@article{ref1,
title="Screening for child abuse in the emergency department of academic Hospital Paramaribo in Suriname",
journal="Global pediatric health",
year="2024",
author="Ld, Eeftinck Schattenkerk and Mhj, Loos and McM, Schouten and I, Cheuk-Alam and R, Bakx and Npa, Lissone",
volume="11",
number="",
pages="2333794X241245274-2333794X241245274",
abstract="Background. Child abuse in Suriname has a prevalence between 58.2% and 68.8%. This prospective observational study evaluates the implementation of screening for child abuse at the Emergency Department (ED) of the Academic Hospital Paramaribo (AZP). <br><br>METHODS. Children (0-16 years) presenting with injury from 01-02-2018 until 31-08-2018 were eligible. Case-record-forms were completed. Multidisciplinary meetings were used to evaluate positive screened and admitted patients. Diagnostic accuracy was calculated and results were compared to retrospective data from 2016. <br><br>RESULTS. 3253 Children attended the ED. In 1190 (36.6%) children, the screening was completed. The screening was positive in 148 (12%); in 71 (6%) cases child abuse was confirmed. The sensitivity and specificity were 0.88 and 0.92 respectively, PPV 0.43, NPV 0.99. There was a significant increase of detected child abuse cases; 4.4% in 2016 versus 6% in 2018 (P = .04). <br><br>CONCLUSION. Implementation of screening at the ED in the AZP increased detection of child abuse. To improve screening's accuracy, more education for healthcare professionals is pivotal.<p /> <p>Language: en</p>",
language="en",
issn="2333-794X",
doi="10.1177/2333794X241245274",
url="http://dx.doi.org/10.1177/2333794X241245274"
}