PMID: 8603221Mar 1, 1996Paper

Intentional injury surveillance in a primary care pediatric setting

Archives of Pediatrics & Adolescent Medicine
R SegeH Spivak

Abstract

To describe intentional injuries identified by primary care providers caring for children and adolescents, as reported through a prospective surveillance system. Pediatric departments at four sites affiliated with a large health maintenance organization in eastern Massachusetts. Primary care providers completed brief injury encounter reports for patients aged 3 to 18 years treated for an intentional injury during a 20-month study period. For comparison purposes, a convenience sample of medical record was reviewed. Two hundred eleven injury encounter reports were received, representing a reported rate of 4.1 intentional injuries per 1000 panel members per year. These injuries ranged from contusions and lacerations to sexual assault and homicide. The median age of children at the time of injury was 14 years (interquartile range, 12 to 16 years), older than the population median age of 10 years (interquartile range, 6 to 14 years) (P<.001, Wilcoxon Signed Rank Test). Boys had a relative risk 1.5 times that of girls (P<.05, binomial test). Almost half of the injuries to adolescent girls resulted from encounters with other girls; 10% were the result of dating violence. In most cases, the patient and his or her assailant were friends...Continue Reading

Citations

Jul 1, 1999·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·D A StoneR D Sege
Nov 18, 2003·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Michelle ForcierJessica A Kahn
Dec 5, 2012·Pediatric Annals·Emalee G Flaherty, Amanda K Fingarson
Dec 27, 2005·American Journal of Preventive Medicine·Robert D Sege, Joan Serra Hoffman
Dec 27, 2005·American Journal of Preventive Medicine·Robert D SegeSusan Webb
Jan 1, 1999·International Journal of Adolescent Medicine and Health·Robert D SegeCary Perry
Apr 7, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R E SapienD P Sklar
Feb 16, 2008·Journal of Interpersonal Violence·Barry S SolomonTina L Cheng
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Nicholas AvdimiretzIoana Bratu
Feb 23, 2020·Journal of Pediatric and Adolescent Gynecology·Meredith C Joppa

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