{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:58:58Z","timestamp":1790521138525,"version":"4.1.0"},"reference-count":41,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>Siblings and other children who share a home with a physically abused child are thought to be at high risk for abuse, but rates of injury in these contact children are unknown and screening of contacts is highly variable. Our objective was to determine the prevalence of abusive injuries identified by a common screening protocol among contacts of physically abused children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This is an observational, multicenter cross-sectional study of children evaluated for physical abuse, and their contacts, by 20 US child abuse teams who used a common screening protocol for the contacts of physically abused children with serious injuries. Contacts underwent physical examination if they were &amp;lt;5 years old, physical examination and skeletal survey (SS) if they were &amp;lt;24 months old, and physical examination, SS, and neuroimaging if they were &amp;lt;6 months old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Protocol-indicated SS identified at least 1 abusive fracture in 16 of 134 contacts (11.9%, 95% confidence interval [CI] 7.5\u201318.5) &amp;lt;24 months of age. None of these fractures had associated findings on physical examination. No injuries were identified by neuroimaging in 19 of 25 eligible contacts (0.0%, 95% CI 0.0\u201313.7). Twins were at substantially increased risk of fracture relative to nontwin contacts (odds ratio 20.1, 95% CI 5.8\u201369.9).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>SS should be obtained in the contacts of injured, abused children for contacts who are &amp;lt;24 months old, regardless of physical examination findings. Twins are at higher risk of abusive fractures relative to nontwin contacts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2012-0085","type":"journal-article","created":{"date-parts":[[2012,7,10]],"date-time":"2012-07-10T10:17:09Z","timestamp":1341915429000},"page":"193-201","source":"Crossref","is-referenced-by-count":109,"title":["Prevalence of Abusive Injuries in Siblings and Household Contacts of Physically Abused Children"],"prefix":"10.1542","volume":"130","author":[{"given":"Daniel M.","family":"Lindberg","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Brigham & Women\u2019s Hospital, Boston, Massachusetts;"},{"name":"Division of Emergency Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Mayerson Center for Safe & Healthy Children, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette L.","family":"Laskey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Health Services Research, Indianapolis, Indiana; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Pallin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Brigham & Women\u2019s Hospital, Boston, Massachusetts;"},{"name":"Division of Emergency Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily A.","family":"Blood","sequence":"additional","affiliation":[{"name":"Clinical Research Program, Children\u2019s Hospital Boston, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel P.","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the ExSTRA Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"2021120900182703400_B1"},{"key":"2021120900182703400_B2"},{"issue":"7","key":"2021120900182703400_B3","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1001\/jama.281.7.621","article-title":"Analysis of missed cases of abusive head trauma.","volume":"281","author":"Jenny","year":"1999","journal-title":"JAMA"},{"issue":"1","key":"2021120900182703400_B4","first-page":"58","article-title":"Serial abuse in children who are shaken.","volume":"144","author":"Alexander","year":"1990","journal-title":"Am J Dis Child"},{"issue":"12","key":"2021120900182703400_B5","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1097\/PEC.0b013e31818e9f5d","article-title":"Fatal abusive head trauma cases: consequence of medical staff missing milder forms of physical abuse.","volume":"24","author":"Oral","year":"2008","journal-title":"Pediatr Emerg Care"},{"issue":"6 pt 1","key":"2021120900182703400_B6","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1542\/peds.111.6.1382","article-title":"Occult head injury in high-risk abused children.","volume":"111","author":"Rubin","year":"2003","journal-title":"Pediatrics"},{"issue":"9","key":"2021120900182703400_B7","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1001\/archpedi.162.9.877","article-title":"The presence of bruising associated with fractures.","volume":"162","author":"Peters","year":"2008","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"6","key":"2021120900182703400_B8","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1542\/peds.2007-0883","article-title":"Evaluation of suspected child physical abuse.","volume":"119","author":"Kellogg","year":"2007","journal-title":"Pediatrics"},{"issue":"2","key":"2021120900182703400_B9","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1542\/peds.2008-2348","article-title":"Utility of hepatic transaminases to recognize abuse in children.","volume":"124","author":"Lindberg","year":"2009","journal-title":"Pediatrics"},{"issue":"12","key":"2021120900182703400_B10","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1001\/archpedi.160.12.1241","article-title":"The other children: a survey of child abuse physicians on the medical evaluation of children living with a physically abused child.","volume":"160","author":"Campbell","year":"2006","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"2","key":"2021120900182703400_B11","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1177\/1077559509360250","article-title":"Evaluation of the siblings of physically abused children: a comparison of child protective services caseworkers and child abuse physicians.","volume":"15","author":"Vitale","year":"2010","journal-title":"Child Maltreat"},{"issue":"9","key":"2021120900182703400_B12","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1542\/pir.25-9-306","article-title":"Domestic violence: a pediatric concern.","volume":"25","author":"Berkowitz","year":"2004","journal-title":"Pediatr Rev"},{"issue":"2","key":"2021120900182703400_B13","first-page":"134\u2013154","article-title":"The overlap between child maltreatment and woman abuse.","volume":"5","author":"Edelson","year":"1999","journal-title":"Violence Against Women"},{"issue":"9","key":"2021120900182703400_B14","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1542\/pir.27-9-339","article-title":"Child abuse and domestic violence.","volume":"27","author":"Cahill","year":"2006","journal-title":"Pediatr Rev"},{"issue":"2","key":"2021120900182703400_B15","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.chiabu.2007.04.017","article-title":"Repeated reports for child maltreatment among intimate partner violence victims: findings from the National Survey of Child and Adolescent Well-Being.","volume":"33","author":"Casanueva","year":"2009","journal-title":"Child Abuse Negl"},{"issue":"1","key":"2021120900182703400_B16","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s10896-008-9206-3","article-title":"Animal abuse, family violence and child wellbeing: a review.","volume":"24","author":"McPhedran","year":"2009","journal-title":"J Fam Violence"},{"issue":"9","key":"2021120900182703400_B17","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1136\/adc.2003.035493","article-title":"Are abused babies protected from further abuse?","volume":"89","author":"Ellaway","year":"2004","journal-title":"Arch Dis Child"},{"issue":"4","key":"2021120900182703400_B18","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1037\/0893-3200.19.4.619","article-title":"A retrospective study of risk to siblings in abusing families.","volume":"19","author":"Hamilton-Giachritsis","year":"2005","journal-title":"J Fam Psychol"},{"issue":"5","key":"2021120900182703400_B19","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1542\/peds.70.5.769","article-title":"Increased child abuse in families with twins.","volume":"70","author":"Groothuis","year":"1982","journal-title":"Pediatrics"},{"issue":"12","key":"2021120900182703400_B20","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1001\/archpedi.1994.02170120107021","article-title":"Twins and child abuse.","volume":"148","author":"Hansen","year":"1994","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"6","key":"2021120900182703400_B21","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.jpeds.2006.01.033","article-title":"Child abuse pediatrics: a new pediatric subspecialty.","volume":"148","author":"Block","year":"2006","journal-title":"J Pediatr"},{"issue":"5","key":"2021120900182703400_B22","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1542\/peds.2009-0558","article-title":"Diagnostic imaging of child abuse.","volume":"123","author":"Kleinman","year":"2009","journal-title":"Pediatrics"},{"issue":"2","key":"2021120900182703400_B23","first-page":"221","article-title":"Child abuse: approach and management.","volume":"75","author":"McDonald","year":"2007","journal-title":"Am Fam Physician"},{"issue":"9","key":"2021120900182703400_B24","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.chiabu.2009.02.008","article-title":"Disparities in the medical examination of children in the home of a child with suspected physical abuse.","volume":"33","author":"Campbell","year":"2009","journal-title":"Child Abuse Negl"},{"issue":"6","key":"2021120900182703400_B25","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1542\/peds.2007-2281","article-title":"Annual risk of death resulting from short falls among young children: less than 1 in 1 million.","volume":"121","author":"Chadwick","year":"2008","journal-title":"Pediatrics"},{"issue":"4","key":"2021120900182703400_B26","doi-asserted-by":"crossref","first-page":"e945","DOI":"10.1542\/peds.2007-2485","article-title":"Variability in expert assessments of child physical abuse likelihood.","volume":"121","author":"Lindberg","year":"2008","journal-title":"Pediatrics"},{"key":"2021120900182703400_B27"},{"issue":"1","key":"2021120900182703400_B28","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.1542\/peds.2010-0298","article-title":"Use of skeletal surveys to evaluate for physical abuse: analysis of 703 consecutive skeletal surveys.","volume":"127","author":"Duffy","year":"2011","journal-title":"Pediatrics"},{"issue":"2","key":"2021120900182703400_B29","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1053\/ajem.2001.21345","article-title":"Use of the skeletal survey in the evaluation of child maltreatment.","volume":"19","author":"Belfer","year":"2001","journal-title":"Am J Emerg Med"},{"issue":"4","key":"2021120900182703400_B30","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1001\/archpedi.153.4.399","article-title":"Bruises in infants and toddlers: those who don\u2019t cruise rarely bruise.","volume":"153","author":"Sugar","year":"1999","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"4","key":"2021120900182703400_B31","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1136\/adc.80.4.363","article-title":"The prevalence and distribution of bruising in babies.","volume":"80","author":"Carpenter","year":"1999","journal-title":"Arch Dis Child"},{"issue":"6","key":"2021120900182703400_B32","first-page":"719","article-title":"Occult head trauma in young suspected victims of physical abuse.","volume":"144","author":"Laskey","year":"2004","journal-title":"J Pediatr"},{"issue":"5","key":"2021120900182703400_B33","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1542\/peds.100.5.735","article-title":"Covert video recordings of life-threatening child abuse: lessons for child protection.","volume":"100","author":"Southall","year":"1997","journal-title":"Pediatrics"},{"issue":"1","key":"2021120900182703400_B34","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1542\/peds.2006-1245","article-title":"Distinguishing sudden infant death syndrome from child abuse fatalities.","volume":"118","author":"Hymel","year":"2006","journal-title":"Pediatrics"},{"issue":"3","key":"2021120900182703400_B35","first-page":"213","article-title":"Nonaccidental head injuries in children: a Sydney experience.","volume":"103","author":"Ghahreman","year":"2005","journal-title":"J Neurosurg"},{"issue":"4","key":"2021120900182703400_B36","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.chiabu.2006.02.017","article-title":"Physicians\u2019 initial forensic impressions of hypothetical cases of pediatric traumatic brain injury.","volume":"31","author":"Laskey","year":"2007","journal-title":"Child Abuse Negl"},{"key":"2021120900182703400_B37","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/BLO.0b013e31805c0849","article-title":"What factors affect the identification and reporting of child abuse-related fractures?","volume":"461","author":"Lane","year":"2007","journal-title":"Clin Orthop Relat Res"},{"key":"2021120900182703400_B38","doi-asserted-by":"crossref","first-page":"S388","DOI":"10.1007\/s00247-008-0845-6","article-title":"Problems in the diagnosis of metaphyseal fractures.","volume":"38","author":"Kleinman","year":"2008","journal-title":"Pediatr Radiol"},{"issue":"5","key":"2021120900182703400_B39","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.2214\/AJR.08.1619","article-title":"Metaphyseal fragmentation with physiologic bowing: a finding not to be confused with the classic metaphyseal lesion.","volume":"192","author":"Kleinman","year":"2009","journal-title":"AJR Am J Roentgenol"},{"key":"2021120900182703400_B40","volume-title":"Diagnostic Imaging of Child Abuse","author":"Kleinman","year":"1998","edition":"2nd ed."},{"key":"2021120900182703400_B41"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/130\/2\/193\/1088891\/peds_2012-0085.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/130\/2\/193\/1088891\/peds_2012-0085.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:52:46Z","timestamp":1639011166000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/130\/2\/193\/29962\/Prevalence-of-Abusive-Injuries-in-Siblings-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,1]]},"references-count":41,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2012,8,1]]},"published-print":{"date-parts":[[2012,8,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2012-0085","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,1]]}}}