Bartels, M. Baz, Banaschak, S. and Herrmann, B. (2019). Update on abusive head trauma. Abuse-related head injuries and ESPED data. Mon.schr. Kinderheilkd., 167 (10). S. 891 - 900. NEW YORK: SPRINGER. ISSN 1433-0474

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Abstract

Abusive head trauma (AHT) is a clearly defined and established medical diagnosis, the basic concept of which has remained unchanged for a considerable length of time. In the last decade new and more precise data have evolved based on systematic reviews and meta-analyses concerning the validity of symptoms and the correct foundation of the diagnosis. The diagnosis of AHT requires a high level of attention and knowledge, integration of the patient history, symptoms and findings, targeted clinical, radiological and ophthalmological examinations, the exclusion of relevant differential diagnoses and a structured multidisciplinary child protection team approach. The results of the German study on the incidence and characteristics of AHT, which was coordinated by the Sampling Unit for Rare Pediatric Diseases in Germany (ESPED) showed comparable data concerning international epidemiology and characteristics of AHT. Controversies concerning acceptance of the validity of the diagnosis have come up mainly in court proceedings and in public media rather than in the medical and scientific debate; however, these debates must be known to the clinician who may have to serve as an expert at court. Different approaches and initiatives for prevention of AHT have increasingly been developed, so far without clear evidence for efficacy.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bartels, M. BazUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Banaschak, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herrmann, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-131878
DOI: 10.1007/s00112-019-0755-8
Journal or Publication Title: Mon.schr. Kinderheilkd.
Volume: 167
Number: 10
Page Range: S. 891 - 900
Date: 2019
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-0474
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SHAKEN BABY SYNDROME; RETINAL HEMORRHAGESMultiple languages
PediatricsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13187

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