Child physical abuse screening in a pediatric ED; Does TRAIN(ing) Help?

BMC Pediatrics

Table 6 Skeletal Survey performance and SW/CPT consult by diagnosis category for pre-TRAIN and Post-TRAIN patients^a

Diagnosis category	Skeletal Survey Performed (n = 96)	Skeletal Survey Not Performed (n = 408)	SW/CPT consult (n = 88)
Open wounds/abrasion/laceration	0 (0%)	23 (100%)	0 (0%)
Contusion/ecchymosis (excluding head)	3 (14.2%)	18 (85.7%)	2 (9.52%)
Contusion/ecchymosis to head/face	18 (24.3%)	56 (75.6%)	15 (20.2%)
Fractures (excluding skull fractures)	23 (53.4%)	19 (45.23%)^b	20 (47.6%)
Major head injury	48 (78.6%)	13 (21.3%)^c	28 (45.9%)
Minor head injury	18 (6.18%)	274 (93.8%)	22 (7.53%)
Burns	2 (20%)	8 (80%)	6 (60%)
Genital injury	0 (0%)	4 (100%)	2 (50%)
Oropharyngeal injury	1 (100%)	0 (0%)	1 (100%)
Foreign Body	0 (0%)	1 (100%)	0 (0%)
Other	1 (50%)	1 (50%)	1 (50%)

^aThis table represents the skeletal survey performed in instances of both injury and repeat injury, ICD categories are not mutually exclusive
^bOf patients with a diagnosis of fracture and no skeletal survey, 70% were clavicle fractures or toe fractures
^cOf patients with a major head injury and no skeletal survey, 50% had a SW/CPT consult or were admitted

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