PMID: 11926843Apr 3, 2002Paper

Assessment of suspicion of abuse in the primary care setting

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
E G FlahertyH J Binns

Abstract

To describe the primary care practitioner's assessment of the likelihood that an injury was caused by physical abuse. The hypotheses were 1) practitioners face great uncertainty as to the possibility that an injury may have been caused by abuse; a measure that assigns variable degrees of suspicion to childhood injuries can be developed that will reveal this uncertainty; and 2) practitioner factors and patient factors influence this suspicion. Primary care practitioners in a regional practice-based research network prospectively collected information about each consecutive office encounter during a 4-week study period. For injury-related visits, the practitioner described injury type, reported cause and severity, and the practitioner's assessment of the cause of injury. Practitioners also used a 5-point Suspicion Scale to identify their level of suspicion that the injury was caused by abuse, with 1 equating to impossible and 5 equating to virtually certain. A subset of practitioners gave information about child and family risk factors. The practitioner's reporting activity was not studied. Participating practitioners (n = 85) in 17 practices collected information about 12 510 office encounters, including 659 injuries. Although t...Continue Reading

References

Jan 1, 1990·Child Abuse & Neglect·G L Zellman
Jan 1, 1990·American Journal of Diseases of Children·R AlexanderT Bennett
Mar 1, 1993·Child Abuse & Neglect·G D Wolfner, R J Gelles
Oct 22, 1998·The New England Journal of Medicine·M D OverpeckH W Berendes
Feb 24, 1999·JAMA : the Journal of the American Medical Association·C JennyT C Hay
Oct 3, 1999·Child Abuse & Neglect·S P CadzowJ A Fraser
May 12, 2000·Archives of Pediatrics & Adolescent Medicine·E G FlahertyK K Christoffel

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Citations

Apr 1, 2004·American Journal of Public Health·Sue RoviMark S Johnson
Jun 2, 2005·Annals of Family Medicine·Wilson D Pace, Elizabeth W Staton
Jun 16, 2009·Journal of Pediatric Surgery·Erika L RangelRichard A Falcone
Dec 5, 2012·Pediatric Annals·Emalee G Flaherty, Amanda K Fingarson
Jan 22, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elisabeth GuentherLenora M Olson
Sep 29, 2004·Child Abuse & Neglect·Emalee G FlahertyUNKNOWN Child Abuse Recognition Experience Study Research Group
Apr 18, 2006·Child Abuse & Neglect·Benjamin H LeviChris Erb
Dec 27, 2005·American Journal of Preventive Medicine·Robert M Reece, Carole Jenny
Feb 14, 2015·Scandinavian Journal of Primary Health Care·Marijke TalsmaAnna-Lena Östberg
Jan 27, 2015·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Grace W K Ho, Deborah A Gross
Dec 9, 2010·Clinical Pediatrics·Benjamin H Levi, Kathryn Crowell
Mar 15, 2018·Pediatric Annals·Erin F HoehnElena Duma
Jul 14, 2010·The Journal of Trauma·Erika L RangelUNKNOWN Multicenter Child Abuse Disparity Group
Apr 8, 2020·Trauma, Violence & Abuse·Jacqueline KuruppuKelsey Hegarty
Jul 11, 2013·International Journal of Adolescent Medicine and Health·Michele KnoxVictor Vieth
Feb 16, 2008·The Journal of Clinical Pediatric Dentistry·S ManeaP Facchin
Jan 11, 2005·Theoretical Medicine and Bioethics·Benjamin H Levi, Greg Loeben
Mar 3, 2006·Pediatrics·Matthew TrokelRobert Sege
Jul 5, 2005·Pediatrics·Benjamin H Levi, Georgia Brown

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