Oral injuries and occult harm in children evaluated for abuse

Archives of Disease in Childhood
Molly V DorfmanExSTRA Investigators

Abstract

To determine the frequency of occult trauma in children with oral injury evaluated for physical abuse. This was a retrospectively planned secondary analysis of a prospective, observational study. Emergency departments supported by 20 US child abuse teams in the Examining Siblings to Recognize Abuse (ExSTRA) network. Children <120 months old evaluated for physical abuse. Analysis of index children with oral injury on initial examination. Rates of physician-recognised oral injury, as well as frequency and results of occult injury testing. Perceived abuse likelihood was described on a 7-point scale (7=definite abuse). Among 2890 child abuse consultations, 3.3% (n=96) of children had oral injury. Forty-two per cent were 0-12 months old, 39% 1-3 years old and 18% >3 years old. Oral injury was the primary reason for evaluation for 32 (33%). Forty-three per cent (42/96) had frenum injuries. Skeletal surveys were obtained for 84% and 25% of these identified occult fractures. Seventy-five per cent had neuroimaging; 38% identified injuries. Forty-one per cent of children with oral injuries had retinal examinations; 24% of exams showed retinal haemorrhages. More occult injuries were found in children with oral injuries than other ExSTRA s...Continue Reading

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Citations

Oct 23, 2019·Forensic Science, Medicine, and Pathology·Reena SarkarRichard Bassed
Sep 16, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gunjan TiyyaguraAndrea G Asnes
Sep 25, 2021·Child Maltreatment·Katie L JohnsonUNKNOWN ExSTRA Investigators
Nov 9, 2021·Forensic Science, Medicine, and Pathology·Reena SarkarJoan Ozanne-Smith
Mar 25, 2020·Pediatrics·Sandeep K NarangUNKNOWN COUNCIL ON CHILD ABUSE AND NEGLECT
Nov 13, 2019·Pediatric Emergency Care·Jonathan J LeeJoel S Tieder

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