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Transient decline in abusive head trauma in children during the COVID-19 pandemic provides lessons for prevention

Por: Mitra · B. · Crellin · D.

Commentary on: Maassel NL, Graetz E, Schneider EB, et al. Hospital Admissions for abusive head trauma before and during the COVID-19 pandemic. JAMA Pediatr 2023;177(12):1342-47

Implications for practice and research

  • The COVID-19 pandemic was associated with reductions in abusive head trauma (AHT) among children.

  • Improved assessment of parental roles and earlier detection of family violence and coercive control present opportunities to prevent AHT.

  • Strengthening social supports by mitigating effects of financial strain on families may also reduce AHT.

    • Context

    Child abuse or neglect is estimated to occur in 10–30 per 100 000 infants in developed countries but is likely under-reported.1 Abusive head trauma, which includes all inflicted head trauma regardless of specific mechanisms such as shaken baby syndrome, is a severe form of physical abuse and linked to high rates of morbidity and mortality.2 Babies less than 1 year...
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