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  1. Article ; Online: Detection of child abuse in emergency departments: a multi-centre study.

    Louwers, Eveline C F M / Korfage, Ida J / Affourtit, Marjo J / Scheewe, Dop J H / van de Merwe, Marjolijn H / Vooijs-Moulaert, Francoise A F S R / Woltering, Claire M C / Jongejan, Mieke H T M / Ruige, Madelon / Moll, Henriëtte A / De Koning, Harry J

    Archives of disease in childhood

    2011  Volume 96, Issue 5, Page(s) 422–425

    Abstract: Objective: This study examines the detection rates of suspected child abuse in the emergency departments of seven Dutch hospitals complying and not complying with screening guidelines for child abuse.: Design: Data on demographics, diagnosis and ... ...

    Abstract Objective: This study examines the detection rates of suspected child abuse in the emergency departments of seven Dutch hospitals complying and not complying with screening guidelines for child abuse.
    Design: Data on demographics, diagnosis and suspected child abuse were collected for all children aged ≤18 years who visited the emergency departments over a 6-month period. The completion of a checklist of warning signs of child abuse in at least 10% of the emergency department visits was considered to be compliance with screening guidelines.
    Results: A total of 24 472 visits were analysed, 54% of which took place in an emergency department complying with screening guidelines. Child abuse was suspected in 52 children (0.2%). In 40 (77%) of these 52 cases, a checklist of warning signs had been completed compared with a completion rate of 19% in the total sample. In hospitals complying with screening guidelines for child abuse, the detection rate was higher (0.3%) than in those not complying (0.1%, p<0.001).
    Conclusion: During a 6-month period, emergency department staff suspected child abuse in 0.2% of all children visiting the emergency department of seven Dutch hospitals. The numbers of suspected abuse cases detected were low, but an increase is likely if uniform screening guidelines are widely implemented.
    MeSH term(s) Adolescent ; Child ; Child Abuse/diagnosis ; Child Abuse/statistics & numerical data ; Child, Preschool ; Emergency Service, Hospital/standards ; Female ; Guideline Adherence/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Male ; Mass Screening/methods ; Mass Screening/standards ; Netherlands/epidemiology ; Practice Guidelines as Topic
    Language English
    Publishing date 2011-01-30
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 524-1
    ISSN 1468-2044 ; 0003-9888 ; 1359-2998
    ISSN (online) 1468-2044
    ISSN 0003-9888 ; 1359-2998
    DOI 10.1136/adc.2010.202358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Effects of systematic screening and detection of child abuse in emergency departments.

    Louwers, Eveline C F M / Korfage, Ida J / Affourtit, Marjo J / Scheewe, Dop J H / van de Merwe, Marjolijn H / Vooijs-Moulaert, Anne-Françoise S R / van den Elzen, Annette P M / Jongejan, Mieke H T M / Ruige, Madelon / Manaï, Badies H A N / Looman, Caspar W N / Bosschaart, Adriaan N / Teeuw, Arianne H / Moll, Henriëtte A / de Koning, Harry J

    Pediatrics

    2012  Volume 130, Issue 3, Page(s) 457–464

    Abstract: Objective: Although systematic screening for child abuse of children presenting at emergency departments might increase the detection rate, studies to support this are scarce. This study investigates whether introducing screening, and training of ... ...

    Abstract Objective: Although systematic screening for child abuse of children presenting at emergency departments might increase the detection rate, studies to support this are scarce. This study investigates whether introducing screening, and training of emergency department nurses, increases the detection rate of child abuse.
    Methods: In an intervention cohort study, children aged 0 to 18 years visiting the emergency departments of 7 hospitals between February 2008 and December 2009 were enrolled. We developed a screening checklist for child abuse (the "Escape Form") and training sessions for nurses; these were implemented by using an interrupted time-series design. Cases of suspected child abuse were determined by an expert panel using predefined criteria. The effect of the interventions on the screening rate for child abuse was calculated by interrupted time-series analyses and by the odds ratios for detection of child abuse in screened children.
    Results: A total of 104028 children aged 18 years or younger were included. The screening rate increased from 20% in February 2008 to 67% in December 2009. Significant trend changes were observed after training the nurses and after the legal requirement of screening by the Dutch Health Care Inspectorate in 2009. The detection rate in children screened for child abuse was 5 times higher than that in children not screened (0.5% vs 0.1%, P < .001).
    Conclusions: These results indicate that systematic screening for child abuse in emergency departments is effective in increasing the detection of suspected child abuse. Both a legal requirement and staff training are recommended to significantly increase the extent of screening.
    MeSH term(s) Adolescent ; Checklist ; Child ; Child Abuse/diagnosis ; Child, Preschool ; Emergency Nursing/education ; Emergency Service, Hospital ; Female ; Humans ; Infant ; Male ; Netherlands
    Language English
    Publishing date 2012-09
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2011-3527
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um IV Zs.131: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 357: Show issues

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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