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  1. Bruises in infants and toddlers : Those who don't cruise rarely bruise.

    Article - En anglais

    Objectives 

    To determine the frequency and location of bruises in normal infants and toddlers, and to determine the relationship of age and developmental stage to bruising.

    Design 

    Cross-sectional survey.

    Setting 

    Community primary care pediatric offices.

    Subjects 

    Children younger than 36 months attending well-child care visits.

    Methods 

    Prospective data collection of demographics, developmental stage, and presence and location of bruises.

    Any medical condition that causes bruises as well as known or suspected abuse was also recorded.

    A X2 test or Fisher exact test was used to determine the significance of differences.

    Main Outcome Measures 

    Presence and location of bruises as related to age and developmental stage.

    Results 

    Bruises were found in 203 (20.9%) of 973 children who had no known medical cause for bruising and in whom abuse was not suspected.

    Only 2 (0.6%) of 366 children who were younger than 6 months and 8 (1.7%) of 473 children younger than 9 months had any bruises.

    Bruises were noted in only 11 (2.2%) of 511 children who were not yet walking with support (cruising).

    However, 17.8% of cruisers and 51.9% of walkers had bruises (P<. 001).

    Mean bruise frequency ranged from 1.3 bruises per injured child among precruisers (range, 1-2 bruises) to 2.4 per injured child among walkers (range, 1-11).

    The most frequent site of bruises was over the anterior tibia and knee. (...)

    Mots-clés Pascal : Meurtrissure, Plaie, Hématome, Epidémiologie, Prévalence, Localisation, Enfant, Homme, Age préscolaire, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Bruise, Wound, Hematoma, Epidemiology, Prevalence, Localization, Child, Human, Preschool age, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0227494

    Code Inist : 002B30A11. Création : 16/11/1999.