2022
Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence
Butala N, Asnes A, Gaither J, Leventhal JM, O'Malley S, Jubanyik K, Aydin A, Tiyyagura G. Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence. Academic Emergency Medicine 2022, 30: 23-31. PMID: 36300559, DOI: 10.1111/acem.14614.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaregiversChildChild AbuseEmergency Service, HospitalHumansIntimate Partner ViolenceSexual PartnersViolenceConceptsIntimate partner violenceChild protective servicesPartner violenceSocial work involvementSafety of childrenEmergency departmentPresence of childrenIPV episodesProtective servicesChild safetyAdult victimsWork involvementViolencePhysical abuseDirect witnessCPS reportsCritical opportunityICD-10-CM codesChildren's exposureEncountersChart reviewED encountersNature of exposureHomeHigh prevalence
2021
The impact of a child abuse guideline on differences between pediatric and community emergency departments in the evaluation of injuries
Shum M, Asnes AG, Leventhal JM, Gaither JR, Bechtel K, Powers E, Tiyyagura G. The impact of a child abuse guideline on differences between pediatric and community emergency departments in the evaluation of injuries. Child Abuse & Neglect 2021, 122: 105374. PMID: 34737120, DOI: 10.1016/j.chiabu.2021.105374.Peer-Reviewed Original ResearchMeSH KeywordsAgedChildChild AbuseChild Protective ServicesEmergency Service, HospitalHumansInfantPediatricsPhysical AbuseRetrospective StudiesConceptsPediatric emergency departmentEvaluation of infantsHigh-risk injuriesGuideline implementationEmergency departmentInjury categoriesCommunity emergency departmentsEvaluation of injuriesMedian ageIncreased oddsOral injuriesCPS reportingOlder infantsAmerican AcademyInjuryInfantsChild physical abuseSignificant differencesCategory 1S testingPhysical abuseGuidelinesLittle informationAbuseService reporting
2020
The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments
Shum M, Asnes A, Leventhal JM, Bechtel K, Gaither JR, Tiyyagura G. The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments. Academic Pediatrics 2020, 21: 521-528. PMID: 33160081, DOI: 10.1016/j.acap.2020.11.001.Peer-Reviewed Original ResearchMeSH KeywordsChildChild AbuseChild Protective ServicesEmergency Service, HospitalHumansInfantReferral and ConsultationRetrospective StudiesConceptsGuideline implementationExpert recommendationsIndeterminate casesCommunity emergency departmentsEvaluation of infantsGold standard testPostguideline implementationProvider adherenceCommunity EDRetrospective reviewED providersEmergency departmentCPS reportingClinical decisionTeam consultationInfantsInjurySignificant increaseAdherenceHigh percentageInterventionConsultationProvidersAbuseGuidelinesChild Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchMeSH KeywordsChild AbuseChild Protective ServicesEmergency Medical ServicesEmergency Service, HospitalHumansInfantInfant, NewbornReferral and ConsultationConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultation
2019
Oral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchMeSH KeywordsChildChild AbuseChild, PreschoolDecision MakingEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMouthPhysical AbusePrevalenceProspective StudiesConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatients
2017
Abusive fracture incidence over three decades at a level 1 pediatric trauma center
Sharkey MS, Buesser KE, Gaither JR, Tate V, Cooperman DR, Moles RL, Silva CT, Ehrlich LJ, Leventhal JM. Abusive fracture incidence over three decades at a level 1 pediatric trauma center. Child Abuse & Neglect 2017, 76: 364-371. PMID: 29195174, DOI: 10.1016/j.chiabu.2017.11.008.Peer-Reviewed Original ResearchMeSH KeywordsChildChild AbuseChild, PreschoolEmergency Service, HospitalFemaleFractures, BoneHumansIncidenceInfantInfant, NewbornMaleProbabilityRetrospective StudiesTrauma CentersConceptsPediatric trauma centerLevel 1 pediatric trauma centerAbusive fracturesTrauma centerED visitsSingle pediatric trauma centerSame trauma centerSingle-institution reviewFracture incidenceInstitution reviewEmergency departmentIncidenceAgeChildrenConsensus ratingsRecent dataTime periodVisitsFracturesCurrent studyRecent time periodPeriodGeographic regionsCenterStudyInter-rater reliability of physical abuse determinations in young children with fractures
Buesser KE, Leventhal JM, Gaither JR, Tate V, Cooperman DR, Moles RL, Silva CT, Ehrlich LJ, Sharkey MS. Inter-rater reliability of physical abuse determinations in young children with fractures. Child Abuse & Neglect 2017, 72: 140-146. PMID: 28802910, DOI: 10.1016/j.chiabu.2017.08.001.Peer-Reviewed Original ResearchConceptsChild abuse pediatriciansModerate agreementPediatric emergency departmentMedical record dataYoung childrenAbusive injuriesEmergency departmentJoint ratingsClinical detailsInter-rater reliabilityPediatric radiologistsClinical scenariosMedical providersPairs of ratersPediatric orthopaedistsLevel of agreementOrthopaedistsRecord dataCliniciansGold standardIndependent ratingsRadiologistsChildrenExtent of agreementPhysicians