儿童身体虐待诊断成像中的种族和民族差异
Denise C Abdoo1, Henry T Puls2, Matt Hall3
1University of Colorado Anschutz Medical Campus, Department of Pediatrics, Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, United States of America.
Child abuse & neglect
|January 23, 2024
概括
种族偏见并不总是影响对虐待儿童的隐形伤害测试,在各种族群体的诊断成像或虐待相关伤害诊断中没有明显的差异. 这项研究检查了儿童的测试决策.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 医学成像医学成像
- 卫生公平性健康公平性
背景情况:
- 种族偏见可能会影响涉嫌虐待的儿童的医疗决定.
- 隐性伤害测试对于诊断儿童虐待至关重要.
研究的目的:
- 调查种族与奥秘伤害之间的关联,在儿童医院对儿童进行测试决策.
- 在诊断成像和虐待相关的伤害诊断中识别潜在的种族差异.
主要方法:
- 使用儿科健康信息系统 (PHIS) 数据库 (2017-2019) 的回顾性研究.
- 对三个队列的分析:患有创伤性脑损伤 (TBI) 的婴儿,肢体骨折的2岁以下儿童和接受骨检查 (SS) 的2岁以下儿童.
- 测量了接受指南推的成像和虐待相关伤害诊断的几率,调整了人口和医院因素.
主要成果:
- 根据种族,SS对TBI没有差异. 非西班牙裔黑人与西班牙裔和非西班牙裔白人的TBI婴儿肋骨骨折的几率更高.
- 非西班牙裔黑人与西班牙裔和非西班牙裔白人儿童的四肢骨折率高于非西班牙裔黑人,但肋骨骨折率没有因种族而异.
- 骨调查的神经成像率没有因种族而异. 根据种族,TBI的几率有所不同,非西班牙裔黑人与西班牙裔患者的几率较低.
结论:
- 在考虑虐待相关伤害的诊断产量时,在隐性伤害测试中没有发现基于种族的差异的一致模式.
- 可能需要进一步的研究,以充分理解在虐待儿童评估中种族,测试和诊断的复杂相互作用.
相关概念视频
01:24X-ray Imaging
5.5K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.5K
01:20Imaging Studies for Cardiovascular System III: X-Ray
188
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
188
01:30Radiological Investigation I: X-ray and CT
239
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
239
01:14Imaging Studies I: CT and MRI
243
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
243
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
120
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
120
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
92
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
92