Citation

Solís-García G, Marañón R, Medina Muñoz M, de Lucas Volle S, García-Morín M, Rivas García A. An. Pediatr. 2019; 91(1): 37-41.

Vernacular Title

Maltrato infantil en Urgencias: epidemiología, manejo y seguimiento.

Affiliation

Sección de Urgencias de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España.

Copyright

(Copyright © 2019, Asociacion Espanola de Pediatria, Publisher Elsevier Publishing)

DOI

10.1016/j.anpedi.2018.09.013

PMID

30424952

Abstract

OBJECTIVE: To describe the clinical and epidemiological features, management, and follow-up of child abuse suspicions diagnosed in the Paediatric Emergency Unit.

METHODS: A single-centre, observational and retrospective study was conducted between 2008 and 2017. Clinical, epidemiological and follow-up data were collected in those patients younger than 16 that were reported as child abuse suspicions. A descriptive and analytic study was performed, as well as a bivariate and multivariate analysis.

RESULTS: A total of 404 out of 570,648 emergency patients (0.07%) were diagnosed with potential abuse. Physical abuse was the most frequent kind of abuse (40.3%). The median age was 4.3 years (IQR 1.6-10.2), and 55% were girls, with sexual abuse being more common in them (OR 3.71; 95% CI: 2.23-6.17), and physical abuse more frequent in boys (OR 1.72; 95% CI: 1.15-2.57). A total of 89 patients (22%) required admission. Age and type of abuse were independently associated with risk of admission. More than half (56%) of the cases required additional follow-up, with sexual (OR 3.98; 95% CI: 1.93-7.03) and emotional abuse (OR 4.93; 95% CI: 1.82-13.35) requiring more mental health follow-up, and physical abuse requiring more social services follow-up (OR 4.39; 95% CI: 1.61-11.98).

CONCLUSIONS: In our study, child abuse is more frequent in pre-school children. Age and type of abuse are associated with the need of admission. The kind of follow-up is determined by the type of abuse.

Copyright © 2018. Publicado por Elsevier España, S.L.U.

Language: es

Keywords

Abuso sexual; Child abuse; Maltrato infantil; Paediatric emergency medicine; Servicios sociales; Sexual abuse; Social welfare; Urgencias pediátricas