Proposal of a Method Using the PMSI and SNIIRAM National Databases to Estimate the Frequency of Physical Abuse and to Identify th Eassociated At-risk Situations and Consequences in Children Aged 0 to 5 Years in France

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

4002359 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-05-01

Study Completion Date

2019-12-01

Brief Summary

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The epidemiological data currently available on child abuse in France are very inadequate. They do not make it possible to know the number of child victims, nor the precise context and impact of this violence. Very often, the figures put forward are underestimated. Improving the knowledge of these situations would make it possible to develop targeted primary and secondary prevention programs. In this study, is proposed an innovative method of exploiting existing national databases, the PMSI and SNIIRAM, with the aim of 1) approaching an order of magnitude of the frequency of physical abuse in children and 2) evaluating its contexts and consequences. The PMSI is a high-quality database that has been used for many years for medical research purposes. It provides a large amount of epidemiological information and can be used to create cohorts large enough to detect rare events. The SNIIRAM/EGB data allows the recovery of all data on reimbursed consumption, such as drug treatments, biological examinations carried out or consultations (with general practitioners or specialists).

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Detailed Description

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Conditions

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Child Abuse

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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children from 0 to 5 years old, hospitalized

ICD-10

Intervention Type OTHER

A collection of ICD-10 codes used within the PMSI that relate to physical abuse.

Interventions

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ICD-10

A collection of ICD-10 codes used within the PMSI that relate to physical abuse.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All children aged 0 to 5 years hospitalized in France between 2007 and 2014.
* Based on ICD-10 codes generated within the PMSI, 3 groups of children were defined:

1. those with at least one code dedicated to physical abuse,
2. those with at least one code or "combination of codes" suspected of physical abuse, and
3. all other hospitalized children, control group.

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No