Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings

Yıl: 2016 Cilt: 15 Sayı: 1 Sayfa Aralığı: 24 - 29 Metin Dili: İngilizce

Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings

Öz:
Aim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study.Materials and Methods: This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding. Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8%), more than three children under 7 years of age in 76 families (22.0%), and bad child temper in 16 families (4.6%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7%) was statistically significantly higher than in hospitals without an MDT (2.9%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6%), possibly inflicted in 24 (7.0%), undetermined in 79 (22.9%), and accidental in 164 (47.5%) by the researchers, compared to only three cases (0.8%) diagnosed as inflicted by the treating physicians (p<0.0001). In two of the three cases, the perpetrator was convicted; in one, the prosecutor closed the case without a trial on the basis of "no confession" despite the death of the child and medical evidence.Conclusion: Clinicians' knowledge of the diagnosis of AHT should be increased to improve case finding, which will allow determination of more accurate incidence/prevalence. This can be accomplished via the establishment of an MDT in teaching hospitals as well as staff training on how to recognize suspicious cases, how to utilize MDT services, and how to report and manage cases on a community level multidisciplinary basis.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA YAYLACI S, DALLAR Y, SAYAR Y, TAŞAR M, TIRAŞ Ü, TEKİN D, ÜNLÜ A, ULUKOL B, YÜCEL BEYAZTAŞ F, BÜTÜN C, ÖZÜM Ü, BÜKEN B, KANDEMİR F, GÖKOĞLU A, KONDOLOT M, MENKÜ A, PATIROĞLU T, TUNÇ A, YAĞMUR F, YIKILMAZ A, AKAR T, BEYAZOVA U, DEĞİRMENCİ B, İŞERİ E, ŞAHİN F, ISIR BARANSEL A, BİLEN A, ORAL R, GAZİOĞLU M, BALCI Y, ERYÜRÜK M, KARAGÖZ GÜZEY F (2016). Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings. Eurasian Journal of Emergency Medicine, 15(1), 24 - 29.
Chicago YAYLACI Serpil,DALLAR Yıldız,SAYAR Yavuz,TAŞAR MEDİNE AYŞİN,TIRAŞ Ülkü,TEKİN Deniz,ÜNLÜ Ağahan,ULUKOL BETÜL,YÜCEL BEYAZTAŞ FATMA,BÜTÜN CELAL,ÖZÜM ÜNAL,BÜKEN Bora,KANDEMİR Ferhan,GÖKOĞLU Ahmet,KONDOLOT Meda,MENKÜ Ahmet,PATIROĞLU TÜRKAN,TUNÇ Aydın,YAĞMUR Fatih,YIKILMAZ Ali,AKAR TANER,BEYAZOVA Ufuk,DEĞİRMENCİ Bülent,İŞERİ ELVAN,ŞAHİN Figen,ISIR BARANSEL Aysun,BİLEN Ayşe Gül,ORAL Resmiye,GAZİOĞLU MAKBULE NURPERİ,BALCI YASEMİN,ERYÜRÜK Mesut,KARAGÖZ GÜZEY FEYZA Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings. Eurasian Journal of Emergency Medicine 15, no.1 (2016): 24 - 29.
MLA YAYLACI Serpil,DALLAR Yıldız,SAYAR Yavuz,TAŞAR MEDİNE AYŞİN,TIRAŞ Ülkü,TEKİN Deniz,ÜNLÜ Ağahan,ULUKOL BETÜL,YÜCEL BEYAZTAŞ FATMA,BÜTÜN CELAL,ÖZÜM ÜNAL,BÜKEN Bora,KANDEMİR Ferhan,GÖKOĞLU Ahmet,KONDOLOT Meda,MENKÜ Ahmet,PATIROĞLU TÜRKAN,TUNÇ Aydın,YAĞMUR Fatih,YIKILMAZ Ali,AKAR TANER,BEYAZOVA Ufuk,DEĞİRMENCİ Bülent,İŞERİ ELVAN,ŞAHİN Figen,ISIR BARANSEL Aysun,BİLEN Ayşe Gül,ORAL Resmiye,GAZİOĞLU MAKBULE NURPERİ,BALCI YASEMİN,ERYÜRÜK Mesut,KARAGÖZ GÜZEY FEYZA Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings. Eurasian Journal of Emergency Medicine, vol.15, no.1, 2016, ss.24 - 29.
AMA YAYLACI S,DALLAR Y,SAYAR Y,TAŞAR M,TIRAŞ Ü,TEKİN D,ÜNLÜ A,ULUKOL B,YÜCEL BEYAZTAŞ F,BÜTÜN C,ÖZÜM Ü,BÜKEN B,KANDEMİR F,GÖKOĞLU A,KONDOLOT M,MENKÜ A,PATIROĞLU T,TUNÇ A,YAĞMUR F,YIKILMAZ A,AKAR T,BEYAZOVA U,DEĞİRMENCİ B,İŞERİ E,ŞAHİN F,ISIR BARANSEL A,BİLEN A,ORAL R,GAZİOĞLU M,BALCI Y,ERYÜRÜK M,KARAGÖZ GÜZEY F Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings. Eurasian Journal of Emergency Medicine. 2016; 15(1): 24 - 29.
Vancouver YAYLACI S,DALLAR Y,SAYAR Y,TAŞAR M,TIRAŞ Ü,TEKİN D,ÜNLÜ A,ULUKOL B,YÜCEL BEYAZTAŞ F,BÜTÜN C,ÖZÜM Ü,BÜKEN B,KANDEMİR F,GÖKOĞLU A,KONDOLOT M,MENKÜ A,PATIROĞLU T,TUNÇ A,YAĞMUR F,YIKILMAZ A,AKAR T,BEYAZOVA U,DEĞİRMENCİ B,İŞERİ E,ŞAHİN F,ISIR BARANSEL A,BİLEN A,ORAL R,GAZİOĞLU M,BALCI Y,ERYÜRÜK M,KARAGÖZ GÜZEY F Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings. Eurasian Journal of Emergency Medicine. 2016; 15(1): 24 - 29.
IEEE YAYLACI S,DALLAR Y,SAYAR Y,TAŞAR M,TIRAŞ Ü,TEKİN D,ÜNLÜ A,ULUKOL B,YÜCEL BEYAZTAŞ F,BÜTÜN C,ÖZÜM Ü,BÜKEN B,KANDEMİR F,GÖKOĞLU A,KONDOLOT M,MENKÜ A,PATIROĞLU T,TUNÇ A,YAĞMUR F,YIKILMAZ A,AKAR T,BEYAZOVA U,DEĞİRMENCİ B,İŞERİ E,ŞAHİN F,ISIR BARANSEL A,BİLEN A,ORAL R,GAZİOĞLU M,BALCI Y,ERYÜRÜK M,KARAGÖZ GÜZEY F "Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings." Eurasian Journal of Emergency Medicine, 15, ss.24 - 29, 2016.