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Shaken baby syndrome accepted as diagnosis by majority of physicians

Date:
July 22, 2016
Source:
Ann & Robert H. Lurie Children's Hospital of Chicago
Summary:
Survey data reveals a high degree of medical consensus that shaking a young child is capable of producing subdural hematoma (a life-threatening pooling of blood outside the brain), severe retinal hemorrhage, coma or death, according to a study.
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Survey data reveals a high degree of medical consensus that shaking a young child is capable of producing subdural hematoma (a life-threatening pooling of blood outside the brain), severe retinal hemorrhage, coma or death, according to a study published in The Journal of Pediatrics.

Recent media reports and judicial decisions have called into question the general acceptance among physicians of shaken baby syndrome and abusive head trauma. General acceptance of concepts in the medical community is a critical factor for admitting medical expert testimony in courts. In cases of child maltreatment, courts often rely on medical expert testimony to establish the most likely cause of a child's injuries.

"Claims of substantial controversy within the medical community about shaken baby syndrome and abusive head trauma have created a chilling effect on child protection hearings and criminal prosecutions," says Sandeep Narang, MD, JD, lead author on the study, Division Head of Child Abuse Pediatrics at Ann & Robert H. Lurie Children's Hospital of Chicago, and Associate Professor of Pediatrics-Child Abuse at Northwestern University Feinberg School of Medicine. "Our study is the first to provide the much needed empiric confirmation that multidisciplinary physicians throughout the country overwhelmingly accept the validity of these diagnoses, and refutes the recent contention that there is this emerging 'groundswell' of physician opinion against the diagnoses."

The study examined survey responses from 628 physicians frequently involved in evaluation of injured children at 10 leading children's hospitals in the U.S. The represented specialties included emergency medicine, critical care, child abuse pediatrics, pediatric ophthalmology, pediatric radiology, pediatric neurosurgery, pediatric neurology and forensic pathology. Eighty-eight percent of respondents stated that shaken baby syndrome is a valid diagnosis, while 93 percent affirmed the diagnosis of abusive head trauma.

When asked to attribute a cause of subdural hematoma, severe retinal hemorrhage, coma or death in a child less than 3 years of age, more than 80 percent of physicians responded that shaking with or without impact was likely or highly likely to produce subdural hematoma, 90 percent reported that it was likely or highly likely to lead to severe retinal hemorrhage, and 78 percent felt that it was likely or highly likely to result in a coma or death. None of the other potential causes, except high velocity motor vehicle collision, was thought to result in these three clinical findings by a large majority of respondents. Very few physicians selected a short fall as an explanation for each clinical finding.

"Our data show that shaking a young child is generally accepted by physicians to be a dangerous form of abuse," says Narang.


Story Source:

Materials provided by Ann & Robert H. Lurie Children's Hospital of Chicago. Note: Content may be edited for style and length.


Journal Reference:

  1. Sandeep K. Narang, Cynthia Estrada, Sarah Greenberg, Daniel Lindberg. Acceptance of Shaken Baby Syndrome and Abusive Head Trauma as Medical Diagnoses. Journal of Pediatrics, July 2016 DOI: 10.1016/j.jpeds.2016.06.036

Cite This Page:

Ann & Robert H. Lurie Children's Hospital of Chicago. "Shaken baby syndrome accepted as diagnosis by majority of physicians." ScienceDaily. ScienceDaily, 22 July 2016. <www.sciencedaily.com/releases/2016/07/160722092934.htm>.
Ann & Robert H. Lurie Children's Hospital of Chicago. (2016, July 22). Shaken baby syndrome accepted as diagnosis by majority of physicians. ScienceDaily. Retrieved May 27, 2017 from www.sciencedaily.com/releases/2016/07/160722092934.htm
Ann & Robert H. Lurie Children's Hospital of Chicago. "Shaken baby syndrome accepted as diagnosis by majority of physicians." ScienceDaily. www.sciencedaily.com/releases/2016/07/160722092934.htm (accessed May 27, 2017).

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