highlighting the need for reconsideration of the use of medical records as the gold standard for unintentiona...Continue Reading

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Citations

Nov 11, 2008·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Benjamin B LaheyIrwin D Waldman
Feb 15, 2013·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Allison E CurryDennis R Durbin
Oct 19, 2016·Developmental Psychobiology·Barbara A Morrongiello, Amanda Cox
Dec 16, 2017·Journal of the American Veterinary Medical Association·Debra C SellonKimberley L Cullen

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