The American Journal of Surgery
Volume 199, Issue 2 , Pages 210-215 , February 2010

Severity of head computed tomography scan findings fail to explain racial differences in mortality following child abuse

  • Colin A. Martin, M.D.

      Affiliations

    • Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA
  • ,
  • Marguerite Care, M.D.

      Affiliations

    • Department of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, USA
  • ,
  • Erika L. Rangel, M.D., M.S.

      Affiliations

    • Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA
  • ,
  • Rebeccah L. Brown, M.D.

      Affiliations

    • Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA
  • ,
  • Victor F. Garcia, M.D.

      Affiliations

    • Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA
  • ,
  • Richard A. Falcone Jr., M.D., M.P.H.

      Affiliations

    • Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 513 636 4371; fax: +1 513 636 7657

Received 6 June 2008 ,Revised 15 October 2008

References 

  1. Billmire ME, Myers PA. Serious head injury in infants: accident or abuse?. Pediatrics. 1985;75:340–342
  2. Reece RM, Sege R. Childhood head injuries: accidental or inflicted?. Arch Pediatr Adolesc Med. 2000;154:11–15
  3. Falcone RA, Brown RL, Garcia VF. Disparities in child abuse mortality are not explained by injury severity. J Pediatr Surg. 2007;42:1031–1036
  4. Haider AH, Efron DT, Haut ER, et al. Black children experience worse clinical and functional outcomes after traumatic brain injury: an analysis of the National Pediatric Trauma Registry. J Trauma. 2007;62:1259–1262
  5. Maas AI, Hukkelhoven CW, Marshall LF, et al. Prediction of outcome in traumatic brain injury with computed tomographic characteristics: a comparison between the computed tomographic classification and combinations of computed tomographic predictors. Neurosurgery. 2005;57:1173–1182
  6. White JR, Farukhi Z, Bull C, et al. Predictors of outcome in severely head-injured children. Crit Care Med. 2001;29:534–540
  7. Hannan EL, Waller CH, Farrell LS, et al. A comparison among the abilities of various injury severity measures to predict mortality with and without accompanying physiologic information. J Trauma. 2005;58:244–251
  8. Healey C, Osler TM, Rogers FB, et al. Improving the Glasgow Coma Scale score: motor score alone is a better predictor. J Trauma. 2003;54:671–678
  9. Marcin JP, Pollack MM. Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 2002;30:S457–S467
  10. West TA, Rivara FP, Cummings P, et al. Harborview assessment for risk of mortality: an improved measure of injury severity on the basis of ICD-9-CM. J Trauma. 2000;49:530–540
  11. Zink BJ. Traumatic brain injury outcome: concepts for emergency care. Ann Emerg Med. 2001;37:318–332
  12. Claret Teruel G, Palomeque RA, Cambra Lasaosa FJ, et al. Severe head injury among children: computed tomography evaluation as a prognostic factor. J Pediatr Surg. 2007;42:1903–1906
  13. Lindberg DM, Lindsell CJ, Shapiro RA. Variability in expert assessments of child physical abuse likelihood. Pediatrics. 2008;121:e945–e953
  14. Marshall LF, Marshall SB, Klauber MR, et al. The diagnosis of head injury requires a classification based on computed axial tomography. J Neurotrauma. 1992;9(Suppl 1):S287–S292
  15. Smedley BD. Moving beyond access: achieving equity in state health care reform. Health Aff Millwood. 2008;27:447–455
  16. Cantais E, Paut O, Giorgi R, et al. Evaluating the prognosis of multiple, severely traumatized children in the intensive care unit. Intens Care Med. 2001;27:1511–1517
  17. Coates BM, Vavilala MS, Mack CD, et al. Influence of definition and location of hypotension on outcome following severe pediatric traumatic brain injury. Crit Care Med. 2005;33:2645–2650
  18. Sampalis JS, Denis R, Frechette P, et al. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. J Trauma. 1997;43:288–295
  19. Champion HR, Copes WS, Sacco WJ, et al. A new characterization of injury severity. J Trauma. 1990;30:539–545
  20. Copes WS, Champion HR, Sacco WJ, et al. Progress in characterizing anatomic injury. J Trauma. 1990;30:1200–1207
  21. Bazarian JJ, Pope C, McClung J, et al. Ethnic and racial disparities in emergency department care for mild traumatic brain injury. Acad Emerg Med. 2003;10:1209–1217
  22. Staudenmayer KL, Diaz-Arrastia R, de Oliveira A, et al. Ethnic disparities in long-term functional outcomes after traumatic brain injury. J Trauma. 2007;63:1364–1369
  23. Jennett B, Teasdale G, Braakman R, et al. Predicting outcome in individual patients after severe head injury. Lancet. 1976;1:1031–1034
  24. Chung CY, Chen CL, Cheng PT, et al. Critical score of Glasgow coma scale for pediatric traumatic brain injury. Pediatr Neurol. 2006;34:379–387
  25. Lieh-Lai MW, Theodorou AA, Sarnaik AP, et al. Limitations of the Glasgow Coma Scale in predicting outcome in children with traumatic brain injury. J Pediatr. 1992;120:195–199
  26. Falcone RA, Martin C, Brown R, et al. Despite overall low pediatric head injury mortality, dispaities exist between races. J Pediatr Surg. 2008;43:1858–1864
  27. Harrington DT, Connolly M, Biffl WL, et al. Transfer times to definitive care facilities are too long: a consequence of an immature trauma system. Ann Surg. 2005;241:961–966
  28. Hartl R, Gerber LM, Iacono L, et al. Direct transport within an organized state trauma system reduces mortality in patients with severe traumatic brain injury. J Trauma. 2006;60:1250–1256
  29. Tiesman H, Young T, Torner JC, et al. Effects of a rural trauma system on traumatic brain injuries. J Neurotrauma. 2007;24:1189–1197
  30. Starling SP, Patel S, Burke BL, et al. Analysis of perpetrator admissions to inflicted traumatic brain injury in children. Arch Pediatr Adolesc Med. 2004;158:454–458
  31. Chang EF, Meeker M, Holland MC. Acute traumatic intraparenchymal hemorrhage: risk factors for progression in the early post-injury period. Neurosurgery. 2006;58:647–656
  32. Chieregato A, Fainardi E, Morselli-Labate AM, et al. Factors associated with neurological outcome and lesion progression in traumatic subarachnoid hemorrhage patients. Neurosurgery. 2005;56:671–680
  33. Fabbri A, Servadei F, Marchesini G, et al. Early predictors of unfavourable outcome in subjects with moderate head injury in the emergency department. J Neurol Neurosurg Psychiatry. 2008;79:567–573
  34. Hymel KP, Rumack CM, Hay TC, et al. Comparison of intracranial computed tomographic (CT) findings in pediatric abusive and accidental head trauma. Pediatr Radiol. 1997;27:743–747
  35. Zimmerman RA, Bilaniuk LT. Pediatric head trauma. Neuroimaging Clin North Am. 1994;4:349–366
  36. Zimmerman RA, Bilaniuk LT, Bruce D, et al. Interhemispheric acute subdural hematoma: a computed tomographic manifestation of child abuse by shaking. Neuroradiology. 1978;16:39–40
  37. Kilbourne AM, Switzer G, Hyman K, et al. Advancing health disparities research within the health care system: a conceptual framework. Am J Pub Health. 2006;96:2113–2121
  38. Epstein AM, Ayanian JZ. Racial disparities in medical care. N Engl J Med. 2001;344:1471–1473
  39. Green AR, Carney DR, Pallin DJ, et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22:1231–1238
  40. Krieger N. Does racism harm health? (Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective). Am J Pub Health. 2008;98:S20–S25
  41. van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med. 2000;50:813–828
  42. Rangel E, Cook B, Bennett B. Use of Guidlines decrease disparity in screening for abuse in infants with head injury. Pediatrics [in press].
  43. Ball WS. Nonaccidental craniocerebral trauma (child abuse): MR imaging. Radiology. 1989;173:609–610
  44. Sato Y, Yuh WT, Smith WL, et al. Head injury in child abuse: evaluation with MR imaging. Radiology. 1989;173:653–657
  45. Byck GR. A comparison of the socioeconomic and health status characteristics of uninsured, state children's health insurance program-eligible children in the United States with those of other groups of insured children: implications for policy. Pediatrics. 2000;106:14–21
  46. Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient–physician relationship. J Am Med Assoc. 1999;282:583–589
  47. Federico SG, Steiner JF, Beaty B, et al. Disruptions in insurance coverage: patterns and relationship to health care access, unmet need, and utilization before enrollment in the State Children's Health Insurance Program. Pediatrics. 2007;120:e1009–e1016
  48. Shone LP, Dick AW, Brach C, et al. The role of race and ethnicity in the State Children's Health Insurance Program (SCHIP) in four states: are there baseline disparities, and what do they mean for SCHIP?. Pediatrics. 2003;112:e521

PII: S0002-9610(09)00249-9

doi: 10.1016/j.amjsurg.2009.05.001

The American Journal of Surgery
Volume 199, Issue 2 , Pages 210-215 , February 2010