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PICO
Question: Among children ≤5 years old with femur fractures, what is the prevalence of abuse and what factors increase the likelihood of abuse?
Question type: Descriptive
Study design: Systematic review
Researchers from the Children’s Hospital of Philadelphia and the University of Pennsylvania sought to provide estimates of abuse prevalence among children ≤5 years old with femur fractures and to describe the association of specific clinical features with likelihood of abuse. The authors conducted a systematic review of studies published between 1990 and 2013 on femur fracture etiology in children ≤5 years old. Studies were included that reported data on the probability of a diagnosis of abuse versus accidental injury and examined <10 cases. Only randomized controlled trials (RCT), …
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