Kodierung von Kindesmisshandlung und -vernachlässigung in Kliniken in Deutschland: Übersicht und Einordnung der Datenlage im Hellfeld

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, Год журнала: 2025, Номер unknown

Опубликована: Янв. 14, 2025

Child maltreatment is a significant problem in Germany. Hospital data on child serve as crucial foundation for planning effective prevention measures. These enable an assessment of the extent to which at-risk children and adolescents are identified, supported, protected. A systematic evaluation classification all hospital relevant Germany still lacking. Therefore, aim this article gain overview field thus bridge gap. Descriptive analyses (partially) inpatient abuse neglect (secondary diagnosis ICD-10: T74.0, T74.1, T74.2, T74.3, T74.8, T74.9) + (procedure OPS: 1‑945.0, 1‑945.1) from 2019-2023 collection period. The variables age, gender, main diagnoses considered each case. were analyzed via publicly accessible browser Institute Remuneration System (InEK). number diagnosed cases inpatients detached prevalence rates population; consequence, there underreporting forms maltreatment, with boys girls being recognized differently different maltreatment. In addition, frequent lack link between maltreatment-related procedures performed becomes apparent. addition raising awareness, training, further education healthcare professionals, also need investment political change.

Язык: Английский

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Child mortality in England after national lockdowns for COVID-19: An analysis of childhood deaths, 2019–2023

PLoS Medicine, Год журнала: 2025, Номер 22(1), С. e1004417 - e1004417

Опубликована: Янв. 23, 2025

Background During the COVID-19 pandemic children and young people (CYP) mortality in England reduced to lowest on record, but it is unclear if mechanisms which facilitated a reduction had longer lasting impact, what impact pandemic, its social restrictions, have deaths with latencies (e.g., malignancies). The aim of this analysis was quantify relative rate, causes, childhood England, before, during, after national lockdowns for changes. Methods findings Deaths all (occurring before their 18th birthday) occurring from April 2019 until March 2023 were identified. Data collated by National Child Mortality Database. Study population size underlying profile derived 2021 Office Statistics census data each year calculated per 1,000,000 person years. Poisson regression used test an overall trend across time period tested trends differed between (Period 1)) 2: lockdown restrictions). This then repeated category death demographic group. Twelve thousand eight hundred twenty-eight included analysis. Around 59.4% occurred under 1 age, 57.0% male, 63.9% white ethnicity. rate (per CYP year) dropped 274.2 (95% CI 264.8–283.8) 2019−2020, 242.2 233.4–251.2) 2020−2021, increasing 296.1 286.3–306.1) 2022−2023. Overall, Period (Incidence ratio (IRR) 0.96 0.92–0.99)) increased 2 (IRR 1.12 1.08–1.16)), pattern also seen Infection Underlying Disease. In contrast, Intrapartum events first period, followed decrease second IRR 1.15 1.00–1.34)) versus 0.78 0.68–0.91), p difference = 0.004). Rates preterm birth, trauma sudden unexpected infancy (SUDIC), entire 4-year-study (preterm 1.03 1.00–1.07); 1.06–1.20); SUDIC 1.09 1.04–1.13)), there no change Malignancy 1.01 0.95–1.06)). Repeating analysis, split child characteristics, suggested that initially subsequently rose 4 years old RR 0.85 0.76–0.94) 1.31 1.19–1.43), < 0.001. For Asian, black Other ethnic groups, we observed rates 2021−2023, significant trajectory Periods (Asian 0.93 0.86–1.01) 1.28 1.18–1.38), 0.001); 0.97 0.85–1.10) 1.27 1.14–1.42), 0.012); 0.84 0.68–1.04) 1.45 1.20–1.75), 0.003). Similar results most deprived areas 0.95 0.89–1.01) 1.18 1.12–1.25), 0.001). There ( 0.601) or mixed 0.823) backgrounds, those least 0.832), 2; evidence rise whole study backgrounds 1.05 1.03–1.07), 0.001) 1.06 1.01–1.10), Limitations include at risk estimated mid-point study, changes may biased our estimates. particular, absolute should be interpreted caution. addition, rare, further limit interpretation; particularly stratified analyses. Conclusions higher than them. We different temporal profiles causes death, reassuring lifted. However, other are either static, increasing. dying non-white compared children, now during lockdowns.

Язык: Английский

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Changing Epidemiology of Emergency Medical Services Calls for Children in the United States during the COVID-19 Pandemic and Reopening

Prehospital Emergency Care, Год журнала: 2025, Номер unknown, С. 1 - 12

Опубликована: Янв. 28, 2025

To describe changes in the volume and types of emergency medical services (EMS) calls for children during COVID-19 pandemic after availability vaccine ("reopening period"). A retrospective cross-sectional study EMS 9-1-1 responses to under 18 years all causes over a 4-year period (2019-2022) reported National Emergency Medical Services Information System (NEMSIS) dataset. Data was stratified into three periods, Pre-pandemic, Pandemic Reopening. We used generalized linear models estimate effect reopening on daily call trends, on-scene mortality scene disposition, correcting seasonality baseline effects. performed subgroup analyses based geographic region diagnosis (trauma, respiratory, mental health, seizure, diabetes). total 4,612,505 pediatric were included. Call showed an increasing pre-pandemic trend (+25.9%/year) followed by acute drop (-28.9%) decreased (-13%/year) rebound (+17.5%) that generally conserved across regions. Subgroup analysis similar trends among wide variety illnesses. There increased odds death traumatic (OR 1.77) respiratory 2.00) illnesses, with partial reversal group 0.66) period. During pandemic, less likely be transported 0.70) more non-transported 1.30) refuse care 1.32), these The increase disrupted pandemic-related decline reopening. present severe manifestations disease processes, particularly trauma illness, - only

Язык: Английский

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Understanding Whether Economic Instability and Food Insecurity During COVID-19 Moderate the Change in Emotional Abuse and Emotional Neglect Over Time: A Longitudinal Pre- and During COVID-19 Analysis From China, Democratic Republic of Congo, Indonesia, and Malawi

Journal of Adolescent Health, Год журнала: 2024, Номер 75(6), С. S14 - S23

Опубликована: Ноя. 18, 2024

Язык: Английский

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Trends in the Link Between Perceived Social Support and Life Satisfaction in Adolescents (2013/14–2021/22): A Cross-National Study

International Journal of Public Health, Год журнала: 2024, Номер 69

Опубликована: Июль 10, 2024

This repeated cross-sectional study aimed to (a) report trends in adolescents' perceived family, friend, classmate, and teacher support, (b) estimate the extent which each source of support related life satisfaction across space time, (c) ascertain whether sociodemographic factors moderated relationship question.

Язык: Английский

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O impacto do isolamento social no abuso sexual infantil: uma perspectiva da pandemia

Cuadernos de Educación y Desarrollo, Год журнала: 2024, Номер 16(12 Edição Especial), С. e6800 - e6800

Опубликована: Дек. 16, 2024

Durante a pandemia da SARS-CoV-2, um dos maiores desafios encontrados pelo poder público foi o agravamento epidemia de violência sexual contra crianças, estas mais expostas ao risco atos lascivos diante mudanças estruturais e dinâmicas sociedade que ocorrem, em geral, como consequência do lockdown.

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