Frequency, Consequences, and Determinants of Suboptimal Care in the Initial Care Pathway of Child Physical Abuse

NCT05168540 | Completed

• 1 other identifier: RC20_0092
• Study Type: observational
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

Physical abuse is a significant cause of morbidity and mortality in the general child population. There are no data specific to the French child care and protection systems, and very few studies have examined the optimality of protective measures following a diagnosis of child physical abuse. the investigators propose to conduct a confidential, prospective, population-based study, in order to assess the frequency of suboptimal care, to describe the typology of suboptimal care, to assess the immediate consequences of suboptimal care on the health of the child, and to identify the determinants of suboptimal care.

Conditions

Physical Abuse

Keywords

Child physical abuse; suboptimality; care pathway; population-based study

Outcome Measures

Primary Outcomes (1)

• Frequency in percentage of suboptimal care pathways

  The optimality of the care will be evaluated by 2 independent experts and blinded to the final diagnosis (abuse confirmed or not) and to the child's health outcome

  2 years

Secondary Outcomes (5)

• - Main typologies of suboptimal care

  2 years

• Determinants of suboptimal care

  2 years

• Potential consequences of suboptimal care in death

  12 months

• Potential consequences of suboptimal care in hospitalization

  2 years

• Potential consequences of suboptimal care on recurrency of child abuse

  1 years

Interventions

no intervention OTHER

Children will be included on the occasion of an admission to pediatric unit, the emergency room, the intensive care unit or a consultation in a specialized unit for children at risk of abuse. Their primary care pathway will be analyzed.

Eligibility Criteria

• Age: Up to 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children under the age of six who are suspected victims of physical abuse that led to an alert from authorities.

You may qualify if:

• Children under the age of six who are suspected victims of physical abuse that led to an alert from authorities: traumatic skin or mucosal injury, (burn, bruise, hematoma, wound, conjunctival hemorrhages), intraocular hemorrhages, hemotympanum, traumatic looking intracranial injury, fracture, traumatic intra-abdominal or intra-thoracic injury to hollow or solid organs, non-accidental drug intoxication. For feasibility reasons, children will be included on the occasion of an admission to pediatric unit, the emergency room, the intensive care unit or a consultation in a specialized unit for children at risk of abuse. Their primary care pathway will be analyzed. Children who died in pre-hospital care in a context of strongly suspected maltreatment will also be included.
• Emotional abuse, sexual abuse or neglect, without apparent physical harm.
• Children who have not been the subject of an administrative or judicial report by the hospital team taking care of the child.

You may not qualify if:

• Child with a traumatic injury without suspicion of abuse.

Sponsors & Collaborators

• Nantes University Hospital: lead

Study Sites (1)

CHU de Nantes

Nantes, France

Location

Study Design

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

Study Record Dates

• First Submitted: September 2, 2021
• First Posted: December 23, 2021
• Study Start: October 1, 2021
• Primary Completion: August 20, 2025
• Study Completion: August 20, 2025
• Last Updated: August 26, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)