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 Vol. 11 No. 1, January 2004
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AAP Grand Rounds 11:3-4 (2004)
© 2004 American Academy of Pediatrics

EMERGENCY MEDICINE AND CHILD ABUSE AND NEGLECT

Child Abuse and Apparent Life-Threatening Events

Source: Altman RL, Brand DA, Forman S, et al. Abusive head injury as a cause of apparent life-threatening events in infancy. Arch Pediatr Adolesc Med. 2003;157:1011–1015.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Apparent life-threatening events (ALTE) refer to infants who have the sudden occurrence of symptoms that may include an abrupt change in their breathing, color, muscle tone, or mental status.1 The symptoms may last a short time and infants may have a normal exam by the time they are medically evaluated. To investigate the possible causes of ALTE and its relationship to abusive head injuries, investigators at The Children’s Hospital at Westchester Medical Center in Valhalla, NY, prospectively evaluated 243 consecutive patients younger than 1 year of age who were admitted for evaluation of an ALTE over a 32-month period. The mean age of the study patients was 12.0 weeks (range, 3.0 days to 11.9 months). . . . [Full Text of this Article]

Ronald I. Paul, MD, FAAP1 and Betty Spivack, MD, FAAP2
1 Pediatric Emergency Medicine, University of Louisville, Louisville, KY
2 Child Abuse and Neglect, Pathology and Pediatrics, University of Louisville, Louisville, KY, and the Medical Examiner Division of the Kentucky Justice Cabinet, Louisville, KY