Arch Pediat Adol Med
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To determine the relative incidence of accidental and abusive causes of head injuries in children younger than 6.5 years, to identify the types of craniocerebral damage resulting from reported mechanisms of injury, and to assess the likelihood of injuries being accidental or inflicted. ⋯ A substantial percentage of head injuries requiring hospitalization in children younger than 6.5 years are attributable to inflicted injury. Subdural hematoma, subarachnoid hemorrhage, retinal hemorrhages, and associated cutaneous, skeletal, and visceral injuries are significantly more common in inflicted head injury than in accidental injury.
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Arch Pediat Adol Med · Jan 2000
Pediatric residents' telephone triage experience: do parents really follow telephone advice?
A previous study showed that calls received by our continuity clinic residents were similar to those in private practice. However, that study did not address the compliance of the parents to the advice given. ⋯ If an after-hours line is used by caregivers, they are more likely to follow the recommendations given by pediatric residents in a tertiary center.
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To identify differences between hospitalized children injured by child abuse and those with unintentional injuries. ⋯ Child abuse continues to be a serious cause of mortality and morbidity to infants and toddlers. On average, among children hospitalized for blunt trauma, those injured by abuse sustain more severe injuries, use more medical services, and have worse survival and functional outcome than children with unintentional injuries.