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The Prevalence of Bruising Among Infants in Pediatric Emergency Departments

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dc.contributor.author Pierce, M. C., Magana, J. N., Kaczor, K., Lorenz, D. J., Meyers, G., Bennett, B. L., & Kanegaye, J. T.
dc.date.accessioned 2017-06-02T16:03:22Z
dc.date.available 2017-06-02T16:03:22Z
dc.date.issued 2016
dc.identifier.citation Pierce, M. C., Magana, J. N., Kaczor, K., Lorenz, D. J., Meyers, G., Bennett, B. L., & Kanegaye, J. T. (2016). The prevalence of bruising among infants in pediatric emergency departments. Annals of emergency medicine, 67(1), 1-8. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4695295/pdf/nihms-705403.pdf
dc.identifier.uri http://hdl.handle.net/11212/3371
dc.description.abstract Objective: Bruising can indicate abuse for infants. Bruise prevalence among infants in the Pediatric Emergency Department (PED) setting is unknown. Our objective was to determine prevalence of bruising, associated chief complaints (CC), and frequency of abuse evaluations in previously healthy infants presenting to PEDs. Methods: We conducted a prospective, observational, multi-center study of infants ≤12 months old presenting to PEDs. Structured sampling was utilized. Pediatric Emergency Medicine (PEM) clinicians performed complete skin examinations to screen for bruising. Study investigators documented skin findings, date of visit, patient's age, CC, and abuse evaluation. The primary outcome was prevalence of bruising. Secondary outcomes were prevalence of bruising based on CC and frequency of abuse evaluation. Point estimates of bruise prevalence and differences in bruise prevalence between patient subgroups were calculated with 95% confidence intervals (CI). Results: Bruising was identified in 88 of 2488 infants (3.5%, 95% CI: [2.9%, 4.4%]). Rates of bruising for infants ≤5 and >5 months old were 1.3% and 6.4%, respectively (difference 5.1%, 95% CI: [3.6%, 6.8%]). For infants ≤5 months old, 83% of bruising was associated with a trauma CC and only 0.2% of infants presenting with a medical CC had bruising. PEM clinicians obtained abuse evaluations on 23% of infants with bruising and that rate increased to 50% for infants ≤ 5 months of age. Conclusions: Bruising prevalence in children ≤ 12 months of age evaluated in PEDs was low, increased within age strata, and was most often associated with a trauma CC. Most bruised infants did not undergo an abuse evaluation. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher Annals of emergency medicine en_US
dc.subject child abuse en_US
dc.subject physical abuse en_US
dc.subject diagnosis en_US
dc.subject research en_US
dc.title The Prevalence of Bruising Among Infants in Pediatric Emergency Departments en_US
dc.type Article en_US


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