@article{ref1,
title="A closer look at non-accidental trauma: caregiver assault compared to non-caregiver assault",
journal="Journal of pediatric surgery",
year="2016",
author="Litz, Cristen N. and Ciesla, David J. and Danielson, Paul D. and Chandler, Nicole M.",
volume="52",
number="4",
pages="625-627",
abstract="PURPOSE: The purpose of this study was to examine the outcomes of non-accidental trauma (NAT) patients compared to other trauma (OT) patients across the state of Florida. In addition, NAT and OT patients with a mechanism of injury of assault were further analyzed. <br><br>METHODS: A statewide database was reviewed from January 2010 to December 2014 for patients aged 0-18years who presented following trauma. Patients were sorted by admitting diagnosis into two groups: rule out NAT and all other diagnoses. Patients with a mechanism of assault were subanalyzed and outcomes were compared. <br><br>RESULTS: There were 46,557 patients included. NAT patients were younger, had more severe injuries and had a higher mortality rate compared to OT patients. Assault was the mechanism of injury in 95% of NAT patients. NAT assault patients were younger, required more intensive care unit (ICU) resources, and had a higher mortality rate compared to other assault patients. <br><br>CONCLUSION: Non-accidental trauma patients require more resources and have a higher mortality rate compared to accidental trauma patients, and these differences remain even when controlling for the mechanism of injury. LEVEL OF EVIDENCE: III.<br><br>Copyright © 2016 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0022-3468",
doi="10.1016/j.jpedsurg.2016.08.026",
url="http://dx.doi.org/10.1016/j.jpedsurg.2016.08.026"
}