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Epidemiological data on shaken baby syndrome in France using judicial sources

  • Special Issue: Abusive Head Trauma
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Background

The frequency of and risk factors for shaken baby syndrome remain poorly documented for several reasons: the real number of “benign” cases of shaken baby syndrome are not known; information sources used are diverse, there have been changes over time in the definition of this pathology and few population-based epidemiological studies are available.

Objective

Estimate the frequency of fatal shaken baby syndrome and determine its risk factors through research carried out on fatal cases in three regions of France while comparing them to data from international publications.

Materials and methods

A retrospective epidemiological study of all cases of fatal shaken baby syndrome affecting infants younger than 1 year of age who were examined by the courts during a 5-year period in a defined geographical area. Shaken baby syndrome cases were compared with infanticide cases for risk factors and a comparison was made of family characteristics with those of the general population.

Results

Thirty-seven cases of shaken baby syndrome were recorded (a rate of 2.9 for 100,000 live births). As in other studies, we found a strong predominance of male victims (78%), young age (median age: 4 months) and a high rate of prematurity (22%). Conversely, results on family educational and socioeconomical levels differ from those reported in numerous studies. Parent perpetrators of shaken baby syndrome belong to higher social classes than those of other types of homicide and socially reflect the population they come from.

Conclusion

Our study suggests 1) that epidemiological studies on shaken baby syndrome should include both medical and judicial information sources and 2) that primary prevention strategies (especially in maternity wards) should target all social classes.

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Acknowledgments

The authors wish to thank the following funding bodies: the General Direction of Health, the research program “Law and Justice” in the Ministry of Justice, the National Observatory of Children in Danger, the Île de France Region, the Foundation for Research in Psychiatry and Mental Health, and the Wyeth Foundation for Child and Adolescent Health.

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Authors and Affiliations

  1. Inserm U988/Cermes, Site CNRS, 7 rue Guy Môquet, 94801, Villejuif, France

    Anne Tursz & Jon Mark Cook

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  1. Anne Tursz
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  2. Jon Mark Cook
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Correspondence to Anne Tursz.

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Tursz, A., Cook, J.M. Epidemiological data on shaken baby syndrome in France using judicial sources. Pediatr Radiol 44 (Suppl 4), 641–646 (2014). https://doi.org/10.1007/s00247-014-3097-7

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  • DOI: https://doi.org/10.1007/s00247-014-3097-7

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