Hospitalisations for physical abuse in infants and children less than 5 years, 2013–2021: a multinational cohort study using administrative data from five European countries

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dc.contributor.authorQuantin, Catherineen
dc.contributor.authorCottenet, Jonathanen
dc.contributor.authorChambers, Colleenen
dc.contributor.authorKennedy, Natashaen
dc.contributor.authorWhelan, Sadhbhen
dc.contributor.authorDebelle, Geoffen
dc.contributor.authorLamela, Diogoen
dc.contributor.authorNurmatov, Ulugbeken
dc.contributor.authorO'Leary, Donnaen
dc.contributor.authorTorp-Pedersen, Christianen
dc.contributor.authorBrophy, Sinéaden
dc.contributor.authorBroccia, Marcellaen
dc.contributor.authorGilbert, Ruthen
dc.contributor.authorGræsholt-Knudsen, Troelsen
dc.contributor.authorCowley, Laura Elizabethen
dc.contributor.funderEuropean Unionen
dc.date.accessioned2025-06-03T15:28:47Z
dc.date.available2025-06-03T15:28:47Z
dc.date.issued2025-05en
dc.description.abstractBackground Child physical abuse (CPA) is a global public health problem associated with lifelong negative consequences, yet reliable epidemiologic data are lacking. This multinational cohort study analyses trends in CPA hospitalisations from 2013 to 2021. Methods We used medico-administrative databases to identify children aged one month to five years hospitalised in Denmark, England, France, Ireland, and Wales. We identified CPA using a validated algorithm based on ICD-10 codes. We calculated the number, proportion, and incidence rate of children hospitalised for CPA, and the number and proportion of total hospitalisations for CPA, by year and age group (<1 and <5). We determined the proportion of CPA hospitalisations recorded using different ICD-10 codes, by country. Findings The pooled incidence rate of infants <1 year hospitalised for CPA was stable over time (around 42/100,000 per year), ranging on average from 33 to 48/100,000 between countries. The pooled proportion of infant hospitalisations for CPA was around 0.17% (N = 750) per year (range 0.15–0.21%, N range 674–785), increasing significantly during the COVID-19 pandemic in 2020 (0.21%, N = 674). In children <5, the incidence rate (around 18/100,000 per year) and proportion of CPA hospitalisations (around 0.11% per year (N = 1600), range 0.10–0.14% (N range 1341–1657) were lower than in infants, but also increased in 2020 (0.14%, N = 1341). There were national differences in the distribution of ICD-10 codes used to record CPA and differences in year-on-year trends between countries. Interpretation Comparing temporal trends in CPA hospitalisations between countries is feasible. Hospital data are one of several valuable sources for CPA surveillance.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid101270en
dc.identifier.citationQuantin, C., Cottenet, J., Chambers, C., Kennedy, N., Whelan, S., Debelle, G., Lamela, D., Nurmatov, U., O’Leary, D., Torp-Pedersen, C., Brophy, S., Broccia, M., Gilbert, R., Græsholt-Knudsen, T. and Cowley, L.E. (2025) ‘Hospitalisations for physical abuse in infants and children less than 5 years, 2013–2021: a multinational cohort study using administrative data from five European countries’, The Lancet Regional Health - Europe, 52, 101270. https://doi.org/10.1016/j.lanepe.2025.101270en
dc.identifier.doihttps://doi.org/10.1016/j.lanepe.2025.101270en
dc.identifier.eissn2666-7762en
dc.identifier.journaltitleThe Lancet Regional Health - Europeen
dc.identifier.urihttps://hdl.handle.net/10468/17599
dc.identifier.volume52en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.projectinfo:eu-repo/grantAgreement/EC/HE::HORIZON-RIA/101151854/EU/Assessing and improving access to health and social care SErvices for children RENdered vulnerable by Abuse/SERENAen
dc.rights© 2025, the Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectChild physical abuseen
dc.subjectAdministrative dataen
dc.subjectHospital dataen
dc.subjectIncidenceen
dc.titleHospitalisations for physical abuse in infants and children less than 5 years, 2013–2021: a multinational cohort study using administrative data from five European countriesen
dc.typeArticle (peer-reviewed)en
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