{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:26:01Z","timestamp":1791228361399,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T00:00:00Z","timestamp":1422316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Child Maltreat"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>The emergency department (ED) is a vital entry point in the health care system for children who experience maltreatment. This study fills a gap in the maltreatment literature by presenting systematic, national estimates of maltreatment-related ED visits in the United States by children \u22643 years old, from 2006 to 2011, using the Nationwide Emergency Department Sample (NEDS). Children who experienced and likely experienced maltreatment were identified via International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. Maltreatment was classified as physical or sexual abuse, neglect, or poly-victimization. The clinical and demographic profiles of children who experienced maltreatment were described. Approximately 10,095 children who experienced maltreatment (0.1% of total ED visits) and 129,807 children who likely experienced maltreatment (1.2% of total ED visits) were documented each year. Maltreatment was associated with significantly greater risk of injury, hospitalization, and death in the ED setting. Physical abuse was the most common explicit maltreatment diagnosis (33 ED visits per 100,000 children \u22643 years old) and neglect was the most common likely maltreatment diagnosis (436 ED visits per 100,000 children \u22643 years old). This study established the NEDS as a valuable complement to existing surveillance efforts of child maltreatment from a public health perspective.<\/jats:p>","DOI":"10.1177\/1077559514567176","type":"journal-article","created":{"date-parts":[[2015,1,28]],"date-time":"2015-01-28T23:22:55Z","timestamp":1422487375000},"page":"151-161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":52,"title":["Maltreatment-Related Emergency Department Visits Among Children 0 to 3 Years Old in the United States"],"prefix":"10.1177","volume":"20","author":[{"given":"Andrew J.","family":"King","sequence":"first","affiliation":[{"name":"Center for Health Decision Science, Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen J.","family":"Farst","sequence":"additional","affiliation":[{"name":"Center for Children at Risk, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew W.","family":"Jaeger","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Medicine, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer I.","family":"Onukwube","sequence":"additional","affiliation":[{"name":"Center for Applied Research and Evaluation, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Robbins","sequence":"additional","affiliation":[{"name":"Center for Applied Research and Evaluation, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,1,27]]},"reference":[{"key":"bibr1-1077559514567176","unstructured":"Administration on Children Youth and Families, US Department of Health and Human Services. (2012). Child maltreatment 2012. Washington, DC: US Government Printing Office. Retrieved from http:\/\/www.acf.hhs.gov\/sites\/default\/files\/cb\/cm2012.pdf"},{"key":"bibr2-1077559514567176","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1807"},{"key":"bibr3-1077559514567176","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(98)00087-8"},{"key":"bibr4-1077559514567176","unstructured":"Butchart A., Phinney-Harvey A., Mian M., F\u00fcrniss T. (2006). Preventing child maltreatment: A guide to taking action and generating evidence. Geneva, Switzerland: World Health Organization & International Society for Prevention of Child Abuse and Neglect. 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