کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10310716 | 617445 | 2014 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Accuracy of a screening instrument to identify potential child abuse in emergency departments
ترجمه فارسی عنوان
دقت یک ابزار غربالگری برای شناسایی سوء استفاده از کودکان بالقوه در بخش های اورژانس
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کلمات کلیدی
کودک آزاری، غربالگری توده، خدمات اضطراری، بیمارستان، مطالعات اعتبار به عنوان موضوع،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی
Although screening for child abuse at emergency departments (EDs) increases the detection rate of potential child abuse, an accurate instrument is lacking. This study was designed to measure the accuracy of a screening instrument for detection of potential child abuse used in EDs. In a prospective cohort study at three Dutch EDs, a 6-item screening instrument for child abuse, Escape, was completed for each child visiting the ED. The data from the completed Escape instrument was used to calculate sensitivity, specificity, and the positive/negative predictive value per item. The clinical notes and conclusions of the screen instruments of all potentially abused children reported to the hospitals' Child Abuse Teams were collected and reviewed by an expert panel. A logistic regression model was used to evaluate the predictors of potential abuse. Completed Escape instruments were available for 18,275 ED visits. Forty-four of the 420 children with a positive screening result, and 11 of the 17,855 children with a negative result were identified as potentially abused. Sensitivity of the Escape instrument was 0.80 and specificity was 0.98. Univariate logistic regression showed that potentially abused children were significantly more likely to have had an aberrant answer to at least one of the items, ORÂ =Â 189.8, 95% CI [97.3, 370.4]. Most of the children at high risk for child abuse were detected through screening. The Escape instrument is a useful tool for ED staff to support the identification of those at high risk for child abuse.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Child Abuse & Neglect - Volume 38, Issue 7, July 2014, Pages 1275-1281
Journal: Child Abuse & Neglect - Volume 38, Issue 7, July 2014, Pages 1275-1281
نویسندگان
Eveline C.F.M. Louwers, Ida J. Korfage, Marjo J. Affourtit, Madelon Ruige, Annette P.M. van den Elzen, Harry J. de Koning, Henriëtte A. Moll,