Prevalence of retinal hemorrhages in pediatric patients after in-hospital cardiopulmonary resuscitation: a prospective study

Odom, A; Christ, E; Kerr, N; Byrd, K; Cochran, J; Barr, F; Bugnitz, M; Ring, J C; Storgion, S; Walling, R; Stidham, G; Quasney, M W (1997). Prevalence of retinal hemorrhages in pediatric patients after in-hospital cardiopulmonary resuscitation: a prospective study. Pediatrics, 99(6), E3. Elk Grove Village, Ill.: American Academy of Pediatrics 10.1542/peds.99.6.e3

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Child abuse occurs in 1% of children in the United States every year; 10% of the traumatic injuries suffered by children under 5 years old are nonaccidental, and 5% to 20% of these nonaccidental injuries are lethal. Rapid characterization of the injury as nonaccidental is of considerable benefit to child protection workers and police investigators seeking to safeguard the child care environment and apprehend and prosecute those who have committed the crime of child abuse. Physically abused children present with a variety of well-described injuries that are usually easily identifiable. In some cases, however, particularly those involving children with the shaken baby syndrome, obvious signs of physical injury may not exist. Although external signs of such an injury are infrequent, the rapid acceleration-deceleration forces involved often cause subdural hematomas and retinal hemorrhages, hallmarks of the syndrome. Frequently, retinal hemorrhages may be the only presenting sign that child abuse has occurred. Complicating the interpretation of the finding of retinal hemorrhages is the belief by some physicians that retinal hemorrhages may be the result of chest compressions given during resuscitative efforts. The objective of this study is to determine the prevalence of retinal hemorrhages after inpatient cardiopulmonary resuscitation (CPR) in pediatric patients hospitalized for nontraumatic illnesses in an intensive care unit.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition
UniBE Contributor:	Christ, Emanuel
ISSN:	0031-4005
Publisher:	American Academy of Pediatrics
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:23
Last Modified:	05 Dec 2022 14:25
Publisher DOI:	10.1542/peds.99.6.e3
PubMed ID:	9164799
Web of Science ID:	A1997XC58800003
URI:	https://boris.unibe.ch/id/eprint/37241 (FactScience: 207253)