Citation

Chadwick DL, Castillo EM, Kuelbs C, Cox SA, Lindsay SP. Child Abuse Negl. 2010; 34(12): 943-950.

Affiliation

The Chadwick Center for Children and Families, Rady Children's Hospital-San Diego, 4816 Rushville Lane, La Mesa, San Diego, CA, USA.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.chiabu.2010.08.001

PMID

21047687

Abstract

OBJECTIVE: The authors' objective is to describe the disparity between the case-fatality rates for inflicted versus unintentional injuries of children, and to emphasize its utility as a way of estimating the effectiveness of the ascertainment of inflicted injuries of children. METHOD: Determination, comparison, and explanation of the case-fatality-rate disparity in four injury databases were derived from hospitalized injury cases. RESULTS: The CFR disparity is 6-14-fold in the 4 injury databases. The CFR disparity varies strongly and inversely with the observed incidence of inflicted injuries in the databases. CONCLUSIONS: A large disparity between the case fatality rates (CFRs) of inflicted and unintentional injuries exists in a number of injury databases. Inflicted injuries have much higher CFRs than unintentional injuries. The disparity can be accounted for by "missed" (incorrectly diagnosed) and "missing" (unseen) cases. PRACTICE IMPLICATIONS: Present diagnostic criteria for physically abusive (inflicted) injuries are forensically-driven and too conservative for public health purposes. New public-health-oriented case definitions for "inflicted injury" are needed. Programs to reduce injury recidivism in young children should be a part of overall injury prevention.

Language: en