Children with burns referred for child abuse evaluation: Burn characteristics and co-existent injuries

for the ExSTRA investigators

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Intentional burns represent a serious form of physical abuse that must be identified to protect children from further harm. This study is a retrospectively planned secondary analysis of the Examining Siblings To Recognize Abuse (ExSTRA) network data. Our objective was to describe the characteristics of burns injuries in children referred to Child Abuse Pediatricians (CAPs) in relation to the perceived likelihood of abuse. We furthermore compare the extent of diagnostic investigations undertaken in children referred to CAPs for burn injuries with those referred for other reasons. Within this dataset, 7% (215/2890) of children had burns. Children with burns were older than children with other injuries (median age 20 months vs. 10 months). Physical abuse was perceived as likely in 40.9% (88) and unlikely in 59.1% (127). Scalds accounted for 52.6% (113) and contact burns for 27.6% (60). Several characteristics of the history and burn injury were associated with a significantly higher perceived likelihood of abuse, including children with reported inflicted injury, absent or inadequate explanation, hot water as agent, immersion scald, a bilateral/symmetric burn pattern, total body surface area ≥10%, full thickness burns, and co-existent injuries. The rates of diagnostic testing were significantly lower in children with burns than other injuries, yet the yield of skeletal survey and hepatic transaminases testing were comparable between the two groups. This would imply that children referred to CAPs for burns warrant the same level of comprehensive investigations as those referred for other reasons.

Original languageEnglish (US)
Pages (from-to)52-61
Number of pages10
JournalChild Abuse and Neglect
Volume55
DOIs
StatePublished - May 1 2016

Fingerprint

Child Abuse
Burns
Wounds and Injuries
Body Surface Area
Immersion
Transaminases
Siblings
History
Water
Liver

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

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title = "Children with burns referred for child abuse evaluation: Burn characteristics and co-existent injuries",
abstract = "Intentional burns represent a serious form of physical abuse that must be identified to protect children from further harm. This study is a retrospectively planned secondary analysis of the Examining Siblings To Recognize Abuse (ExSTRA) network data. Our objective was to describe the characteristics of burns injuries in children referred to Child Abuse Pediatricians (CAPs) in relation to the perceived likelihood of abuse. We furthermore compare the extent of diagnostic investigations undertaken in children referred to CAPs for burn injuries with those referred for other reasons. Within this dataset, 7{\%} (215/2890) of children had burns. Children with burns were older than children with other injuries (median age 20 months vs. 10 months). Physical abuse was perceived as likely in 40.9{\%} (88) and unlikely in 59.1{\%} (127). Scalds accounted for 52.6{\%} (113) and contact burns for 27.6{\%} (60). Several characteristics of the history and burn injury were associated with a significantly higher perceived likelihood of abuse, including children with reported inflicted injury, absent or inadequate explanation, hot water as agent, immersion scald, a bilateral/symmetric burn pattern, total body surface area ≥10{\%}, full thickness burns, and co-existent injuries. The rates of diagnostic testing were significantly lower in children with burns than other injuries, yet the yield of skeletal survey and hepatic transaminases testing were comparable between the two groups. This would imply that children referred to CAPs for burns warrant the same level of comprehensive investigations as those referred for other reasons.",
author = "{for the ExSTRA investigators} and Pawlik, {Marie Christin} and Alison Kemp and Sabine Maguire and Diane Nuttall and Feldman, {Kenneth W.} and Lindberg, {Daniel M.} and Jayme Coffman and Deb Bretl and Nancy Harper and Katherine Deye and Laskey, {Antoinette L.} and {Tara Harris}, Harris and Yolanda Duralde and Marcella Donaruma-Kwoh and Daryl Steiner and Ken Feldman and Kimberly Schwartz and Shapiro, {Robert A.} and Mary Greiner and Alice Newton and Rachel Berger and Ivone Kim and Kent Hymel and Suzanne Haney and Alicia Pekarsky and Andrea Asnes and Paul McPherson and Neha Mehta and Gwendolyn Gladstone",
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language = "English (US)",
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Children with burns referred for child abuse evaluation : Burn characteristics and co-existent injuries. / for the ExSTRA investigators.

In: Child Abuse and Neglect, Vol. 55, 01.05.2016, p. 52-61.

Research output: Contribution to journalArticle

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T2 - Burn characteristics and co-existent injuries

AU - for the ExSTRA investigators

AU - Pawlik, Marie Christin

AU - Kemp, Alison

AU - Maguire, Sabine

AU - Nuttall, Diane

AU - Feldman, Kenneth W.

AU - Lindberg, Daniel M.

AU - Coffman, Jayme

AU - Bretl, Deb

AU - Harper, Nancy

AU - Deye, Katherine

AU - Laskey, Antoinette L.

AU - Tara Harris, Harris

AU - Duralde, Yolanda

AU - Donaruma-Kwoh, Marcella

AU - Steiner, Daryl

AU - Feldman, Ken

AU - Schwartz, Kimberly

AU - Shapiro, Robert A.

AU - Greiner, Mary

AU - Newton, Alice

AU - Berger, Rachel

AU - Kim, Ivone

AU - Hymel, Kent

AU - Haney, Suzanne

AU - Pekarsky, Alicia

AU - Asnes, Andrea

AU - McPherson, Paul

AU - Mehta, Neha

AU - Gladstone, Gwendolyn

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