{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:55:19Z","timestamp":1787496919623,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,29]],"date-time":"2018-04-29T00:00:00Z","timestamp":1524960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To identify markers for detecting abusive head trauma (\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      ) and its characteristics in the Japanese population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed the clinical records of 166 infants with traumatic intracranial hemorrhage between 2002 and 2013 in three tertiary institutions in Japan. The infants were classified into\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      (57), suspected\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      (24), and accidental (85) group based on the defined criteria. We compared clinical presentations and computed tomography findings among these three groups and also compared age distribution of infants with\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      in our study to those in the USA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Age distribution of\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      cases is significantly higher in our study than in the USA (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). The rates of male sex, bruising, retinal hemorrhage, subdural hematoma, cerebral edema, and neurological sequelae were significantly higher, and those of skull fracture and scalp finding were significantly lower, in the\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      group than in the accidental group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). In the multivariable analysis of the infants with subdural hematoma, absence of skull fracture (odds ratio = 42.1; 95% confidence interval, 3.5\u2013507.7,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.003) was associated with\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The age range of\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      in Japan is significantly different from that of countries in Europe and North America because of familial and sociocultural situations. Absence of bruising, and rib or long bone fractures did not reduce the likelihood of\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      . Subdural hematoma without findings of an impact to the head strongly suggested\n                      <jats:styled-content style=\"fixed-case\">AHT<\/jats:styled-content>\n                      . Abusive head trauma is a global problem, however, diagnosis and defensive measures likely need to be tailored to accommodate cultural risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ams2.341","type":"journal-article","created":{"date-parts":[[2018,4,29]],"date-time":"2018-04-29T21:55:33Z","timestamp":1525038933000},"page":"265-271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Characteristics distinguishing abusive head trauma from accidental head trauma in infants with traumatic intracranial hemorrhage in Japan"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8371-1507","authenticated-orcid":false,"given":"Shunsuke","family":"Amagasa","sequence":"first","affiliation":[{"name":"Department of Pediatric Intensive Care Nagano Children's Hospital Azumino City Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hikoro","family":"Matsui","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive Care Nagano Children's Hospital Azumino City Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency and Transport Services National Center for Child and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoko","family":"Uematsu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency and Transport Services National Center for Child and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Moriya","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saitama Medical Center Jichi Medical University Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosaku","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Division of Emergency and Critical Care Medicine Department of Acute Medicine Nihon University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1545"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2011-300630"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-1329"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3993"},{"key":"e_1_2_7_6_1","first-page":"662","article-title":"Report on child death registration in 2011 in the pilot four region (in Japanese)","volume":"120","author":"Mizoguchi T","year":"2016","journal-title":"J. Jpn. Pediatr. Soc."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.13.1603"},{"key":"e_1_2_7_8_1","first-page":"704","article-title":"Proposed diagnosis criteria for inflicted head injury of children younger than two years of age (in Japanese)","volume":"112","author":"Fujiwara T","year":"2008","journal-title":"J. Jpn. Pediatr. Soc."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.90.2.179"},{"key":"e_1_2_7_10_1","first-page":"11","article-title":"Childhood head injuries: accidental or inflicted?","volume":"154","author":"Recce RM","year":"2000","journal-title":"Arch. Pediatr. Adolesc. Med."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.3.PEDS14544"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2005.06.009"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0387"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00778.x"},{"key":"e_1_2_7_15_1","first-page":"373","article-title":"A study on night\u2010crying in infancy","volume":"41","author":"Yanai Y","year":"2001","journal-title":"J. Jpn. Soc. Pediatr. Psychiatry Neurol."},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0815C"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.153.4.339"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.636"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-1020-L"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.97.5.664"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.ra.2015-0308"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0408"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13760"},{"key":"e_1_2_7_24_1","unstructured":"MaehashiN.Report of research on home services for family with maltreated children by Child Guidance Center. In:OkuyamaM ed.Research on prevention intervention and care for maltreated children in research on children and families health and labor sciences Research Grants from Ministry of Health Labor and Welfare (in Japanese).Tokyo Japan:Ministry of Health Labor and Welfare;2006:375\u2013420."},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.5.621"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-009-1048-7"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fams2.341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T10:51:28Z","timestamp":1694947888000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,29]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/ams2.341"],"URL":"https:\/\/doi.org\/10.1002\/ams2.341","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,29]]},"assertion":[{"value":"2017-12-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}