In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019-June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (\"non-acute\" evaluation) or 2) a child presented immediately after an IPV incident (\"acute\" evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7-9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an \"acute\" evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.
方法:在这项前瞻性观察研究中,我们回顾了照顾者同意评估伤害的儿童的遭遇(体检和成像,如果注明)从2019年7月至2022年6月。包括以下情况下的儿童:1)CPS研究者转介儿童进行损伤评估(“非急性”评估)或2)IPV事件后立即出现的儿童(“急性”评估)。
结果:在IPV暴露后向CPS办公室报告的326名3岁以下儿童中,90(27.6%)进行了评估:81(90%)进行了非急性评估,据报道,21例(23%)在IPV事件期间有持续创伤.在接受评估的90名儿童中,3(3.3%,95%CI0.7-9.4)被发现有皮肤损伤,骨折,和/或颅内发现。每个年龄均<6个月,并进行了“急性”评估。
结论:在这项向CPS报告IPV暴露的儿童研究中,一小部分人受伤。一项多中心研究检查了IPV暴露儿童遭受虐待伤害的频率和因素,可以确保测试针对风险最高的儿童。