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Risk factors associated with retinal hemorrhage in suspected abusive head trauma

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dc.contributor.author Burkhart, Z. N., Thurber, C. J., Chuang, A. Z., Kumar, K. S., Davis, G. H., & Kellaway, J.
dc.date.accessioned 2016-08-19T18:21:35Z
dc.date.available 2016-08-19T18:21:35Z
dc.date.issued 2015
dc.identifier.citation Burkhart, Z. N., Thurber, C. J., Chuang, A. Z., Kumar, K. S., Davis, G. H., & Kellaway, J. (2015). Risk factors associated with retinal hemorrhage in suspected abusive head trauma. Journal of American Association for Pediatric Ophthalmology and Strabismus, 19(2), 119-123. en_US
dc.identifier.uri http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405459/pdf/nihms662377.pdf
dc.identifier.uri http://hdl.handle.net/11212/2909
dc.description.abstract Purpose: To determine risk factors associated with retinal hemorrhage (RH) in pediatric abusive head trauma (AHT) suspects. Methods: Records of children aged 0–3 years hospitalized for suspected AHT from January 2007 to November 2011 were retrospectively reviewed in this case–control study. Children were classified into case and control groups based on RH presence. Medical history, presenting symptoms, reasons, and characteristics of injury were recorded. Logistic regression analysis was performed to identify risk factors. Results: A total of 168 children (104 males) were included. Of these, 103 were classified as cases and 65 as controls. The mean age (with standard deviation) was 9.3 ± 8.3 months (range, 1 day-36 months). Of the 103 cases, 22 (21%) had subretinal hemorrhage, 9 (9%) had retinoschisis, and 1 (1%) had vitreous hemorrhage. Children presenting with lethargy or altered mental status (P < 0.0001), subdural hemorrhage (P < 0.0001), and other radiologic findings (eg, cerebral ischemia, diffuse axonal injury, hydrocephalus, or solid organ injury; P = 0.01546) were likely to have RH. All 23 children with skull or nonskull fracture without intracranial hemorrhage did not have RH (P < 0.0001 both categories). Conclusions: Retinal hemorrhages were almost never found in the absence of intracranial hemorrhage and not found in the setting of fracture without intracranial hemorrhage. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher Journal of American Association for Pediatric Ophthalmology and Strabismus en_US
dc.subject child abuse en_US
dc.subject abusive head trauma en_US
dc.subject incidence en_US
dc.subject research en_US
dc.subject diagnosis en_US
dc.title Risk factors associated with retinal hemorrhage in suspected abusive head trauma en_US
dc.type Article en_US


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