TY  - JOUR
PY  - 1995//
TI  - Ten-year review of pediatric bathtub near-drownings: evaluation for child abuse and neglect
JO  - Annals of emergency medicine
A1  - Lavelle, Jane M.
A1  - Shaw, K. N.
A1  - Seidl, T.
A1  - Ludwig, S.
SP  - 344
EP  - 348
VL  - 25
IS  - 3
N2  - STUDY OBJECTIVE: To evaluate the risk factors associated with bathtub submersion injury and their relationship to child abuse and neglect. DESIGN: Retrospective chart review. SETTING: An urban children's hospital. PARTICIPANTS: Any child sustaining a bathtub near-drowning over the 10-year period from 1982 to 1992. INTERVENTIONS: None. RESULTS: Twenty-one patients were treated for bathtub near-drownings during the 10-year period, accounting for 24% of all submersion injuries. A significant number (67%) had historic and/or physical findings suspicious for abuse or neglect, including incompatible history for the injury, other physical injuries, previous child abuse reports, psychiatric history of the caretaker, and/or psychosocial concerns noted in the chart. The mortality rate of 42% was significant. No demographic characteristics identified the children at risk. CONCLUSION: Many children who are injured in the bathtub suffer from abuse or neglect. Medical evaluation should include social work consultation and a search for other accompanying injuries.
LA  - 
SN  - 0196-0644
UR  - http://dx.doi.org/
ID  - ref1
ER  -