Skip to main content
Top
Published in: Pediatric Radiology 6/2021

01-05-2021 | Abusive Head Injury | Child abuse imaging

Sibling screening in suspected abusive head trauma: a proposed guideline

Authors: Kshitij Mankad, Jai Sidpra, Adam J. Oates, Alistair Calder, Amaka C. Offiah, Arabinda Choudhary

Published in: Pediatric Radiology | Issue 6/2021

Login to get access

Abstract

Abusive head trauma (AHT) is the leading cause of death from child abuse in children younger than 5 years. It is well documented that the infant contacts of children presenting with suspected AHT are at an increased risk of abuse when compared to the general infant population. Despite this association, a paucity of literature stratifies this risk and translates it to the clinic such that this high-risk group is stringently screened for abusive injuries. In this light, the authors propose a standardised screening method for all contact children of the index case and call for further consensus on the subject.
Literature
1.
go back to reference Parks S, Sugerman D, Xu L et al (2012) Characteristics of non-fatal abusive head trauma among children in the USA, 2003-2008: application of the CDC operational case definition to national hospital inpatient data HHS public access. Inj Prev 18:392–398CrossRef Parks S, Sugerman D, Xu L et al (2012) Characteristics of non-fatal abusive head trauma among children in the USA, 2003-2008: application of the CDC operational case definition to national hospital inpatient data HHS public access. Inj Prev 18:392–398CrossRef
2.
go back to reference Campbell KA, Squires J, Cook LJ et al (2009) Disparities in the medical examination of children in the home of a child with suspected physical abuse. Child Abuse Negl 33:612–617CrossRef Campbell KA, Squires J, Cook LJ et al (2009) Disparities in the medical examination of children in the home of a child with suspected physical abuse. Child Abuse Negl 33:612–617CrossRef
3.
go back to reference Campbell KA, Bogen DL, Berger RP (2006) The other children: a survey of child abuse physicians on the medical evaluation of children living with a physically abused child. JAMA Pediatr 160:1241–1246 Campbell KA, Bogen DL, Berger RP (2006) The other children: a survey of child abuse physicians on the medical evaluation of children living with a physically abused child. JAMA Pediatr 160:1241–1246
4.
go back to reference Jenny C, Hymel KP, Ritzen A et al (1999) Analysis of missed cases of abusive head trauma. JAMA 282:621–627CrossRef Jenny C, Hymel KP, Ritzen A et al (1999) Analysis of missed cases of abusive head trauma. JAMA 282:621–627CrossRef
5.
go back to reference Hamilton-Giachritsis CE, Browne KD (2005) A retrospective study of risk to siblings in abusing families. J Fam Psychol 19:619–624CrossRef Hamilton-Giachritsis CE, Browne KD (2005) A retrospective study of risk to siblings in abusing families. J Fam Psychol 19:619–624CrossRef
6.
go back to reference Lindberg DM, Shapiro RA, Laskey AL et al (2012) Prevalence of abusive injuries in siblings and household contacts of physically abused children. Pediatrics 130:193–201CrossRef Lindberg DM, Shapiro RA, Laskey AL et al (2012) Prevalence of abusive injuries in siblings and household contacts of physically abused children. Pediatrics 130:193–201CrossRef
7.
go back to reference Becker JC, Liersch R, Tautz C et al (1998) Shaken baby syndrome: report on four pairs of twins. Child Abuse Negl 22:931–937CrossRef Becker JC, Liersch R, Tautz C et al (1998) Shaken baby syndrome: report on four pairs of twins. Child Abuse Negl 22:931–937CrossRef
8.
go back to reference Lindberg DM, Blood EA, Campbell KA et al (2013) Predictors of screening and injury in contacts of physically abused children. J Pediatr 163:730–735CrossRef Lindberg DM, Blood EA, Campbell KA et al (2013) Predictors of screening and injury in contacts of physically abused children. J Pediatr 163:730–735CrossRef
10.
go back to reference Paddock M, Sprigg A, Offiah AC (2017) Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 1: initial considerations and appendicular skeleton. Clin Radiol 72:179–188CrossRef Paddock M, Sprigg A, Offiah AC (2017) Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 1: initial considerations and appendicular skeleton. Clin Radiol 72:179–188CrossRef
11.
go back to reference Schnitzer PG, Ewigman BG (2005) Child deaths resulting from inflicted injuries: household risk factors and perpetrator characteristics. Pediatrics 116:e687–e693CrossRef Schnitzer PG, Ewigman BG (2005) Child deaths resulting from inflicted injuries: household risk factors and perpetrator characteristics. Pediatrics 116:e687–e693CrossRef
15.
go back to reference Wootton-Gorges SL, Soares BP, Alazraki AL et al (2017) ACR appropriateness criteria: suspected physical abuse — child. J Am Coll Radiol 14:338–349CrossRef Wootton-Gorges SL, Soares BP, Alazraki AL et al (2017) ACR appropriateness criteria: suspected physical abuse — child. J Am Coll Radiol 14:338–349CrossRef
17.
go back to reference Choudhary AK, Servaes S, Slovis TL et al (2018) Consensus statement on abusive head trauma in infants and young children. Pediatr Radiol 48:1048–1065CrossRef Choudhary AK, Servaes S, Slovis TL et al (2018) Consensus statement on abusive head trauma in infants and young children. Pediatr Radiol 48:1048–1065CrossRef
18.
go back to reference Narang SK, Fingarson A, Lukefahr J et al (2020) Abusive head trauma in infants and children. Pediatrics 145:e20200203CrossRef Narang SK, Fingarson A, Lukefahr J et al (2020) Abusive head trauma in infants and children. Pediatrics 145:e20200203CrossRef
19.
go back to reference Paine CW, Wood JN (2018) Skeletal surveys in young, injured children: a systematic review. Child Abuse Negl 76:237–249CrossRef Paine CW, Wood JN (2018) Skeletal surveys in young, injured children: a systematic review. Child Abuse Negl 76:237–249CrossRef
20.
go back to reference Lindberg DM, Berger RP, Reynolds MS et al (2014) Yield of skeletal survey by age in children referred to abuse specialists. J Pediatr 164:1268–1273CrossRef Lindberg DM, Berger RP, Reynolds MS et al (2014) Yield of skeletal survey by age in children referred to abuse specialists. J Pediatr 164:1268–1273CrossRef
21.
go back to reference Duffy SO, Squires J, Fromkin JB et al (2011) Use of skeletal surveys to evaluate for physical abuse: analysis of 703 consecutive skeletal surveys. Pediatrics 127:e47–e52CrossRef Duffy SO, Squires J, Fromkin JB et al (2011) Use of skeletal surveys to evaluate for physical abuse: analysis of 703 consecutive skeletal surveys. Pediatrics 127:e47–e52CrossRef
22.
go back to reference Martin A, Paddock M, Johns CS et al (2020) Avoiding skull radiographs in infants with suspected inflicted injury who also undergo head CT: “a no-brainer?” Eur Radiol 30:1480–1487 Martin A, Paddock M, Johns CS et al (2020) Avoiding skull radiographs in infants with suspected inflicted injury who also undergo head CT: “a no-brainer?” Eur Radiol 30:1480–1487
23.
go back to reference Singh R, Squires J, Fromkin JB et al (2012) Assessing the use of follow-up skeletal surveys in children with suspected physical abuse. J Trauma Acute Care Surg 73:972–976CrossRef Singh R, Squires J, Fromkin JB et al (2012) Assessing the use of follow-up skeletal surveys in children with suspected physical abuse. J Trauma Acute Care Surg 73:972–976CrossRef
24.
go back to reference Kemp AM, Rajaram S, Mann M et al (2009) What neuroimaging should be performed in children in whom inflicted brain injury (iBI) is suspected? A systematic review. Clin Radiol 64:473–483CrossRef Kemp AM, Rajaram S, Mann M et al (2009) What neuroimaging should be performed in children in whom inflicted brain injury (iBI) is suspected? A systematic review. Clin Radiol 64:473–483CrossRef
25.
go back to reference Choudhary AK, Jha B, Boal DK et al (2010) Occipital sutures and its variations: the value of 3D-CT and how to differentiate it from fractures using 3D-CT? Surg Radiol Anat 32:807–816CrossRef Choudhary AK, Jha B, Boal DK et al (2010) Occipital sutures and its variations: the value of 3D-CT and how to differentiate it from fractures using 3D-CT? Surg Radiol Anat 32:807–816CrossRef
26.
go back to reference Culotta PA, Crowe JE, Tran Q-A et al (2017) Performance of computed tomography of the head to evaluate for skull fractures in infants with suspected non-accidental trauma. Pediatr Radiol 47:74–81CrossRef Culotta PA, Crowe JE, Tran Q-A et al (2017) Performance of computed tomography of the head to evaluate for skull fractures in infants with suspected non-accidental trauma. Pediatr Radiol 47:74–81CrossRef
28.
go back to reference Campbell AM (2020) An increasing risk of family violence during the Covid-19 pandemic: strengthening community collaborations to save lives. Forensic Sci Int Rep 2:100089CrossRef Campbell AM (2020) An increasing risk of family violence during the Covid-19 pandemic: strengthening community collaborations to save lives. Forensic Sci Int Rep 2:100089CrossRef
Metadata
Title
Sibling screening in suspected abusive head trauma: a proposed guideline
Authors
Kshitij Mankad
Jai Sidpra
Adam J. Oates
Alistair Calder
Amaka C. Offiah
Arabinda Choudhary
Publication date
01-05-2021
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 6/2021
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-020-04917-5

Other articles of this Issue 6/2021

Pediatric Radiology 6/2021 Go to the issue