Citation

Laurent-Vannier A, Chevignard M. Arch. Pediatr. 2019; 26(4): 199-204.

Affiliation

Service de rééducation pour enfants après lesions cérébrales acquises, hôpitaux de Saint-Maurice, 14, rue du Val-d'Osne, 94410 Saint-Maurice, France; Laboratoire d'imagerie biomédicale (LIB), Sorbonne université, CNRS, Inserm, 75006 Paris, France; Groupe de recherche clinique handicap cognitif et réadaptation, Sorbonne université, 75006 Paris, France.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.arcped.2019.01.003

PMID

30954367

Abstract

OBJECTIVE: To assess the knowledge of professionals on abusive head trauma (AHT) and shaking so as to adapt their training and thus promote the improvement of AHT screening and prevention.

METHOD: A questionnaire was developed on the knowledge of the intensity of movement, the frequency of repetition, the existence and progression of sequelae over time, the legal nature of AHT as a criminal offence leading to the possibility of compensation, and the existence of HAS (French National Authority for Health) recommendations on shaken baby diagnosis and legal consequences.

RESULTS: Over a 4-year period 311 physicians, 123 magistrates, and 644 early childhood professionals responded to the questionnaire as an introduction to a course on AHT. Whatever the professional field, incorrect answers (wrong or "I don't know") were frequent as to the possibility that play could induce AHT lesions (51-58%), the violence of the act (43-52%), the repetition of shaking (58-82.5%), the presence of side effects (52-58%), and the existence of recommendations to professionals (48-58.5%). Twenty to 47% of physicians and early childhood professionals were unaware that shaking a baby was a criminal offence and 20-27% were unaware that AHT required a report to the judicial authorities.

DISCUSSION/CONCLUSION: This lack of knowledge about AHT is detrimental to the child. The improvement of initial and continuing education is necessary to help reduce the dysfunctions existing in the care of child victims of AHT.

Copyright © 2019 Elsevier Masson SAS. All rights reserved.

Language: en

Keywords

Abusive head trauma; Compensation; Diagnosis; Judicial consequences; Shaking