Proposal of a Method Using the PMSI and SNIIRAM National Databases to Estimate the Frequency of Physical Abuse and to Identify th Eassociated At-risk Situations and Consequences in Children Aged 0 to 5 Years in France

NCT04371484 | Completed

• 1 other identifier: GILARD-PIOC AOI 2017
• Study Type: observational
• Target: 4,002,359
• Locations: 1 country
• Sites: 1

Brief Summary

The epidemiological data currently available on child abuse in France are very inadequate. They do not make it possible to know the number of child victims, nor the precise context and impact of this violence. Very often, the figures put forward are underestimated. Improving the knowledge of these situations would make it possible to develop targeted primary and secondary prevention programs. In this study, is proposed an innovative method of exploiting existing national databases, the PMSI and SNIIRAM, with the aim of 1) approaching an order of magnitude of the frequency of physical abuse in children and 2) evaluating its contexts and consequences. The PMSI is a high-quality database that has been used for many years for medical research purposes. It provides a large amount of epidemiological information and can be used to create cohorts large enough to detect rare events. The SNIIRAM/EGB data allows the recovery of all data on reimbursed consumption, such as drug treatments, biological examinations carried out or consultations (with general practitioners or specialists).

Conditions

Child Abuse

Outcome Measures

Primary Outcomes (1)

• The number of confirmed diagnoses for child abuse

  Through study completion, an average of 2 years

Study Arms (1)

children from 0 to 5 years old, hospitalized

Other: ICD-10

Interventions

ICD-10 OTHER

A collection of ICD-10 codes used within the PMSI that relate to physical abuse.

children from 0 to 5 years old, hospitalized

Eligibility Criteria

• Age: Up to 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

children hospitalized in France between 2007 and 2014

You may qualify if:

• All children aged 0 to 5 years hospitalized in France between 2007 and 2014.
• Based on ICD-10 codes generated within the PMSI, 3 groups of children were defined:
• those with at least one code dedicated to physical abuse,
• those with at least one code or "combination of codes" suspected of physical abuse, and
• all other hospitalized children, control group.

Sponsors & Collaborators

• Centre Hospitalier Universitaire Dijon: lead

Study Sites (1)

CHU Dijon Bourgogne

Dijon, 21079, France

Location

Related Publications (1)

• ESTIMATION DE LA PRÉVALENCE DES ENFANTS DE MOINS D'UN AN, HOSPITALISÉS EN FRANCE POUR MALTRAITANCE PHYSIQUE SUR LA PÉRIODE 2007-2014 Séverine Gilard-Pioc1, Jonathan Cottenet2,3, Irène François-Purssell1, Catherine Quantin2,3,4 BEH 26-27 | 15 octobre 2019

  RESULT

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 29, 2020
• First Posted: May 1, 2020
• Study Start: May 1, 2017
• Primary Completion: December 1, 2019
• Study Completion: December 1, 2019
• Last Updated: March 12, 2026

Record last verified: 2026-03

Locations

FR (1)