BACKGROUND: @entity1 who sustained nonaccidental head trauma (NAHT) are at severe risk for mortality within the first 24 hours after presentation. OBJECTIVE: Extent of delay in seeking medical attention may be related to @entity1 outcome. METHODS: A 10-year, single-institution, retrospective review of 48 cases treated at a large tertiary @entity1 's Hospital reported to the New York State Central Registrar by the @entity1 protection team was conducted. The perpetrator was identified in 28 cases on the basis of confession or conviction. The medical and legal records allowed for identification of time of injury and the interval between injury and arrival to the hospital; this information was categorized as follows: <6 hours (without delay); 6-12 hours (moderate delay); and >12 hours (severe delay). The King's Outcome Scale for Childhood @entity542 (KOSCHI) score was recorded for each case. RESULTS: All @entity1 were 3 years of age or younger (2.1-34 months) and predominantly male (68%; 19/28). On arrival, 61% of @entity1 (17/28) presented with moderate or severe delay. A low arrival Glasgow @entity772 Scale (GCS) score (P < 0.0001) and @entity130 (P < 0.0061) correlated with worse clinical @entity1 outcomes. @entity1 with an arrival GCS score <7 predominantly arrived without delay or with moderate delay. @entity1 presenting without delay or with severe delay were more likely to have a higher KOSCHI outcome score on discharge (P < 0.0426). Four of the 6 @entity1 who died presented after moderate delay. CONCLUSION: @entity1 presenting to medical care 6-12 hours after NAHT (moderate delay) appeared to have worse outcomes than those presenting earlier or later.

Delay in Arrival to Care in Perpetrator-Identified Nonaccidental Head XXXX : Observations and Outcomes.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'Children', 'patient', 'child'] @entity542 :: ('MESH:D006259', 'Disease') :: ['Head Injury'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity130 :: ('MESH:D014947', 'Disease') :: ['extracranial injuries']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
