PEDIATRICS Vol. 70 No. 6 December 1982, pp. 879-882
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Prediction of Child Abuse in an Ambulatory Setting

Norman M. Rosenberg DO1, Sheila Meyers RN, BSN1, and Nancy Shackleton RN1

1 The Department of Pediatrics, Wayne State University School of Medicine, and Division of Emergency Medicine, Children's Hospital of Michigan, Detroit

A prospective random study was performed on 476 patients, up to 2 years of age, by full-time registered nurses in the emergency room. The parent (caretaker) and child were assessed in an effort to predict child abuse. The incidence of abuse rose from 2.5% to 15.2% if one or more abnormal features were present in parent or child (P < .0003). Abuse developed in 19% of unkempt children and 28% of children with abnormal bruises, burns, or bites. The incidence of abuse increased to 42% (P < .002) when these factors were present together. An unkempt child with an abnormal parenting pattern had a 30% chance of being abused (P = .007).

Key Words: child abuse • unkempt • bruises • parenting patterns

Accepted on March 3, 1982




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