RE: Research definitions of SBS

["John Baeza" <jbaeza@xxxxxxxxxxxxxxx>]

Vincent,

In your search for a definition have you reviewed:

Plunkett, J.  (1999).  Shaken Baby Syndrome and the Death of Matthew Eappen
The American Journal of Forensic Medicine and Pathology, 20(1).  17-21.

Di Maio, V.J.M.  (1998).  The "Shaken Baby Syndrome" in the coorespondence
section of The New England Journal of Medicine, 339(18). 1329.

Wecht, C.H.  (1999).  Shaken Baby Syndrome, in Letters to the Editor of The
American Journal of Forensic Medicine and Pathology, 20(3).  301-302.

If so, would you mind sharing your thoughts on them?

Det. John J. Baeza
Chair, Ethics Committee
Academy of Behavioral Profiling
www.profiling.org

"They that can give up essential liberty to obtain a little temporary safety
deserve neither liberty nor safety."
- Benjamin Franklin, Historical Review of Pennsylvania, 1759.


-----Original Message-----
From: owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu]On Behalf Of
RozPal@aol.com
Sent: Tuesday, February 29, 2000 7:41 PM
To: Child Maltreatment Researchers
Cc: Vincent.Palusci@spectrum-health.org
Subject: Research definitions of SBS


Last December, I queried this group about how to define shaken baby syndrome
(SBS) for epidemiologic study.  Based your helpful responses, it seems
prudent to categorize SBS as a subset of abusive head trauma (AHT), thereby
avoiding the controversy regarding impact.  I would appreciate everyone's
comments on this draft definition:

Case Definition:  All children ages 3 years or younger with evidence of
traumatic brain injury as identified by medical providers and/or autopsy
with
traumatic subdural (SDH), subarachnoid (SAH) and retinal (RH) hemorrhage.
Other injuries which may be present include diffuse axonal injury (DAI),
parenchymal brain hemorrhage, spinal cord injury, skull or skeletal
fractures, and bruises.  Children with SDH and RH without history of
coagulopathy, metabolic disorder, motor vehicle collision or fall from
greater than four feet will be labeled as abusive head trauma (AHT). Of
these, those with no other evidence of head impact (soft tissue swelling,
scalp bruising or skull fracture) will be labeled as SBS.

Thanks, Vince Palusci
Michigan State University
vincent.palusci@spectrum-health.org