1
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Lin K, Khan SS, Truong T, Parsikia A, Mbekeani JN. Characteristics and associations of ocular and non-ocular manifestations of shaken baby syndrome. Childs Nerv Syst 2024; 40:2751-2760. [PMID: 38709256 DOI: 10.1007/s00381-024-06441-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 04/27/2024] [Indexed: 05/07/2024]
Abstract
OBJECTIVES Shaken baby syndrome (SBS), a subset of abusive head trauma, results from non-accidental, violent head shaking. Most survivors suffer permanent neurological sequelae. Accurate diagnosis is imperative and remains challenging. The purpose of this study is to describe ocular injuries and associated neurotrauma in suspected SBS. METHODS We retrospectively surveyed the National Trauma Data Bank 2008-2014 for patients ≤ 3 years old admitted for suspected SBS. Statistical analysis was performed with SPSS software. Significance was set at p < 0.05. RESULTS Three hundred forty-seven (13.9%) of 2495 patients who were ≤ 3 years old were admitted with abusive head trauma and ocular injuries which resulted from suspected SBS. Most were < 1 year old (87.9%) and male (54.2%). Common eye injuries were retinal hemorrhages (30.5%), eye/adnexa contusion (14.7%), and retinal edema (10.7%). Common neurotrauma were subdural (75.5%), subarachnoid (23.9%), and intracerebral hemorrhage (ICH) (10.4%). Mean (SD) Injury Severity Score was severe, 20.2 (8.2), and Glasgow Coma Score was moderate, 9.2 (12.8). The mortality rate was 16.7%. Retinal hemorrhages were not significantly associated with one type of neurotrauma over others. Ocular/adnexa contusion (OR 4.06; p < 0.001) and commotio retinae/Berlin's edema (OR 5.27; p < 0.001) had the greatest association with ICH than other neurotrauma. Optic neuropathy (OR 21.33; p < 0.001) and ICH (OR 3.34; p < 0.001) had the highest associated with mortality. CONCLUSIONS Our study supports previous studies showing that retinal and subdural hemorrhages were the most common ocular injury and neurotrauma in SBS, respectively. However, we did not find a significant propensity for their concurrence. Commotio retinae/Berlin's edema was significantly associated with both intracerebral and subdural hemorrhages.
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Affiliation(s)
- Kira Lin
- Medical School Program, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Sabine S Khan
- Department of Surgery (Ophthalmology), Jacobi Medical Center,1400, 1400 Pelham Parkway, Bronx, NY, 10461, USA
- Department of Ophthalmology & Visual Sciences, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Timothy Truong
- Department of Ophthalmology, California Pacific Medical Center, San Francisco, CA, USA
| | - Afshin Parsikia
- Department of Research Services, University of Pennsylvania, Philadelphia, PA, USA
| | - Joyce N Mbekeani
- Department of Surgery (Ophthalmology), Jacobi Medical Center,1400, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
- Department of Ophthalmology & Visual Sciences, Albert Einstein College of Medicine, Bronx, NY, USA.
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2
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Amagasa S, Uematsu S, Tsuji S. Occurrence of traumatic brain injury due to short falls with or without a witness by a nonrelative in children younger than 2 years. J Neurosurg Pediatr 2020; 26:696-700. [PMID: 32916651 DOI: 10.3171/2020.6.peds20314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 06/01/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE There is disagreement about the occurrence of severe traumatic brain injury, especially subdural hematoma, caused by short falls in very young children. To verify intracranial injury due to these falls and examine its characteristics, the authors compared infants and toddlers with head trauma witnessed by a nonrelative with those whose injuries were not witnessed by a nonrelative. METHODS The authors retrospectively reviewed clinical records of children younger than 2 years with head trauma due to a short fall who visited the emergency department of the National Center for Child Health and Development in Japan between April 2015 and March 2018. Patients were classified into two groups: falls that were witnessed by a nonrelative and falls not witnessed by a nonrelative. The authors compared the age in months, sex, mechanism of injury, fall height, prevalence rate of intracranial injury, skull fracture, type of traumatic brain injury, retinal hemorrhage, rib or long-bone fracture, and outcomes between patients whose fall was witnessed by a nonrelative and those whose fall was not witnessed by a nonrelative. RESULTS Among 1494 patients included in the present analysis, 392 patients were classified into the group of falls witnessed by a nonrelative, and 1102 patients were classified into the group of falls that were not witnessed by a nonrelative. The prevalence rates of intracranial injury, skull fracture, epidural hematoma, and subarachnoid hemorrhage were equal between the groups. The prevalence rate of subdural hematoma in the group whose falls were witnessed by a nonrelative was significantly lower than that of the other group (p = 0.027). There were no patients with subdural hematoma, retinal hemorrhage, or neurological sequelae in the group whose fall was witnessed by a nonrelative. CONCLUSIONS Subdural hematoma, retinal hemorrhage, and neurological sequelae due to short falls were not seen after witnessed falls in the present study.
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3
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Yamaoka Y, Fujiwara T, Fujino Y, Matsuda S, Fushimi K. Response to the Letter to Editor: "Do Inter-Country Differences in the Frequency of Abusive Head Trauma Reflect Different Proportions of Overdiagnosis of Abuse or True Differences in Abuse?". J Epidemiol 2020; 30:278-279. [PMID: 31178473 PMCID: PMC7217685 DOI: 10.2188/jea.je20190106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- Yui Yamaoka
- Center on Child Abuse and Neglect, University of Oklahoma Health Sciences Center.,Department of Global Health Promotion, Tokyo Medical and Dental University
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University
| | - Yoshihisa Fujino
- Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
| | - Shinya Matsuda
- Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health.,Data Science Center of Occupational Health, University of Occupational and Environmental Health
| | - Kiyohide Fushimi
- Department of Health Policy and Informatics, Tokyo Medical and Dental University
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4
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Paek D, Kwon DI. A review on four different paths to respiratory arrest from brain injury in children; implications for child abuse. J Forensic Leg Med 2020; 71:101938. [PMID: 32342908 DOI: 10.1016/j.jflm.2020.101938] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 02/17/2020] [Accepted: 03/08/2020] [Indexed: 11/23/2022]
Abstract
Child abuse was suspected in a case of out-of-hospital arrest with minor brain injuries. Confronted with continued disputes on pathophysiologic correlates even after autopsy, to assist the differentiation of potential causes of sudden cardiopulmonary arrest in children, we tried to identify the mechanism of cardiopulmonary arrest in brain injuries from different causes. Systematic review was carried out in two stages. First, major external causes of cardiopulmonary arrest among children and infants were identified from Pubmed and Google Scholar search, and then the exact sequence of cardiopulmonary arrest, and their pathophysiologic features were identified based on articles of animal models of brain injury. From the review, we have identified four major groups of external circumstances for rather sudden cardiopulmonary arrest from brain damage in children, after excluding congenital and other unrelated diseases; 1) impact brain apnea, 2) anoxic insults, 3) drug or other substance induced central nervous system depression, and 4) traumatic brain damage. Each group has different features in the course of cardiac and respiratory arrests. Based on this review of pathophysiologic features of cardio-respiratory responses from external causes, we have presented a suspected, but unlikely, child abuse case of respiratory arrest from brain injury. The social consequences of both unknowingly missing, and falsely incriminating the abuse can be grave, and the identification of the mechanisms of cardiopulmonary arrest from brain injury can be important for the differentiation of various potential causes.
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Affiliation(s)
- Domyung Paek
- Department of Environmental Health, School of Public Health, Seoul National University, Seoul, 08826, South Korea; Institute of Health and Environment, Seoul National University, Seoul, 08826, South Korea.
| | - Dae-Ik Kwon
- Sinpyung Yeonhap Clinic, Daegu, South Korea.
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5
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Choudhary AK, Narang SK, Moreno JA, Christian CW, Servaes S, Palusci VJ, Hedlund GL, Dias MS, Nelson MD, Silvera VM, Palasis S, Raissaki M, Rossi A, Offiah AC. A consensus response on the complete picture: reply to Lynøe and Eriksson. Pediatr Radiol 2019; 49:424-428. [PMID: 30783700 DOI: 10.1007/s00247-019-04341-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 01/07/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Arabinda Kumar Choudhary
- Department of Radiology, Nemours/Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE, 19803, USA.
| | - Sandeep K Narang
- Child Abuse Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | | | - Cindy W Christian
- Department of Pediatrics, Child Abuse and Neglect Prevention, The Children's Hospital of Philadelphia, The Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA, USA
| | - Sabah Servaes
- Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Gary L Hedlund
- Department of Medical Imaging, Primary Children's Hospital, Salt Lake City, UT, USA.,Department of Radiology, Intermountain Healthcare, Salt Lake City, UT, USA.,University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Mark S Dias
- Departments of Neurosurgery and Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA
| | - Marvin D Nelson
- Department of Radiology, Children's Hospital of Los Angeles, Los Angeles, CA, USA
| | | | - Susan Palasis
- Pediatric Neuroradiology, Children's Healthcare of Atlanta, Scottish Rite Campus, Atlanta, GA, USA.,Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA
| | - Maria Raissaki
- Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece
| | - Andrea Rossi
- Neuroradiology Unit, Istituto Giannina Gaslini Children's Hospital, Genoa, Italy
| | - Amaka C Offiah
- Paediatric Musculoskeletal Imaging, Academic Unit of Child Health, Sheffield, UK.,Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, UK.,University of Sheffield, Sheffield, UK
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6
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Laurent-Vannier A, Adamsbaum C, Raul JS, Rey-Salmon C, Rambaud C. Flawed Swedish study on traumatic shaking is already being used by defence lawyers and its findings must be ignored. Acta Paediatr 2018; 107:2048-2050. [PMID: 30178625 DOI: 10.1111/apa.14564] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 08/20/2018] [Accepted: 08/31/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | - Catherine Adamsbaum
- Faculté de Médecine; Université Paris Sud; Le Kremlin-Bicêtre France
- Service de radiologie pédiatrique; AP-HP, Hôpital Bicêtre; Le Kremlin Bicêtre France
| | | | | | - Caroline Rambaud
- Faculté de Médecine; Université de Versailles - St Quentin; Versailles France
- Service d'Anatomie Pathologique et Médecine Légale; AP-HP-Hôpital Raymond-Poincaré; Garches France
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7
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Affiliation(s)
- Peter J Strouse
- Section of Pediatric Radiology, C. S. Mott Children's Hospital, Room 3-231,Department of Radiology, University of Michigan Health System, 1540 E. Hospital Drive, Ann Arbor, MI, 48109-4252, USA.
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8
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Choudhary AK, Servaes S, Slovis TL, Palusci VJ, Hedlund GL, Narang SK, Moreno JA, Dias MS, Christian CW, Nelson MD, Silvera VM, Palasis S, Raissaki M, Rossi A, Offiah AC. Consensus statement on abusive head trauma in infants and young children. Pediatr Radiol 2018; 48:1048-1065. [PMID: 29796797 DOI: 10.1007/s00247-018-4149-1] [Citation(s) in RCA: 185] [Impact Index Per Article: 30.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Revised: 03/22/2018] [Accepted: 04/25/2018] [Indexed: 01/01/2023]
Abstract
Abusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic-ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature.
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Affiliation(s)
- Arabinda Kumar Choudhary
- Department of Radiology, Nemours AI duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE, 19803, USA.
| | - Sabah Servaes
- Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA
| | - Thomas L Slovis
- Department of Radiology, Children's Hospital of Michigan, Wayne State University, Detroit, MI, USA
| | | | - Gary L Hedlund
- Department of Medical Imaging, Primary Children's Hospital, Intermountain Healthcare, Department of Radiology, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Sandeep K Narang
- Division of Child Abuse Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | | | - Mark S Dias
- Departments of Neurosurgery and Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA
| | - Cindy W Christian
- Department of Pediatrics, Child Abuse and Neglect Prevention, The Children's Hospital of Philadelphia, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
| | - Marvin D Nelson
- Department of Radiology, Children's Hospital of Los Angeles, Los Angeles, CA, USA
| | | | - Susan Palasis
- Pediatric Neuroradiology, Children's Healthcare of Atlanta, Scottish Rite Campus, Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA
| | - Maria Raissaki
- Department of Radiology, University Hospital of Heraklion, University of Crete, Crete, Greece
| | - Andrea Rossi
- Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy
| | - Amaka C Offiah
- Paediatric Musculoskeletal Imaging, Academic Unit of Child Health, Sheffield Children's NHS Foundation Trust, Western Bank, University of Sheffield, Sheffield, UK
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9
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Cowley LE, Maguire S, Farewell DM, Quinn-Scoggins HD, Flynn MO, Kemp AM. Factors influencing child protection professionals' decision-making and multidisciplinary collaboration in suspected abusive head trauma cases: A qualitative study. CHILD ABUSE & NEGLECT 2018; 82:178-191. [PMID: 29913434 DOI: 10.1016/j.chiabu.2018.06.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 06/07/2018] [Accepted: 06/11/2018] [Indexed: 06/08/2023]
Abstract
Clinicians face unique challenges when assessing suspected child abuse cases. The majority of the literature exploring diagnostic decision-making in this field is anecdotal or survey-based and there is a lack of studies exploring decision-making around suspected abusive head trauma (AHT). We aimed to determine factors influencing decision-making and multidisciplinary collaboration in suspected AHT cases, amongst 56 child protection professionals. Semi-structured interviews were conducted with clinicians (25), child protection social workers (10), legal practitioners (9, including 4 judges), police officers (8), and pathologists (4), purposively sampled across southwest United Kingdom. Interviews were recorded, transcribed and imported into NVivo for thematic analysis (38% double-coded). We identified six themes influencing decision-making: 'professional', 'medical', 'circumstantial', 'family', 'psychological' and 'legal' factors. Participants diagnose AHT based on clinical features, the history, and the social history, after excluding potential differential diagnoses. Participants find these cases emotionally challenging but are aware of potential biases in their evaluations and strive to overcome these. Barriers to decision-making include lack of experience, uncertainty, the impact on the family, the pressure of making the correct diagnosis, and disagreements between professionals. Legal barriers include alternative theories of causation proposed in court. Facilitators include support from colleagues and knowledge of the evidence-base. Participants' experiences with multidisciplinary collaboration are generally positive, however child protection social workers and police officers are heavily reliant on clinicians to guide their decision-making, suggesting the need for training on the medical aspects of physical abuse for these professionals and multidisciplinary training that provides knowledge about the roles of each agency.
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Affiliation(s)
- Laura E Cowley
- Division of Population Medicine, School of Medicine, Cardiff University, Wales, United Kingdom.
| | - Sabine Maguire
- Division of Population Medicine, School of Medicine, Cardiff University, Wales, United Kingdom.
| | - Daniel M Farewell
- Division of Population Medicine, School of Medicine, Cardiff University, Wales, United Kingdom.
| | | | - Matthew O Flynn
- Division of Population Medicine, School of Medicine, Cardiff University, Wales, United Kingdom.
| | - Alison M Kemp
- Division of Population Medicine, School of Medicine, Cardiff University, Wales, United Kingdom.
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10
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The Swedish Agency for health technology-report about traumatic shaking: much ado about nothing? Forensic Sci Med Pathol 2018; 14:541-544. [DOI: 10.1007/s12024-018-0006-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
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11
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Schütteltraumasyndrom – diagnostische Sicherheit trotz andauernder medialer Kontroverse. Monatsschr Kinderheilkd 2018. [DOI: 10.1007/s00112-018-0473-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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12
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Rosén M, Lynøe N, Elinder G, Hallberg B, Sundgren P, Eriksson A. Shaken baby syndrome and the risk of losing scientific scrutiny. Acta Paediatr 2017; 106:1905-1908. [PMID: 28871599 DOI: 10.1111/apa.14056] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 08/02/2017] [Accepted: 08/29/2017] [Indexed: 12/01/2022]
Abstract
A systematic review of shaken baby syndrome by the Swedish Agency for Health Technology Assessment and Assessment of Social Services generated numerous reactions from professional organisations, even before the review was published. There was also a lively debate after a paper summarising its findings were published in Acta Paediatrica The various responses are worth debating further, as they raise several important issues with regard to research ethics, having an open debate and publishing scientific findings. CONCLUSION The responses to the shaken baby syndrome report indicate that scientific scrutiny risks being lost when researchers and organisations are not open to challenging established ideas.
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Affiliation(s)
- M Rosén
- Department of Learning, Informatics, Management and Ethics; Karolinska Institutet; Stockholm Sweden
| | - N Lynøe
- Stockholm Centre for Healthcare Ethics; Karolinska Institutet; Stockholm Sweden
| | - G Elinder
- Department of Clinical Science and Education; Södersjukhuset; Karolinska Institutet; Stockholm Sweden
| | - B Hallberg
- Department of Clinical Science, Intervention and Technology; Karolinska University Hospital; Karolinska Institutet; Stockholm Sweden
| | - P Sundgren
- Department of Diagnostic Radiology; Clinical Sciences; Lund University; Lund Sweden
| | - A Eriksson
- Department of Community Medicine and Rehabilitation; Forensic Medicine; Umeå University; Umeå Sweden
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13
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Minns RA, Jones PA, Tandon A, Fleck BW, Mulvihill AO, Minns FC. Raised intracranial pressure and retinal haemorrhages in childhood encephalopathies: reply to the commentary by Squier. Dev Med Child Neurol 2017; 59:981-982. [PMID: 28833049 DOI: 10.1111/dmcn.13516] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Robert A Minns
- Department Child Life and Health, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.,Royal Hospital for Sick Children, Edinburgh, UK
| | - Patricia A Jones
- Department Child Life and Health, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK
| | | | - Brian W Fleck
- Royal Hospital for Sick Children, Edinburgh, UK.,Princess Alexandra Eye Pavilion, Edinburgh, UK
| | - Alan O Mulvihill
- Royal Hospital for Sick Children, Edinburgh, UK.,Princess Alexandra Eye Pavilion, Edinburgh, UK
| | - Fiona C Minns
- Department of Radiology, New Royal Infirmary, Edinburgh, UK
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14
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Lynøe N, Elinder G, Hallberg B, Rosén M, Sundgren P, Eriksson A. Is accepting circular reasoning in shaken baby studies bad science or misconduct? Acta Paediatr 2017; 106:1445-1446. [PMID: 28608979 DOI: 10.1111/apa.13947] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 06/07/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Niels Lynøe
- Stockholm Centre for Healthcare Ethics; Karolinska Institutet; Stockholm Sweden
| | - Göran Elinder
- Department of Clinical Science and Education; Södersjukhuset; Karolinska Institutet; Stockholm Sweden
| | - Boubou Hallberg
- Department of Clinical Science, Intervention and Technology; Karolinska Institutet; Stockholm Sweden
| | - Måns Rosén
- Department of Learning, Informatic, Management and Ethics; Karolinska Institutet; Stockholm Sweden
| | - Pia Sundgren
- Department of Diagnostic Radiology, Clinical Science; Lund University; Lund Sweden
| | - Anders Eriksson
- Department of Community Medicine and Rehabilitation; Forensic Medicine; Umeå University; Umeå Sweden
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15
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Lynøe N, Elinder G, Hallberg B, Rosén M, Sundgren P, Eriksson A. The scientific evidence regarding retinal haemorrhages. Response to Hellgren et al. and Levin. Acta Paediatr 2017; 106:1041-1042. [PMID: 28543742 DOI: 10.1111/apa.13896] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 04/21/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Niels Lynøe
- Stockholm Centre for Healthcare Ethics; Karolinska Institutet; Stockholm Sweden
| | - Göran Elinder
- Department of Clinical Science and Education; Södersjukhuset; Karolinska Institutet; Stockholm Sweden
| | - Boubou Hallberg
- Department of Clinical Science, Intervention and Technology; Karolinska Institutet; Stockholm Sweden
| | - Måns Rosén
- Department of Learning, Informatics, Management and Ethics; Karolinska Institutet; Stockholm Sweden
| | - Pia Sundgren
- Department of Diagnostic Radiology; Clinical Sciences; Lund University; Lund Sweden
| | - Anders Eriksson
- Department of Community Medicine and Rehabilitation; Forensic Medicine; Umeå University; Umeå Sweden
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16
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Hellgren K, Hellström A, Hård AL, Jacobson L, Lidén U, Löfgren S, Fahnehjelm KT, Ygge J. The new Swedish report on Shaken Baby Syndrome is misleading. Acta Paediatr 2017; 106:1040. [PMID: 28345241 DOI: 10.1111/apa.13845] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 03/21/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Kerstin Hellgren
- Astrid Lindgren Children′s Hospital; Karolinska University Hospital; Stockholm Sweden
- Karolinska Institutet; Stockholm Sweden
| | - Ann Hellström
- The Queen Silvia Children′s Hospital; Gothenburg Sweden
- Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| | - Anna-Lena Hård
- The Queen Silvia Children′s Hospital; Gothenburg Sweden
- Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| | | | - Ulrika Lidén
- Astrid Lindgren Children′s Hospital; Karolinska University Hospital; Stockholm Sweden
- Eye Department Södermanland; Eskilstuna Sweden
| | - Stefan Löfgren
- Karolinska Institutet; Stockholm Sweden
- St Erik Eye Hospital; Stockholm Sweden
| | - Kristina Teär Fahnehjelm
- Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
- St Erik Eye Hospital; Stockholm Sweden
| | - Jan Ygge
- Karolinska Institutet; Stockholm Sweden
- St Erik Eye Hospital; Stockholm Sweden
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17
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Lynøe N, Elinder G, Hallberg B, Rosén M, Sundgren P, Eriksson A. Authors' overarching reply to all the responses received to the systematic literature review on shaken baby syndrome. Acta Paediatr 2017; 106:1031. [PMID: 28437023 DOI: 10.1111/apa.13887] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Niels Lynøe
- Stockholm Centre for Healtcare Ethics; Karolinska Institutet; Stockholm Sweden
| | - Göran Elinder
- Sachsska barnsjukhuset; Södersjukhuset; Stockholm Sweden
| | - Boubou Hallberg
- Neonatolgy, CLINTEC; Karolinska Institutet and University Hospital; Stockholm Sweden
| | - Måns Rosén
- LIME; Karolinska Institutet; Stockholm Sweden
| | - Pia Sundgren
- Diagnostic Radiology, Clinical Sciences; Lunds Universitet; Lund Sweden
| | - Anders Eriksson
- Forensic Medicine; Umeå Universitet Medicinska fakulteten; Umeå Sweden
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18
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Saunders D, Raissaki M, Servaes S, Adamsbaum C, Choudhary AK, Moreno JA, van Rijn RR, Offiah AC. Throwing the baby out with the bath water - response to the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) report on traumatic shaking. Pediatr Radiol 2017; 47:1386-1389. [PMID: 28785782 PMCID: PMC5608779 DOI: 10.1007/s00247-017-3932-8] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 06/15/2017] [Indexed: 11/23/2022]
Affiliation(s)
- Dawn Saunders
- 0000000121901201grid.83440.3bGreat Ormond Street Hospital NHS Trust for Children, Institute of Child Health, WC1N 3JH, London, UK
| | - Maria Raissaki
- grid.412481.aDepartment of Radiology, University Hospital of Heraklion, Iraklio, Greece ,0000 0004 0576 3437grid.8127.cUniversity of Crete, Heraklion, Crete, Greece
| | - Sabah Servaes
- 0000 0004 1936 8972grid.25879.31The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA USA
| | - Catherine Adamsbaum
- 0000 0001 2171 2558grid.5842.bAP-HP, Bicêtre Hospital, Pediatric Imaging Department, Paris Sud University, Bicêtre, France
| | - Arabinda Kumar Choudhary
- 0000 0004 0458 9676grid.239281.3Department of Medical Imaging, Alfred I. duPont Hospital for Children, Wilmington, DE USA
| | | | - Rick R. van Rijn
- 0000000404654431grid.5650.6Department of Radiology, Emma Children’s Hospital, Academic Medical Center, Amsterdam, The Netherlands
| | - Amaka C. Offiah
- 0000 0004 1936 9262grid.11835.3eAcademic Unit of Child Health, Sheffield Childrens NHS Foundation Trust, University of Sheffield, Sheffield, UK
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