{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:33:49Z","timestamp":1758476029200,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T00:00:00Z","timestamp":1603497600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Riley Children\u2019s Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2020,10,24]]},"abstract":"<jats:p>Objective. To correlate injury patterns with patient demographics in child and adolescent assault victims. Methods. The National Electronic Injury Surveillance System-All Injury Program data for the years 2005 through 2015 was used. Injuries due to assault were identified and analyzed with SUDAAN 11.0.01\u2122 software to account for the weighted, stratified nature of the data. Results. There were an estimated 4,407,009 ED visits for assault in <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mtext>patients<\/a:mtext>\n                        <a:mo>\u2264<\/a:mo>\n                        <a:mn>19<\/a:mn>\n                        <a:mtext>\u2009<\/a:mtext>\n                        <a:mtext>years<\/a:mtext>\n                     <\/a:math>\n                  <\/jats:inline-formula> of age. With increasing age, the percentage of females decreased. Sexual assaults were more common in females (87.4%), and robbery\/burglary was more common in males (79.8%). When the perpetrator was a spouse\/partner, the assault victim was most commonly female (88.8%), and when a stranger, the assault victim was most commonly male (71.5%). With increasing age, the percentage of sexual assaults decreased while the reason for the assault being unknown increased. The assault occurred in the home in 59.6% of <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mtext>those<\/c:mtext>\n                        <c:mo>\u2264<\/c:mo>\n                        <c:mn>4<\/c:mn>\n                        <c:mtext>\u2009<\/c:mtext>\n                        <c:mtext>years<\/c:mtext>\n                     <\/c:math>\n                  <\/jats:inline-formula> of age, decreasing to 18.7% in those 15 to 19 years of age. The anatomic location was the head\/neck in 32.8% of <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mtext>those<\/e:mtext>\n                        <e:mo>\u2264<\/e:mo>\n                        <e:mn>4<\/e:mn>\n                        <e:mtext>\u2009<\/e:mtext>\n                        <e:mtext>years<\/e:mtext>\n                     <\/e:math>\n                  <\/jats:inline-formula> of age, increasing to 60.6% in those 15-19 years old. <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mtext>Those<\/g:mtext>\n                        <g:mo>\u2264<\/g:mo>\n                        <g:mn>4<\/g:mn>\n                        <g:mtext>\u2009<\/g:mtext>\n                        <g:mtext>years<\/g:mtext>\n                     <\/g:math>\n                  <\/jats:inline-formula> old had the highest hospital admission rate (8.3%). The main diagnoses were concussion (3.0%), contusion\/abrasion (33.3%), fracture (11.5%), laceration (11.5%), internal organ injury (11.5%), puncture (2.8%), and strain\/sprain (20.7%). The number of assaults from 2005 to 2015 decreased for all age groups except for <jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mtext>those<\/i:mtext>\n                        <i:mo>\u2264<\/i:mo>\n                        <i:mn>4<\/i:mn>\n                        <i:mtext>\u2009<\/i:mtext>\n                        <i:mtext>years<\/i:mtext>\n                     <\/i:math>\n                  <\/jats:inline-formula> old. Conclusions. These data provide a comprehensive overview of child and adolescent assault victims presenting to the ED in the USA and can be used as background data for further study. The decreasing numbers of assaults over the 11 years of the study are encouraging, and challenges still exist in decreasing the number for <jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <k:mtext>those<\/k:mtext>\n                        <k:mo>\u2264<\/k:mo>\n                        <k:mn>4<\/k:mn>\n                        <k:mtext>\u2009<\/k:mtext>\n                        <k:mtext>years<\/k:mtext>\n                     <\/k:math>\n                  <\/jats:inline-formula> old.<\/jats:p>","DOI":"10.1155\/2020\/8169030","type":"journal-article","created":{"date-parts":[[2020,10,25]],"date-time":"2020-10-25T02:20:05Z","timestamp":1603592405000},"page":"1-13","source":"Crossref","is-referenced-by-count":4,"title":["Injury Patterns and Demographics in Child and Adolescent Assault Victims Presenting to US Emergency Departments"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1217-0528","authenticated-orcid":true,"given":"Randall T.","family":"Loder","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-9708","authenticated-orcid":true,"given":"Samantha","family":"Palma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4003-6588","authenticated-orcid":true,"given":"Maddie","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.8371"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.05.068"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000101577.65509.95"},{"key":"4","volume-title":"Worldwide Variation in Human Growth","author":"P. 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