Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings

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dc.contributor.authorYaylacı, Serpil
dc.contributor.authorDallar, Yıldız
dc.contributor.authorSayar, Yavuz
dc.contributor.authorTaşar, Medine Ayşin
dc.contributor.authorTıraş, Ülkü
dc.contributor.authorTekin, Deniz
dc.contributor.authorKaragöz, Feyza
dc.date.accessioned2020-04-30T22:38:56Z
dc.date.available2020-04-30T22:38:56Z
dc.date.issued2016
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionGUZEY, FEYZA KARAGOZ/0000-0002-4260-9821; Kondolot, Meda/0000-0002-1168-3228; BARANSEL ISIR, AYSUN/0000-0002-0550-3470en_US
dc.descriptionWOS: 000382873200006en_US
dc.description.abstractAim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study. Materials and Methods: This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding. Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8%), more than three children under 7 years of age in 76 families (22.0%), and bad child temper in 16 families (4.6%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7%) was statistically significantly higher than in hospitals without an MDT (2.9%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6%), possibly inflicted in 24 (7.0%), undetermined in 79 (22.9%), and accidental in 164 (47.5%) by the researchers, compared to only three cases (0.8%) diagnosed as inflicted by the treating physicians (p<0.0001). In two of the three cases, the perpetrator was convicted; in one, the prosecutor closed the case without a trial on the basis of "no confession" despite the death of the child and medical evidence. Conclusion: Clinicians' knowledge of the diagnosis of AHT should be increased to improve case finding, which will allow determination of more accurate incidence/prevalence. This can be accomplished via the establishment of an MDT in teaching hospitals as well as staff training on how to recognize suspicious cases, how to utilize MDT services, and how to report and manage cases on a community level multidisciplinary basis.en_US
dc.identifier.doi10.5152/eajem.2016.52386en_US
dc.identifier.endpage29en_US
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue1en_US
dc.identifier.startpage24en_US
dc.identifier.urihttps://doi.org/10.5152/eajem.2016.52386
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2523
dc.identifier.volume15en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofEurasian Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAbusive head traumaen_US
dc.subjectmultidisciplinary teamen_US
dc.subjectdiagnostic workupen_US
dc.titleAbusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findingsen_US
dc.typeArticleen_US

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