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National study shows that abusive head trauma mortality in Sweden was at least 10 times lower than in other Western countries.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Rättsmedicin.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Rättsmedicin.
2018 (engelsk)Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, nr 3, s. 477-483Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM: The validity of the diagnostic criteria for abusive head trauma (AHT) and its attributes have been widely debated. This national study investigated the possibility of false positive and false negative cases of fatal AHT in Sweden.

METHOD: This was a retrospective evaluation of the records of 733 deceased infants up to the age of 365 days who were examined during 1994-2013 at the six forensic medicine departments. All the records were scrutinised for possible cases of AHT.

RESULTS: We included 12 cases, out of which eight had been diagnosed as AHT. Of these 12 infants, eight had a concomitant disease or perinatal illness, five were born prematurely, and three were twins. Figures from other Western countries would suggest 6-7 deaths per 100,000 per year in Sweden but in reality, there was a maximum possible incidence of 0.6 per 100,000 infants per year.

CONCLUSION: The risk of unreported fatal AHT in Sweden was low and there may have been cases misdiagnosed as AHT. The at least 10 times lower incidence than has been reported from other Western countries, raises the question if previously reported higher incidences of fatal AHT have been exaggerated.

sted, utgiver, år, opplag, sider
2018. Vol. 107, nr 3, s. 477-483
Emneord [en]
Abusive head trauma, Sweden, infant death, shaken baby syndrome, subdural hematoma
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-333284DOI: 10.1111/apa.14138ISI: 000424884000021PubMedID: 29105967OAI: oai:DiVA.org:uu-333284DiVA, id: diva2:1155795
Tilgjengelig fra: 2017-11-09 Laget: 2017-11-09 Sist oppdatert: 2018-03-22bibliografisk kontrollert

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