Details
- Autor(en) / Beteiligte
- Titel
- The Value of a Checklist for Child Abuse in Out-of-Hours Primary Care: To Screen or Not to Screen
- Ist Teil von
- PloS one, 2017-01, Vol.12 (1), p.e0165641-e0165641
- Ort / Verlag
- United States: Public Library of Science
- Erscheinungsjahr
- 2017
- Link zum Volltext
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- To assess the diagnostic value of the screening instrument SPUTOVAMO-R2 (checklist, 5 questions) for child abuse at Out-of-hours Primary Care locations (OPC), by comparing the test outcome with information from Child Protection Services (CPS). Secondary, to determine whether reducing the length of the checklist compromises diagnostic value. All children (<18 years) attending one of the participating OPCs in the region of Utrecht, the Netherlands, in a year time, were included. The checklist is an obligatory field in the electronic patient file. CPS provided data on all checklist positives and a sample of 5500 checklist negatives (dataset). The checklist outcome was compared with a report to CPS in 10 months follow up after the OPC visit. The checklist was filled in for 50671 children; 108 (0.2%) checklists were positive. Within the dataset, 61 children were reported to CPS, with emotional neglect as the most frequent type of abuse (32.8%). The positive predictive value (PPV) of the checklist for child abuse was 8.3 (95% CI 3.9-15.2). The negative predictive value (NPV) was 99.1 (98.8-99.3), with 52 false negatives. When the length of the checklist was reduced to two questions closely related to the medical process (SPUTOVAMO-R3), the PPV was 9.1 (3.7-17.8) and the NPV 99.1 (98.7-99.3). These two questions are on the injury in relation to the history, and the interaction between child and parents. The checklist SPUTOVAMO-R2 has a low detection rate of child abuse within the OPC setting, and a high false positive rate. Therefore, we recommend to use the shortened checklist only as a tool to increase the awareness of child abuse and not as a diagnostic instrument.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1932-6203eISSN: 1932-6203DOI: 10.1371/journal.pone.0165641Titel-ID: cdi_plos_journals_1855064221
- Format
- –
- Schlagworte
- Adolescent, Algorithms, Check lists, Checklist, Child, Child abuse, Child abuse & neglect, Child Abuse - diagnosis, Child Protective Services, Child welfare, Child, Preschool, Children, Children & youth, Departments, Diagnosis, Diagnostic systems, Domestic violence, Emergency medical care, Emergency Service, Hospital, Emotional abuse, False Positive Reactions, Family physicians, Fathers, Female, Health care, Health sciences, Health screening, Hospitals, Humans, Infant, Infant, Newborn, Information management, Injuries, Male, Management, Mass Screening - methods, Medical records, Medical screening, Medical services, Medicine, Medicine and Health Sciences, Methods, Mothers, Netherlands, Parents, Pediatrics, People and Places, Predictions, Predictive Value of Tests, Primary care, Primary health care, Primary Health Care - methods, Primary Health Care - organization & administration, Sensitivity and Specificity, Social Sciences, Substance-Related Disorders, Surveys and Questionnaires, Systematic review, Tests, Trauma, Value