Abstract
A search of accident and emergency department records showed that 61% of 85 children registered as being physically or sexually abused by the Department of Community Paediatrics at St James's University Hospital, Leeds, England, were found to have visited the accident and emergency department an average of 2.9 times before the diagnosis was made. Fifty-two per cent of the attendances were because of problems other than injuries. Staff of accident and emergency departments should be aware that abused children present with medical diagnoses as well as trauma. Increased awareness may result in earlier diagnosis of abuse in some of these children.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Hobbs C. J., Wynne J. M. Child sexual abuse--an increasing rate of diagnosis. Lancet. 1987 Oct 10;2(8563):837–841. doi: 10.1016/s0140-6736(87)91025-7. [DOI] [PubMed] [Google Scholar]
- Holter J. C., Friedman S. B. Child abuse: early case finding in the emergency department. Pediatrics. 1968 Jul;42(1):128–138. [PubMed] [Google Scholar]
- Johnson C. F., Apolo J., Joseph J. A., Corbitt T. Child abuse diagnosis and the emergency department chart. Pediatr Emerg Care. 1986 Mar;2(1):6–9. doi: 10.1097/00006565-198603000-00002. [DOI] [PubMed] [Google Scholar]
- Worlock P., Stower M., Barbor P. Patterns of fractures in accidental and non-accidental injury in children: a comparative study. Br Med J (Clin Res Ed) 1986 Jul 12;293(6539):100–102. doi: 10.1136/bmj.293.6539.100. [DOI] [PMC free article] [PubMed] [Google Scholar]