{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:29:38Z","timestamp":1783776578978,"version":"3.55.0"},"reference-count":32,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>The Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) has recently published what they purported to be a systematic review of the literature on \u2018isolated traumatic shaking\u2019 in infants, concluding that \u2018there is limited evidence that the so-called triad (encephalopathy, subdural haemorrhage, retinal haemorrhage) and therefore its components can be associated with traumatic shaking\u2019. This flawed report, from a national body, demands a robust response. The conclusions of the original report have the potential to undermine medico-legal practice. We have conducted a critique of the methodology used in the SBU review and have found it to be flawed, to the extent that children\u2019s lives may be put at risk. Thus, we call on this review to be withdrawn or to be subjected to international scrutiny.<\/jats:p>","DOI":"10.1136\/archdischild-2017-313855","type":"journal-article","created":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T17:15:29Z","timestamp":1520356529000},"page":"606-610","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":46,"title":["Abusive head trauma and the triad: a critique on behalf of RCPCH of \u2018Traumatic shaking: the role of the triad in medical investigations of suspected traumatic shaking\u2019"],"prefix":"10.1136","volume":"103","author":[{"given":"Geoffrey David","family":"Debelle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Maguire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Watts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Nieto Hernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison Mary","family":"Kemp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,3,6]]},"reference":[{"key":"2020050712443555000_103.6.606.1","unstructured":"SBU. Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking: Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU), 2016."},{"key":"2020050712443555000_103.6.606.2","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1111\/apa.13760","article-title":"Insufficient evidence for \u2019shaken baby syndrome' - a systematic review","volume":"106","author":"Lyn\u00f8e","year":"2017","journal-title":"Acta Paediatr"},{"key":"2020050712443555000_103.6.606.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11096-0"},{"key":"2020050712443555000_103.6.606.4","doi-asserted-by":"crossref","unstructured":"Murch SH , Anthony A , Casson DH , et al . Retraction of an interpretation. Lancet 2004;363:750.doi:10.1016\/S0140-6736(04)15715-2","DOI":"10.1016\/S0140-6736(04)15715-2"},{"key":"2020050712443555000_103.6.606.5","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1111\/apa.13857","article-title":"Using the table in the Swedish review on shaken baby syndrome will not help courts deliver justice","volume":"106","author":"Bilo","year":"2017","journal-title":"Acta Paediatr"},{"key":"2020050712443555000_103.6.606.6","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1111\/apa.13858","article-title":"Lyn\u00f8e et al. - #theRestoftheStory","volume":"106","author":"Narang","year":"2017","journal-title":"Acta Paediatr"},{"key":"2020050712443555000_103.6.606.7","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1007\/s00247-017-3932-8","article-title":"Throwing the baby out with the bath water - response to the swedish agency for health technology assessment and assessment of social services (SBU) report on traumatic shaking","volume":"47","author":"Saunders","year":"2017","journal-title":"Pediatr Radiol"},{"key":"2020050712443555000_103.6.606.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-009-1048-7"},{"key":"2020050712443555000_103.6.606.9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3647"},{"key":"2020050712443555000_103.6.606.10","doi-asserted-by":"publisher","DOI":"10.1059\/0003-4819-155-8-201110180-00009"},{"key":"2020050712443555000_103.6.606.11","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0408"},{"key":"2020050712443555000_103.6.606.12","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2011-040234"},{"key":"2020050712443555000_103.6.606.13","doi-asserted-by":"publisher","DOI":"10.1136\/adc.88.6.472"},{"key":"2020050712443555000_103.6.606.14","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1542\/peds.95.2.259","article-title":"Abusive head trauma: the relationship of perpetrators to their victims","volume":"95","author":"Starling","year":"1995","journal-title":"Pediatrics"},{"key":"2020050712443555000_103.6.606.15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.7.621"},{"key":"2020050712443555000_103.6.606.16","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-1020-L"},{"key":"2020050712443555000_103.6.606.17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7305.157"},{"key":"2020050712443555000_103.6.606.18","unstructured":"Group CSaDTM. Screening and Diagnostic Tests. Recommended methods. secondary screening and diagnostic tests. recommended methods, 2017."},{"key":"2020050712443555000_103.6.606.19","doi-asserted-by":"publisher","DOI":"10.1515\/CCLM.2000.084"},{"key":"2020050712443555000_103.6.606.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2004.06.006"},{"key":"2020050712443555000_103.6.606.21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198902233200807"},{"key":"2020050712443555000_103.6.606.22","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2002.021154"},{"key":"2020050712443555000_103.6.606.23","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181b2b3ee"},{"key":"2020050712443555000_103.6.606.24","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1007\/s00247-014-2988-y","article-title":"Frequency of intrathoracic injuries in children younger than 3 years with rib fractures","volume":"44","author":"Darling","year":"2014","journal-title":"Pediatr Radiol"},{"key":"2020050712443555000_103.6.606.25","unstructured":"Cochrane Training. Risk of bias assessments: putting them into practice. Secondary risk of bias assessments: putting them into practice. 2017 http:\/\/training.cochrane.org\/resource\/risk-bias-assessments-putting-them-practice"},{"key":"2020050712443555000_103.6.606.26","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.5.454"},{"key":"2020050712443555000_103.6.606.27","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1007\/s00381-017-3516-9","article-title":"Response to Lyn\u00f8e: questions about isolated trauma shaking and confessions","volume":"33","author":"Vinchon","year":"2017","journal-title":"Childs Nerv Syst"},{"key":"2020050712443555000_103.6.606.28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"2020050712443555000_103.6.606.29","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"2020050712443555000_103.6.606.30","unstructured":"Dissemination NCfRa. Undertaking systematic reviews of research on effectiveness: CRD\u2019s guidance for those carrying out or commissioning reviews. 2nd ed. York: University of York, 2001."},{"key":"2020050712443555000_103.6.606.31","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15714-0"},{"key":"2020050712443555000_103.6.606.32","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1111\/apa.14056","article-title":"Shaken baby syndrome and the risk of losing scientific scrutiny","volume":"106","author":"Ros\u00e9n","year":"2017","journal-title":"Acta Paediatr"}],"container-title":["Archives of Disease in Childhood"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2017-313855","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T12:25:42Z","timestamp":1660566342000},"score":1,"resource":{"primary":{"URL":"https:\/\/adc.bmj.com\/lookup\/doi\/10.1136\/archdischild-2017-313855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,6]]},"references-count":32,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2018,5,17]]},"published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1136\/archdischild-2017-313855"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2017-313855","relation":{},"ISSN":["0003-9888","1468-2044"],"issn-type":[{"value":"0003-9888","type":"print"},{"value":"1468-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,6]]}}}