View in EDS HTML Full Text PDF Full Text

Non-accidental injuries among children in emergency departments: A global systematic review.

Saved in:
Bibliographic Details
Title: Non-accidental injuries among children in emergency departments: A global systematic review.
Authors: Hazazi, Fadhel Y. (AUTHOR), Kaylani, Abdulrahman H. (AUTHOR), Gharawi, Sarah O. (AUTHOR), Yaseen, Abdulrahman M. (AUTHOR), Hakami, Othman M. (AUTHOR), Shok, Ahmad A. (AUTHOR), Alhasani, Raffan A. (AUTHOR), Alqahtani, Ali M. (AUTHOR), Jawhari, Amani Y. (AUTHOR), Abuallah, Roaa A. (AUTHOR), Hakami, Fanan A. (AUTHOR), Jathmi, Abdullah Y. (AUTHOR), Alhamoud, Abdullah H. (AUTHOR)
Source: Saudi Journal for Health Sciences. Jan-Apr2026, Vol. 15 Issue 1, p8-17. 10p.
Subjects: Child abuse, Hospital emergency services, School children, Evidence synthesis, Disease prevalence, Disease risk factors, Medical screening, Wounds & injuries
Abstract: Non-accidental injury (NAI) remain a major yet frequently underrecognized cause of morbidity and mortality among children presenting to emergency departments (EDs) worldwide. This systematic review synthesizes global evidence published between 2000 and February 2025 on the prevalence, risk factors, injury patterns, screening approaches, and outcomes of NAI in pediatric emergency settings. Twenty-two studies were included. Reported prevalence varied widely, ranging from 0.07% in expert-reviewed cohorts to over 8% in broad ED screening studies, reflecting substantial heterogeneity in study design and diagnostic thresholds. Infants younger than 6 months consistently represented the highest-risk group. Injury patterns most commonly associated with abuse included long-bone fractures, traumatic brain injury, immersion burns, and multiple injuries. Screening tools such as TEN-4-FACESp and ESCAPE demonstrated high specificity but variable sensitivity, indicating that a significant proportion of cases may remain undetected. Approximately 9% of affected children required hospitalization, whereas overall mortality was low (around 0.2%), though higher rates were reported among preschool-aged children. Child Abuse Pediatrics consultations frequently influenced diagnostic classification and increased referrals to child protective services. Overall, the findings highlight persistent gaps in recognition of NAI and underscore the need for improved screening, clinician training, and system-level support within pediatric EDs. [ABSTRACT FROM AUTHOR]
Copyright of Saudi Journal for Health Sciences is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 193371649
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Non-accidental injuries among children in emergency departments: A global systematic review.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Hazazi%2C+Fadhel+Y%2E%22">Hazazi, Fadhel Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaylani%2C+Abdulrahman+H%2E%22">Kaylani, Abdulrahman H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gharawi%2C+Sarah+O%2E%22">Gharawi, Sarah O.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yaseen%2C+Abdulrahman+M%2E%22">Yaseen, Abdulrahman M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hakami%2C+Othman+M%2E%22">Hakami, Othman M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shok%2C+Ahmad+A%2E%22">Shok, Ahmad A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alhasani%2C+Raffan+A%2E%22">Alhasani, Raffan A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alqahtani%2C+Ali+M%2E%22">Alqahtani, Ali M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jawhari%2C+Amani+Y%2E%22">Jawhari, Amani Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abuallah%2C+Roaa+A%2E%22">Abuallah, Roaa A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hakami%2C+Fanan+A%2E%22">Hakami, Fanan A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jathmi%2C+Abdullah+Y%2E%22">Jathmi, Abdullah Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alhamoud%2C+Abdullah+H%2E%22">Alhamoud, Abdullah H.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Saudi+Journal+for+Health+Sciences%22">Saudi Journal for Health Sciences</searchLink>. Jan-Apr2026, Vol. 15 Issue 1, p8-17. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Child+abuse%22">Child abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22School+children%22">School children</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence+synthesis%22">Evidence synthesis</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Non-accidental injury (NAI) remain a major yet frequently underrecognized cause of morbidity and mortality among children presenting to emergency departments (EDs) worldwide. This systematic review synthesizes global evidence published between 2000 and February 2025 on the prevalence, risk factors, injury patterns, screening approaches, and outcomes of NAI in pediatric emergency settings. Twenty-two studies were included. Reported prevalence varied widely, ranging from 0.07% in expert-reviewed cohorts to over 8% in broad ED screening studies, reflecting substantial heterogeneity in study design and diagnostic thresholds. Infants younger than 6 months consistently represented the highest-risk group. Injury patterns most commonly associated with abuse included long-bone fractures, traumatic brain injury, immersion burns, and multiple injuries. Screening tools such as TEN-4-FACESp and ESCAPE demonstrated high specificity but variable sensitivity, indicating that a significant proportion of cases may remain undetected. Approximately 9% of affected children required hospitalization, whereas overall mortality was low (around 0.2%), though higher rates were reported among preschool-aged children. Child Abuse Pediatrics consultations frequently influenced diagnostic classification and increased referrals to child protective services. Overall, the findings highlight persistent gaps in recognition of NAI and underscore the need for improved screening, clinician training, and system-level support within pediatric EDs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Saudi Journal for Health Sciences is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193371649
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.4103/sjhs.sjhs_158_25
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 8
    Subjects:
      – SubjectFull: Child abuse
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: School children
        Type: general
      – SubjectFull: Evidence synthesis
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Wounds & injuries
        Type: general
    Titles:
      – TitleFull: Non-accidental injuries among children in emergency departments: A global systematic review.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Hazazi, Fadhel Y.
      – PersonEntity:
          Name:
            NameFull: Kaylani, Abdulrahman H.
      – PersonEntity:
          Name:
            NameFull: Gharawi, Sarah O.
      – PersonEntity:
          Name:
            NameFull: Yaseen, Abdulrahman M.
      – PersonEntity:
          Name:
            NameFull: Hakami, Othman M.
      – PersonEntity:
          Name:
            NameFull: Shok, Ahmad A.
      – PersonEntity:
          Name:
            NameFull: Alhasani, Raffan A.
      – PersonEntity:
          Name:
            NameFull: Alqahtani, Ali M.
      – PersonEntity:
          Name:
            NameFull: Jawhari, Amani Y.
      – PersonEntity:
          Name:
            NameFull: Abuallah, Roaa A.
      – PersonEntity:
          Name:
            NameFull: Hakami, Fanan A.
      – PersonEntity:
          Name:
            NameFull: Jathmi, Abdullah Y.
      – PersonEntity:
          Name:
            NameFull: Alhamoud, Abdullah H.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan-Apr2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 22781900
          Numbering:
            – Type: volume
              Value: 15
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Saudi Journal for Health Sciences
              Type: main
ResultId 1