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dc.contributor.authorYaylaci, Serpil
dc.contributor.authorDallar, Yildiz
dc.contributor.authorSayar, Yavuz
dc.contributor.authorTasar, Medine Aysin
dc.contributor.authorTiras, Ulku
dc.contributor.authorTekin, Deniz
dc.contributor.authorUnlu, Agahan
dc.contributor.authorUlukol, Betul
dc.contributor.authorBeyaztas, Fatma Yucel
dc.contributor.authorButun, Celal
dc.contributor.authorOzum, Unal
dc.contributor.authorBuken, Bora
dc.contributor.authorKandemir, Ferhan
dc.contributor.authorGokoglu, Ahmet
dc.contributor.authorKondolot, Meda
dc.contributor.authorMenku, Ahmet
dc.contributor.authorPatiroglu, Turkan
dc.contributor.authorTunc, Aydin
dc.contributor.authorYagmur, Fatih
dc.contributor.authorYikilmaz, Ali
dc.contributor.authorAkar, Taner
dc.contributor.authorBeyazova, Ufuk
dc.contributor.authorDegirmenci, Bulent
dc.contributor.authorIseri, Elvan
dc.contributor.authorSahin, Figen
dc.contributor.authorIsir, Aysun Baransel
dc.contributor.authorBilen, Ayse Gul
dc.contributor.authorOral, Resmiye
dc.contributor.authorGazioglu, Nurperi
dc.contributor.authorBalci, Yasemin
dc.contributor.authorEryuruk, Mesut
dc.contributor.authorKaragoz, Feyza
dc.descriptionWOS: 000382873200006en_US
dc.description.abstractAim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study. Materials and Methods: This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding. Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8%), more than three children under 7 years of age in 76 families (22.0%), and bad child temper in 16 families (4.6%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7%) was statistically significantly higher than in hospitals without an MDT (2.9%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6%), possibly inflicted in 24 (7.0%), undetermined in 79 (22.9%), and accidental in 164 (47.5%) by the researchers, compared to only three cases (0.8%) diagnosed as inflicted by the treating physicians (p<0.0001). In two of the three cases, the perpetrator was convicted; in one, the prosecutor closed the case without a trial on the basis of "no confession" despite the death of the child and medical evidence. Conclusion: Clinicians' knowledge of the diagnosis of AHT should be increased to improve case finding, which will allow determination of more accurate incidence/prevalence. This can be accomplished via the establishment of an MDT in teaching hospitals as well as staff training on how to recognize suspicious cases, how to utilize MDT services, and how to report and manage cases on a community level multidisciplinary basis.en_US
dc.subjectAbusive head traumaen_US
dc.subjectmultidisciplinary teamen_US
dc.subjectdiagnostic workupen_US
dc.titleAbusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findingsen_US
dc.contributor.department[Yaylaci, Serpil] Acibadem Univ, Dept Emergency, Istanbul, Turkey -- [Dallar, Yildiz -- Sayar, Yavuz -- Tasar, Medine Aysin -- Tiras, Ulku] Ankara Hosp, Dept Pediat, Minist Hlth, Ankara, Turkey -- [Tekin, Deniz -- Ulukol, Betul] Ankara Univ, Dept Pediat, Sch Med, Ankara, Turkey -- [Unlu, Agahan] Ankara Univ, Sch Med, Dept Neurosurg, Ankara, Turkey -- [Beyaztas, Fatma Yucel -- Butun, Celal] Cumhuriyet Univ, Dept Forens Med, Sch Med, Sivas, Turkey -- [Ozum, Unal] Cumhuriyet Univ, Sch Med, Dept Neurosurg, Sivas, Turkey -- [Buken, Bora -- Kandemir, Ferhan] Duzce Univ, Sch Med, Dept Forens Med, Bolu, Turkey -- [Gokoglu, Ahmet -- Kondolot, Meda -- Patiroglu, Turkan -- Tunc, Aydin] Erciyes Univ, Sch Med, Dept Pediat, Kayseri, Turkey -- [Menku, Ahmet] Erciyes Univ, Sch Med, Dept Neurosurg, Kayseri, Turkey -- [Yagmur, Fatih] Erciyes Univ, Sch Med, Dept Forens Med, Kayseri, Turkey -- [Yikilmaz, Ali] Erciyes Univ, Sch Med, Dept Radiol, Kayseri, Turkey -- [Akar, Taner -- Degirmenci, Bulent] Gazi Univ, Sch Med, Dept Forens Sci, Ankara, Turkey -- [Beyazova, Ufuk -- Sahin, Figen] Gazi Univ, Sch Med, Dept Pediat, Ankara, Turkey -- [Iseri, Elvan] Gazi Univ, Sch Med, Dept Psychiat, Ankara, Turkey -- [Isir, Aysun Baransel -- Bilen, Ayse Gul] Gaziantep Univ, Dept Forens Med, Gaziantep, Turkey -- [Isir, Aysun Baransel -- Bilen, Ayse Gul] Childrens Hosp, Gaziantep, Turkey -- [Oral, Resmiye] Univ Iowa, Dept Pediat, Iowa City, IA 52242 USA -- [Gazioglu, Nurperi] Istanbul Univ, Istanbul Sch Med, Dept Neurosurg, Istanbul, Turkey -- [Balci, Yasemin -- Eryuruk, Mesut] Osmangazi Univ, Sch Med, Dept Forens Med, Eskisehir, Turkey -- [Karagoz, Feyza] Vakif Gureba Hosp, Dept Neurosurg, Istanbul, Turkeyen_US
dc.contributor.authorIDKARAGOZ GUZEY, FEYZA -- 0000-0002-4260-9821en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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