{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:11:20Z","timestamp":1784999480247,"version":"3.55.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2008,7,14]],"date-time":"2008-07-14T00:00:00Z","timestamp":1215993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:p>Background Apparent life-threatening events (ALTEs) can encompass many different diagnoses. Nonaccidental trauma (NAT) is one potential serious diagnosis.<\/jats:p>\n                  <jats:p>Objective (1) To identify key elements in the history and physical exam in infants presenting with an ALTE that aid in the subsequent diagnosis of NAT; and (2) to evaluate the role of diagnostic studies in these infants in confirming the diagnosis of NAT.<\/jats:p>\n                  <jats:p>Design\/Methods A retrospective chart review analysis, over a 2-year period, of infants with an ALTE was performed. From this group, all children with a discharge diagnosis of child physical abuse, shaken infant syndrome, or NAT were included in the study.<\/jats:p>\n                  <jats:p>Results 4 patients were found to be victims of NAT based on their clinical histories and physical examinations. Although confirmatory, ophthalmologic exams, skeletal surveys, and head CT scans had a lower sensitivity for NAT.<\/jats:p>\n                  <jats:p>Conclusions NAT should be considered when an infant is admitted for evaluation of an ALTE.<\/jats:p>","DOI":"10.1177\/0009922808320595","type":"journal-article","created":{"date-parts":[[2008,7,22]],"date-time":"2008-07-22T21:09:57Z","timestamp":1216760997000},"page":"912-918","source":"Crossref","is-referenced-by-count":27,"title":["Clues That Aid in the Diagnosis of Nonaccidental Trauma Presenting as an Apparent Life-Threatening Event"],"prefix":"10.1177","volume":"47","author":[{"given":"Kishore","family":"Vellody","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer P.","family":"Freeto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra L.","family":"Gage","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William M.","family":"Gershan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,7,14]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1542\/peds.79.2.292","volume":"79","author":"National Institutes of Health.","year":"1987","journal-title":"Pediatrics"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.031740"},{"issue":"163","key":"atypb3","first-page":"108","volume":"2004","author":"Kahn A.","year":"2003","journal-title":"Eur J Pediatr"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0847"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.306.6876.489"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.10.1011"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.3.557"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199810293391813"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.3.549"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.7.621"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.165"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922808320595","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922808320595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:27:55Z","timestamp":1777393675000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922808320595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,14]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1177\/0009922808320595"],"URL":"https:\/\/doi.org\/10.1177\/0009922808320595","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,14]]}}}