Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011

Xin Xia, Joe Xiang, Jianbo Shao, Gary A. Smith, Chuanhua Yu, Huiping Zhu and Huiyun Xiang
Additional contact information
Xin Xia: School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, 430071, China
Joe Xiang: Case Western Reserve University, Cleveland, OH 44120, USA
Jianbo Shao: Wuhan Children's Hospital, 100 Hongkong Road, Wuhan, 430016, China
Gary A. Smith: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA
Chuanhua Yu: School of Public Health, Wuhan University, 115 Donghu Road, Wuhan, 430071, China
Huiping Zhu: School of Public Health and Family Medicine, Capital Medical University, 10 Xitoutiao, Youanmen, Beijing, 100069, China
Huiyun Xiang: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA

IJERPH, 2012, vol. 9, issue 11, 1-10

Abstract: This study investigated characteristics and trends of hospitalized abuse-related traumatic brain injuries (TBI) treated at a large pediatric medical center in Wuhan, China during the past 10 years. De-identified hospital discharge data for patients 0–4 years old hospitalized at the Wuhan Medical Care Center for Women and Children were analyzed, and ICD-10 codes were used to identify cases of TBI. Medical notes provided by doctors in the medical record were used to identify TBI cases in which suspected child abuse was the cause. From 2002 to 2011, 3,061 pediatric TBI patients were hospitalized and 4.6% (140) of these cases were suspected child abuse-related. The majority of suspected child abuse cases involved children younger than 1 year of age (68.6%) and usually affected males (63.6%). Children with non-Abusive Head Trauma (AHT) were more likely to have full recovery outcome (68.4%, 95% CI: 66.6%–70.0%) than children with suspected AHT (44.3%, 95% CI: 36.1%–52.5%). The proportion of all childhood TBI attributable to abuse did not appear to have increased in the 10-year period at this medical center. This is the first comprehensive study highlighting the important role of suspected child abuse in causing TBIs among Chinese children. Child abuse as a major cause of TBIs among infants in China should be studied further, and there should be greater awareness of this important social and medical problem in China.

Keywords: abusive head trauma; child abuse; children; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2012
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/9/11/4187/pdf (application/pdf)
https://www.mdpi.com/1660-4601/9/11/4187/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:9:y:2012:i:11:p:4187-4196:d:21479

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().