Denise F Lillvis, Brooks Harmon, Hector Osei, Samantha Ribeiro, Ahmad Zrik, Vipreet Janjua, Justin Assioun, Nell Aronoff, Dennis Z Kuo
{"title":"有特殊健康护理需求的儿童和青少年的意外身体创伤：范围审查。","authors":"Denise F Lillvis, Brooks Harmon, Hector Osei, Samantha Ribeiro, Ahmad Zrik, Vipreet Janjua, Justin Assioun, Nell Aronoff, Dennis Z Kuo","doi":"10.1016/j.acap.2024.10.002","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Children and youth with special health care needs (CYSHCN) may be at greater risk for accidental physical trauma. Interventions should be informed by the literature indicating incident characteristics and at-risk subpopulations.</p><p><strong>Objective: </strong>To conduct a scoping review of accidental physical trauma in CYSHCN to characterize published literature and identify gaps.</p><p><strong>Data sources: </strong>Peer-reviewed literature within CINAHL, Embase, and PubMed, 1998 to February 2021.</p><p><strong>Study eligibility criteria: </strong>Studies that included individuals younger than 19 with special health care need(s) with accidental injuries classified as trauma.</p><p><strong>Study appraisal and synthesis methods: </strong>The study team extracted: research method, author field, special health care needs, geographic scope, author country, demographics, incident characteristics, and injury characteristics.</p><p><strong>Results: </strong>We included 85 articles from an initial yield of 10,481. Pediatrics (32%) was the most-represented field among authors published on this topic. Publications most often considered developmental conditions (77.7%), including Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD). Studies differed in how often they reported demographic characteristics: gender (96.5%); social determinants of health/socioeconomic status (41.2%) or race and ethnicity (25.9%). Few articles included injury time of day (10.6%) and day of week (2.4%); 40% did not include information about the place of injury.</p><p><strong>Limitations: </strong>Our search term development focused on diagnosis rather than need; we did not search reference lists or grey literature.</p><p><strong>Conclusions and implications of key findings: </strong>This review reveals key gaps in the literature pertaining to incident characteristics and place of injury for CYSHCN. Those advising families and/or planning interventions focused on mitigating risk for CYSHCN have limited evidence upon which to rely for certain conditions.</p><p><strong>Systematic review registration number: </strong>PROSPERO registration is not applicable to scoping reviews.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102590"},"PeriodicalIF":3.0000,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Accidental Physical Trauma in Children and Youth with Special Health Care Needs: A Scoping Review.\",\"authors\":\"Denise F Lillvis, Brooks Harmon, Hector Osei, Samantha Ribeiro, Ahmad Zrik, Vipreet Janjua, Justin Assioun, Nell Aronoff, Dennis Z Kuo\",\"doi\":\"10.1016/j.acap.2024.10.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Children and youth with special health care needs (CYSHCN) may be at greater risk for accidental physical trauma. Interventions should be informed by the literature indicating incident characteristics and at-risk subpopulations.</p><p><strong>Objective: </strong>To conduct a scoping review of accidental physical trauma in CYSHCN to characterize published literature and identify gaps.</p><p><strong>Data sources: </strong>Peer-reviewed literature within CINAHL, Embase, and PubMed, 1998 to February 2021.</p><p><strong>Study eligibility criteria: </strong>Studies that included individuals younger than 19 with special health care need(s) with accidental injuries classified as trauma.</p><p><strong>Study appraisal and synthesis methods: </strong>The study team extracted: research method, author field, special health care needs, geographic scope, author country, demographics, incident characteristics, and injury characteristics.</p><p><strong>Results: </strong>We included 85 articles from an initial yield of 10,481. Pediatrics (32%) was the most-represented field among authors published on this topic. Publications most often considered developmental conditions (77.7%), including Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD). Studies differed in how often they reported demographic characteristics: gender (96.5%); social determinants of health/socioeconomic status (41.2%) or race and ethnicity (25.9%). Few articles included injury time of day (10.6%) and day of week (2.4%); 40% did not include information about the place of injury.</p><p><strong>Limitations: </strong>Our search term development focused on diagnosis rather than need; we did not search reference lists or grey literature.</p><p><strong>Conclusions and implications of key findings: </strong>This review reveals key gaps in the literature pertaining to incident characteristics and place of injury for CYSHCN. Those advising families and/or planning interventions focused on mitigating risk for CYSHCN have limited evidence upon which to rely for certain conditions.</p><p><strong>Systematic review registration number: </strong>PROSPERO registration is not applicable to scoping reviews.</p>\",\"PeriodicalId\":50930,\"journal\":{\"name\":\"Academic Pediatrics\",\"volume\":\" \",\"pages\":\"102590\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-10-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Academic Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.acap.2024.10.002\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.acap.2024.10.002","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Accidental Physical Trauma in Children and Youth with Special Health Care Needs: A Scoping Review.
Background: Children and youth with special health care needs (CYSHCN) may be at greater risk for accidental physical trauma. Interventions should be informed by the literature indicating incident characteristics and at-risk subpopulations.
Objective: To conduct a scoping review of accidental physical trauma in CYSHCN to characterize published literature and identify gaps.
Data sources: Peer-reviewed literature within CINAHL, Embase, and PubMed, 1998 to February 2021.
Study eligibility criteria: Studies that included individuals younger than 19 with special health care need(s) with accidental injuries classified as trauma.
Study appraisal and synthesis methods: The study team extracted: research method, author field, special health care needs, geographic scope, author country, demographics, incident characteristics, and injury characteristics.
Results: We included 85 articles from an initial yield of 10,481. Pediatrics (32%) was the most-represented field among authors published on this topic. Publications most often considered developmental conditions (77.7%), including Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD). Studies differed in how often they reported demographic characteristics: gender (96.5%); social determinants of health/socioeconomic status (41.2%) or race and ethnicity (25.9%). Few articles included injury time of day (10.6%) and day of week (2.4%); 40% did not include information about the place of injury.
Limitations: Our search term development focused on diagnosis rather than need; we did not search reference lists or grey literature.
Conclusions and implications of key findings: This review reveals key gaps in the literature pertaining to incident characteristics and place of injury for CYSHCN. Those advising families and/or planning interventions focused on mitigating risk for CYSHCN have limited evidence upon which to rely for certain conditions.
Systematic review registration number: PROSPERO registration is not applicable to scoping reviews.
期刊介绍：
Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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