@article{ref1,
title="Child abuse. An update on surgical management in 256 cases",
journal="Annals of surgery",
year="1986",
author="Caniano, D. A. and Beaver, B. L. and Boles, E. T.",
volume="203",
number="2",
pages="219-224",
abstract="In the period January 1982-July 1984, 1512 cases of suspected child abuse were evaluated in the emergency department of a major children's hospital, of which 256 (17%) required hospitalization. Failure-to-thrive with caloric malnutrition was present in 66 (26%), burns in 56 (22%), central nervous system injury in 53 (22%), soft tissue trauma in 21 (8%), ingestions in 20 (8%), skeletal injury in 15 (6%), neglect of an underlying disease in 10 (4%), sexual abuse in nine (3%), near-drowning in four (1%), and abdominal trauma in two (1%). Two-thirds of the children required surgical care and one-third of the surgical group needed operations. The majority of the patients were toddlers between 18 and 36 months of age. A long hospitalization occurred with a mean stay of 9.3 days. Mortality was 7% for the entire group, but children with central nervous system injury had a much higher mortality (26%) and morbidity (21%).<p /><p>Language: en</p>",
language="en",
issn="0003-4932",
doi="",
url="http://dx.doi.org/"
}