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Chapter 15 - When Lack of Information Leads to Apparent Paradoxes and Wrong Conclusions

Analysis of a Seminal Article on Short Falls

from Section 3 - Science

Published online by Cambridge University Press:  07 June 2023

Keith A. Findley
Affiliation:
University of Wisconsin, Madison
Cyrille Rossant
Affiliation:
University College London
Kana Sasakura
Affiliation:
Konan University, Japan
Leila Schneps
Affiliation:
Sorbonne Université, Paris
Waney Squier
Affiliation:
John Radcliffe Hospital, Oxford
Knut Wester
Affiliation:
Universitetet i Bergen, Norway
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Summary

This chapter reviews the evidence showing that short falls may sometimes cause the types of bleeding typically attributed to shaken baby syndrome. Focusing on one seminal article dismissing short falls as a possible cause for fatal injury in infants, it examines in detail the statistical and reasoning errors that allowed the authors to reach their erroneous conclusion, an exercise all the more useful in that these are widespread throughout the literature. Based on numerous publications, the chapter adduces evidence showing that in fact, although they are rare, short falls can be dangerous.

Type
Chapter
Information
Shaken Baby Syndrome
Investigating the Abusive Head Trauma Controversy
, pp. 236 - 248
Publisher: Cambridge University Press
Print publication year: 2023

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References

Aoki, N, Masuzawa, H. Infantile acute subdural hematoma. Journal of Neurosurgery. 1984 ;61(2):273–80.Google Scholar
Atkinson, N, Van Rijn, R, Starling, S. Childhood falls with occipital impacts. Pediatric Emergency Care. 2018;34(12):837–41.Google Scholar
Ikeda, A, Sato, O, Tsugane, R et al. Infantile acute subdural hematoma. Child’s Nervous System. 1987;3(1):1922.Google Scholar
Duhaime, AC, Christian, C, Armonda, R, Hunter, J, Hertle, R. Disappearing subdural hematomas in children. Pediatric Neurosurgery. 1996;25(3):116–22.Google Scholar
Christian, CW, Taylor, AA, Hertle, RW, Duhaime, AC. Retinal hemorrhages caused by accidental household trauma. Journal of Pediatrics. 1999;135(1):125–7.CrossRefGoogle ScholarPubMed
Plunkett, J. Fatal pediatric head injuries caused by short-distance falls. American Journal of Forensic Medicine and Pathology. 2001;22(1):112.Google Scholar
Denton, S, Mileusnic, D. Delayed sudden death in an infant following an accidental fall: A case report with review of the literature. American Journal of Forensic Medicine and Pathology. 2003;24(4):371–6.Google Scholar
Lantz, PE, Sinal, SH, Stanton, CA, Weaver, RG Jr. Perimacular retinal folds from childhood head trauma. British Medical Journal. 2004;328(7442):754–6.CrossRefGoogle ScholarPubMed
Gardner, HB. A witnessed short fall mimicking presumed shaken baby syndrome (inflicted childhood neurotrauma). Pediatric Neurosurgery. 2007;43(5):433–5.Google Scholar
Lueder, GT, Turner, JW, Paschall, R. Perimacular retinal folds simulating nonaccidental injury in an infant. Archives of Ophthalmology. 2006;124(12):1782–3.Google Scholar
Lantz, PE, Couture, DE. Fatal acute intracranial injury, subdural hematoma, and retinal hemorrhages caused by stairway fall. Journal of Forensic Sciences. 2011;56(6):1648–53.Google Scholar
Ramdas, S, O’Colmain, U, George, NDL, Kirkpatrick, M. Retinal haemorrhage in an infant following an accidental fall: A case report. European Journal of Pediatrics. 2014;173(10):1395–7.Google Scholar
Scheller, J, Huisman, TAGM. Moderate bilateral retinal hemorrhages in an infant following a short fall. Clinical Pediatrics. 2015;54(10):9991002.Google Scholar
Steinbok, P, Singhal, A, Poskitt, K, Cochrane, DD. Early hypodensity on computed tomographic scan of the brain in an accidental pediatric head injury. Neurosurgery. 2007;60(4):689–95.CrossRefGoogle Scholar
Shuman, MJ, Hutchins, KD. Severe retinal hemorrhages with retinoschisis in infants are not pathognomonic for abusive head trauma. Journal of Forensic Sciences. 2017;62(3):807–11.CrossRefGoogle Scholar
Aoki, N. Infantile acute subdural hematoma with retinal hemorrhage caused by minor occipital impact witnessed by an ICU nurse: A case report. Journal of Pediatric Neurology and Neuroscience. 2020;4(1):4750.Google Scholar
Mulligan, CS, Adams, S, Tzioumi, D, Brown, J. Injury from falls in infants under one year. Journal of Paediatrics and Child Health. 2017;53(8):754–60.Google Scholar
Behera, C, Rautji, R, Dogra, TD. Fatal accidental fall from height in infants and children: A study from South Delhi. Medicine, Science and the Law. 2010 ;50(1):22–4.Google Scholar
Burrows, P, Trefan, L, Houston, R et al. Head injury from falls in children younger than 6 years of age. Archives of Disease in Childhood. 2015;100(11):1032–7.Google Scholar
Hughes, J, Maguire, S, Jones, M, Theobald, P, Kemp, A. Biomechanical characteristics of head injuries from falls in children younger than 48 months. Archives of Disease in Childhood. 2016;101(4):310–15.Google Scholar
Hajiaghamemar, M, Lan, IS, Christian, CW, Coats, B, Margulies, SS. Infant skull fracture risk for low height falls. International Journal of Legal Medicine. 2019;133(3):847–62.CrossRefGoogle ScholarPubMed
Chaudhary, S, Figueroa, J, Shaikh, S et al. Pediatric falls ages 0–4: Understanding demographics, mechanisms, and injury severities. Injury Epidemiology. 2018;5(1):7787.Google Scholar
Hall, JR, Reyes, HM, Horvat, M, Meller, J, Stein, R. The mortality of childhood falls. Journal of Trauma. 1989;29(9):1273–5.Google Scholar
Joffe, M, Diamond, P, Helfer, R et al. Letters to the editor. Journal of Trauma. 1990;30(11):1421–3.Google Scholar
Leventhal, JM, Edwards, GA. Flawed theories to explain child physical abuse: What are the medical-legal consequences? JAMA. 2017;318(14):1317–18.Google Scholar
Chadwick, DL, Chin, S, Salerno, C, Landsverk, J, Kitchen, L. Deaths from falls in children: How far is fatal? Journal of Trauma. 1991;31(10):1353–5.Google Scholar
Schneps, L, Rossant, C. Chutes de faible hauteur et syndrome du bébé secoué, erreurs numériques et logiques. In Hématomes sous-duraux et collections péri-cérébrales du petit nourrisson. Échenne, B., Couture, A., Sébire, G., eds. Sauramps, 2020, pp. 299328.Google Scholar
Williams, RA. Injuries in infants and small children resulting from witnessed and corroborated free falls. Journal of Trauma. 1991;31:1350–2.Google Scholar
Sweeney, TB. X-rated playgrounds? [Commentary]. Pediatrics. 1979;64:961.CrossRefGoogle ScholarPubMed
Institut de Veille Sanitaire. Les chutes accidentelles de grande hauteur d’enfants en Ile-de-France, Nord-Pas-de-Calais et Provence-Alpes-Côtes d’Azur. Institut de Veille Sanitaire, 2006.Google Scholar
Reid, SR, Roesler, JS, Gaichas, AM, Tsai, AK. The epidemiology of pediatric traumatic brain injury in Minnesota. Archives of Pediatric and Adolescent Medicine. 2001;155(7):784–9.Google Scholar
Kravitz, H, Driessen, G, Gomberg, R, Korach, A. Accidental falls from elevated surfaces in infants from birth to one year of age. Pediatrics. 1969;44(5 suppl):869–76.Google Scholar
Ibrahim, N, Wood, J, Margulies, S, Christian, C. Influence of age and fall type on head injuries in infants and toddlers. International Journal of Developmental Neuroscience. 2012;30(3):201–6.Google Scholar
Chadwick, DL, Bertocci, G, Castillo, E et al. Annual risk of death resulting from short falls among young children: Less than 1 in 1 million. Pediatrics. 2008;121:1213–24.Google Scholar

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