PEDIATRICS Vol. 81 No. 1 January 1988, pp. 93-97
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Injuries to Children Younger Than 1 Year of Age

Frederick P. Rivara MD, MPH1, Michael D. Kamitsuka MD1, and Linda Quan MD1

1 From the Departments of Pediatrics and Epidemiology, University of Washington, the Harborview Injury Prevention Center, and Children's Hospital Medical Center, Seattle

The circumstances and characteristics of emergency room-treated injuries in children younger than 1 year of age were studied and unintentional injuries were compared with those caused by abuse. Unintentional injuries were seen 15 times more frequently in an emergency room than injuries caused by abuse. The majority of unintentional injuries were minor, although skull fractures and fractures of the clavicle did occur. In contrast, injuries caused by abuse were commonly multiple and severe and were more likely to result in long-term disability. Results of this study indicate that unintentional injuries are rarely serious and that closed head injury, rib or lower extremity fractures, and abdominal injuries are usually indicative of abuse.

Key Words: injury • infant • child abuse

Submitted on March 20, 1987
Accepted on May 20, 1987




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