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Traumatic shaking : The role of the triad in medical investigations of suspected traumatic shaking

Elinder, Göran; Eriksson, Anders; Hallberg, Boubou; Lynøe, Niels; Sundgren, Pia Maly LU ; Rosén, Måns; Engström, Ingemar and Erlandsson, Björn Erik (2018) In Acta Paediatrica, International Journal of Paediatrics 107. p.3-23
Abstract

The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its... (More)

The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its components can be associated with traumatic shaking (low-quality evidence). There is insufficient scientific evidence on which to assess the diagnostic accuracy of the triad in identifying traumatic shaking (very low-quality evidence). Limited scientific evidence (low-quality evidence) represents a combined assessment of studies of high or moderate quality which disclose factors that markedly weaken the evidence. It is important to note that limited scientific evidence for the reliability of a method or an effect does not imply complete lack of scientific support. Insufficient scientific evidence (very low-quality evidence) represents either a lack of studies or situations when available studies are of low quality or show contradictory results. Evaluation of the evidence was not based on formal grading of the evidence according to GRADE but on an evaluation of the total scientific basis.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Brain oedema, Child abuse, Infant, Retinal haemorrhage, Shaken Baby Syndrome, Subdural haematoma
in
Acta Paediatrica, International Journal of Paediatrics
volume
107
pages
21 pages
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:85052239909
ISSN
0803-5253
DOI
10.1111/apa.14473
language
English
LU publication?
yes
id
0d07b603-5bd7-4c6c-bca6-ff775f7eede3
date added to LUP
2018-09-25 13:09:03
date last changed
2019-06-11 03:53:19
@article{0d07b603-5bd7-4c6c-bca6-ff775f7eede3,
  abstract     = {<p>The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its components can be associated with traumatic shaking (low-quality evidence). There is insufficient scientific evidence on which to assess the diagnostic accuracy of the triad in identifying traumatic shaking (very low-quality evidence). Limited scientific evidence (low-quality evidence) represents a combined assessment of studies of high or moderate quality which disclose factors that markedly weaken the evidence. It is important to note that limited scientific evidence for the reliability of a method or an effect does not imply complete lack of scientific support. Insufficient scientific evidence (very low-quality evidence) represents either a lack of studies or situations when available studies are of low quality or show contradictory results. Evaluation of the evidence was not based on formal grading of the evidence according to GRADE but on an evaluation of the total scientific basis.</p>},
  author       = {Elinder, Göran and Eriksson, Anders and Hallberg, Boubou and Lynøe, Niels and Sundgren, Pia Maly and Rosén, Måns and Engström, Ingemar and Erlandsson, Björn Erik},
  issn         = {0803-5253},
  keyword      = {Brain oedema,Child abuse,Infant,Retinal haemorrhage,Shaken Baby Syndrome,Subdural haematoma},
  language     = {eng},
  month        = {08},
  pages        = {3--23},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Paediatrica, International Journal of Paediatrics},
  title        = {Traumatic shaking : The role of the triad in medical investigations of suspected traumatic shaking},
  url          = {http://dx.doi.org/10.1111/apa.14473},
  volume       = {107},
  year         = {2018},
}