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Incidence of Inflicted Traumatic Brain Injury in Infants—Reply
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In Reply: Dr Miller is concerned that the method we used to diagnose inflicted TBI was capricious. We decided a priori that the people most likely to correctly judge whether a TBI was inflicted or noninflicted were members of the team caring for the child, as they had primary information. The research team did not directly question parents about the circumstances of injury, as this inquiry would have added risks to the parents related to research participation and likely would have resulted in greater loss of participants and less generalizability. For children who died with TBI, we relied on reports from the Office of the Chief Medical Examiner, which included the medical team's evaluation (when available), the police investigation, and the autopsy report. When an abusive injury was suspected, most attending physicians asked for a consultation with a child abuse team. Generally, these teams consisted of a child abuse expert, . . . [Full Text of this Article]
Heather T. Keenan, MDCM, MPH;
Desmond K. Runyan, MD, DrPH
Department of Social Medicine
University of North Carolina at Chapel Hill
RELATED ARTICLE
Incidence of Inflicted Traumatic Brain Injury in Infants
Marvin Miller
JAMA. 2003;290(19):2542-2543.
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