Characteristics of 16 Infants Born in the Hudson Valley Region Who Were Treated at Maria Fareri Children's Hospital for Abusive Head Injuries Resulting From Shaking
Age, mean ± SD (range), mo | 5.2 ± 2.7 (2.0–10.2) |
Gender, n (%) | |
Male | 9 (56.3) |
Female | 7 (43.7) |
Race, n (%) | |
White | 4 (25.0) |
Black | 2 (12.5) |
Unspecified | 10 (62.5) |
Presentation, n (%) | |
Loss of consciousness | 8 (50.0) |
Vomiting | 8 (50.0) |
Lethargy | 7 (43.8) |
Apnea | 7 (43.8) |
Irritability | 6 (37.5) |
Limpness | 6 (37.5) |
Cyanosis | 4 (25.0) |
Cough | 3 (18.8) |
Seizure | 3 (18.8) |
Othera | 14 (87.5) |
Injuries, n (%) | |
Subdural hemorrhage | 14 (87.5) |
Retinal hemorrhage | 14 (87.5) |
Skull fracture | 5 (31.3) |
Rib fracture | 3 (18.8) |
Upper extremity fracture | 2 (12.5) |
Lower extremity fracture | 2 (12.5) |
Epidural hemorrhage | 1 (6.3) |
Deaths, n (%) | 4 (25.0) |
Infants were born during the 5-year historical control period (January 1, 2000, to December 31, 2004) or the 3-year intervention period (May 1, 2005, to April 30, 2008). The 4-month intervention phase-in period (January 1 through April 30, 2005) was excluded.
↵a Includes bruises (n = 2), shaking of extremities (n = 2), pallor (n = 2), cardiac arrest (n = 2), lacerated/bleeding lip, grunting, nasal flaring, weakness, increase in head circumference, labored breathing, oral thrush, tense anterior fontanelle, and subconjunctival hemorrhage.