2023
How Antiscience Creates Confusion About the Diagnosis of Abusive Head Trauma
Leventhal J, Asnes A, Otterman G. How Antiscience Creates Confusion About the Diagnosis of Abusive Head Trauma. JAMA Pediatrics 2023, 177: 1257-1258. PMID: 37902740, DOI: 10.1001/jamapediatrics.2023.4516.Peer-Reviewed Original ResearchHospital Admissions for Abusive Head Trauma Before and During the COVID-19 Pandemic
Maassel N, Graetz E, Schneider E, Asnes A, Solomon D, Leventhal J. Hospital Admissions for Abusive Head Trauma Before and During the COVID-19 Pandemic. JAMA Pediatrics 2023, 177: 1342-1347. PMID: 37870839, PMCID: PMC10594171, DOI: 10.1001/jamapediatrics.2023.4519.Peer-Reviewed Original ResearchConceptsAbusive head traumaCross-sectional studyMonthly hospitalizationsHead traumaClinical characteristicsSignificant decreaseCOVID-19 pandemicPediatric Health Information SystemTertiary care children's hospitalMean monthly incidenceClinical Modification codesHospitalization of childrenInterrupted time series analysisCOVID-19Subgroup of childrenHospital admissionChildren's HospitalTenth RevisionHospitalizationMAIN OUTCOMEInternational ClassificationSevere formCOVID-19 periodHealth information systemsPreventive efforts
2020
Impact of the Take 5 Safety Plan for Crying on the Occurrence of Abusive Head Trauma in Infants
Bechtel K, Gaither J, Leventhal J. Impact of the Take 5 Safety Plan for Crying on the Occurrence of Abusive Head Trauma in Infants. Child Abuse Review 2020, 29: 282-290. DOI: 10.1002/car.2622.Peer-Reviewed Original ResearchYale-New Haven HospitalAbusive head traumaElectronic medical recordsAdjusted odds ratioHead traumaCaregiver frustrationTAKE 5Likelihood of AHTNon-abusive head traumaDiagnosis of AHTNewborn hospital dischargeNew Haven HospitalCent of controlCaregivers of newbornsCase-control designInfant cryingHospital dischargeHead injuryMedical recordsOdds ratioMedical providersInfantsKey Practitioner MessageLogistic regressionAbuse services
2019
Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma
Wiley M, Schultheis A, Francis B, Tiyyagura G, Leventhal JM, Rutherford H, Mayes LC, Bechtel K. Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma. Academic Pediatrics 2019, 20: 448-454. PMID: 31629119, DOI: 10.1016/j.acap.2019.10.009.Peer-Reviewed Original Research
2018
Development of a Model of Hemispheric Hypodensity (“Big Black Brain”)
Costine-Bartell B, McGuone D, Price G, Crawford E, Keeley K, Munoz-Pareja J, Dodge CP, Staley K, Duhaime AC. Development of a Model of Hemispheric Hypodensity (“Big Black Brain”). Journal Of Neurotrauma 2018, 36: 815-833. PMID: 30039743, PMCID: PMC6387571, DOI: 10.1089/neu.2018.5736.Peer-Reviewed Original ResearchConceptsHemispheric hypodensitySubdural hematomaAbusive head traumaMultiple vascular territoriesMechanism of traumaSevere brain damagePatterns of injuryDeep gray matterSeizure durationHead traumaMultiple injuriesPathological examinationKainic acidSevere seizuresVasogenic edemaBrain damageContralateral sideVascular territoriesCommon findingMetabolic mismatchRelative sparingAnimal modelsRadiological indicatorsCortical ribbonGray matterSimulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking
Bechtel K, Bhatnagar A, Auerbach M. Simulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking. Infant Behavior And Development 2018, 56: 101263. PMID: 29903429, DOI: 10.1016/j.infbeh.2018.05.006.Peer-Reviewed Original Research
2016
Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers
Tiyyagura GK, Gawel M, Alphonso A, Koziel J, Bilodeau K, Bechtel K. Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers. Prehospital Emergency Care 2016, 21: 46-53. PMID: 27436455, DOI: 10.1080/10903127.2016.1204038.Peer-Reviewed Original ResearchConceptsPrehospital care providersCare providersChief complaintInfant abusive head traumaReal-time decision supportPresence of caregiversAbusive head traumaPediatric patientsHead traumaPatient's airwayProtective servicesRecognition of signsDecision supportHospital providersPatients' thoughtsPrehospital providersCaregiver reactionsThematic saturationChild protective servicesChild abuseFocused educationKey taskAirwayPatientsScene safety
2004
Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma
Bechtel K, Stoessel K, Leventhal JM, Ogle E, Teague B, Lavietes S, Banyas B, Allen K, Dziura J, Duncan C. Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma. 2004, 114: 165-168. PMID: 15231923, DOI: 10.1542/peds.114.1.165.Peer-Reviewed Original ResearchConceptsAbusive head injuryAccidental head injuryAbnormal mental statusMonths of ageUnilateral retinal hemorrhageRetinal hemorrhagesHead injuryProportion of childrenScalp hematomaMental statusHead traumaOutcome measuresSecondary outcome measuresHead injury groupSerial neurologic examinationsMain outcome measuresAbusive head traumaChild abuse specialistInjury groupEye examinationVitreous hemorrhageClinical featuresInitial presentationNeurologic examinationOphthalmoscopic examination
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