Faculty Collaboration Database

Abusive Head Trauma in Infants and Children. Pediatrics 2020 Apr;145(4)

Date

03/25/2020

Pubmed ID

32205464

DOI

10.1542/peds.2020-0203

Scopus ID

2-s2.0-85082819462 (requires institutional sign-in at Scopus site)   76 Citations

Abstract

Abusive head trauma (AHT) remains a significant cause of morbidity and mortality in the pediatric population, especially in young infants. In the past decade, advancements in research have refined medical understanding of the epidemiological, clinical, biomechanical, and pathologic factors comprising the diagnosis, thereby enhancing clinical detection of a challenging diagnostic entity. Failure to recognize AHT and respond appropriately at any step in the process, from medical diagnosis to child protection and legal decision-making, can place children at risk. The American Academy of Pediatrics revises the 2009 policy statement on AHT to incorporate the growing body of knowledge on the topic. Although this statement incorporates some of that growing body of knowledge, it is not a comprehensive exposition of the science. This statement aims to provide pediatric practitioners with general guidance on a complex subject. The Academy recommends that pediatric practitioners remain vigilant for the signs and symptoms of AHT, conduct thorough medical evaluations, consult with pediatric medical subspecialists when necessary, and embrace the challenges and need for strong advocacy on the subject.

Author List

Narang SK, Fingarson A, Lukefahr J, COUNCIL ON CHILD ABUSE AND NEGLECT

Author

Sandeep K. Narang MD, JD Chief, Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Biomechanical Phenomena
Child
Child Abuse
Child, Preschool
Contusions
Craniocerebral Trauma
Diagnosis, Differential
Humans
Infant
Mandatory Reporting
Pediatricians
Pediatrics
Physician's Role
Practice Guidelines as Topic
Shaken Baby Syndrome
Societies, Medical
Terminology as Topic