Publication: The changing face of abuse cases in a pediatric intensive care unit: A single-center experience
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Date
2022-01-01
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Abstract
Background: Due to the increase in abuse and neglect cases in recent years, the purpose of this study was to assess
child abuse and neglect of patients who were hospitalized and followed up in our pediatric intensive care unit
(PICU).
Methods: A total of 34 abuse and neglect patients who were admitted to the PICU from August 2020 to March
2021 were included retrospectively in the study. Patients’ clinical and demographic characteristics were obtained
from our hospital’s patient record system (HIS). Comorbidities and the mental status of the patients, affected systems,
treatments, and outcomes were extracted.
Results: In this study, 44.1% (n: 15) of the patients were male and 55.9% (n: 19) were female. Physical neglect
such as foreign body aspiration, malnutrition, electrocution, drowning, traffic accident, and body collision was
detected in 14 (41.2%) patients. Emotional neglect (taking drugs, alcohol, or suicide) was found in 19 (55.9%) of
our patients. Only 1 (2.9%) patient presented with physical abuse.
Conclusions: Perception of neglect varies among different cultures. Any infant or child who is admitted to the
PICU with a history that is not consistent, a history of delay in seeking medical attention, a previous history of
abuse or suspected abuse, or the absence of the primary caretaker at the appearance of illness should signal possible
abuse. Health-care professionals should give more attention to these patients to prevent the overlooking and recurrence
of neglect and abuse cases due to the intense work tempo in the PICU.
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Tıp, Dahili Tıp Bilimleri, Çocuk Sağlığı ve Hastalıkları, Sağlık Bilimleri, Medicine, Internal Medicine Sciences, Child Health and Diseases, Health Sciences, PEDİATRİ, Klinik Tıp, Klinik Tıp (MED), PEDIATRICS, CLINICAL MEDICINE, Clinical Medicine (MED), Pediatri, Pediatri, Perinatoloji ve Çocuk Sağlığı, Pediatrics, Pediatrics, Perinatology and Child Health, child abuse, emotional neglect, pediatric intensive care unit, physical neglect, CHILD-ABUSE, HEAD-INJURY, FRACTURES, child abuse, emotional neglect, pediatric intensive care unit, physical neglect.
Citation
Varol F., Sahin E., Ozgunay B., Cengiz M., ALTAŞ Z. M. , Guven S., "The changing face of abuse cases in a pediatric intensive care unit: A single-center experience", PEDIATRICS INTERNATIONAL, cilt.64, sa.1, 2022