Construction of the discrimination system between abused head trauma and accidental head trauma in children

2018 Fiscal Year Final Research Report

• Project/Area Number: 16K19252
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Epidemiology and preventive medicine
• Research Institution: Saga University
• Principal Investigator: Yoshioka Fumitaka 佐賀大学, 医学部, 助教 (30620249)
• Project Period (FY): 2016-04-01 – 2019-03-31
• Keywords: 児童虐待 / 硬膜下血腫 / 鑑別システム

Outline of Final Research Achievements

This study was characterized by creating the system to discriminate between abused head trauma and accidental head trauma with subdural hematoma. Subdural hematoma has a possibility to fatal result.
In this study, we enrolled the patients diagnosed as subdural hematoma younger than two years old. However, I could not accumulate enough cases if I extracted some factors for discrimination.
But the discrimination of abused head trauma and accidental head trauma is important as a social problem as well as the medical diagnosis. Construction of some kind of systems is required.

Free Research Field

小児脳神経外科

Academic Significance and Societal Importance of the Research Achievements

本研究は家庭という密室内で虐待か軽微な外傷の結果生じる硬膜下血腫という病態の鑑別を目的とした。学術的には、軽微な外傷によってでもてんかんで発症し眼底出血や硬膜下血腫を伴うことがあり得るということは本邦以外からはほとんど報告されておらず、証明されれば重要な意味をもつ。また、社会的にも虐待か軽微な事故かを鑑別することは児童虐待の対応にあたる行政機関や法曹界にも重要な情報を発信できる。
本研究のテーマが極めて重要であることはわかったものの、鑑別に有用な要素の抽出には至らなかった。