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Traumatic shaking: the role of the triad in medical investigations of suspected traumatic shaking
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Forensic Medicine. The National Board of Forensic Medicine, Sweden.
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2018 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, p. 3-23Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Hoboken: John Wiley & Sons, 2018. Vol. 107, p. 3-23
Keywords [en]
Brain oedema, Child abuse, Infant, Retinal haemorrhage, Shaken Baby Syndrome, Subdural haematoma
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-151536DOI: 10.1111/apa.14473ISI: 000442730400001PubMedID: 30146789OAI: oai:DiVA.org:umu-151536DiVA, id: diva2:1247396
Note

Supplement: 472

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

Available from: 2018-09-12 Created: 2018-09-12 Last updated: 2019-01-14Bibliographically approved

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