title: Abusive head trauma in Spanish language medical literature.
abstract: Anecdotal experiences raise concerns that abusive head trauma (AHT) is significantly underdiagnosed and perhaps poorly recognized in Latin American settings. With increasing interest in international collaboration in pediatrics, differences in perspectives regarding complex diagnoses should be explored to facilitate a productive exchange of knowledge and ideas. The purpose of this study was to describe the medical literature pertaining to AHT available to physicians who read only in Spanish. In this review, LILACS, SciELO (major Spanish language databases) and Pubmed were searched with appropriate terms and filters in English, Spanish, and Portuguese for Spanish language articles on AHT. Identified articles' reference lists were then examined for possible additional articles on AHT. All relevant articles were sorted by country and examined for article type and content. Thirty-four unique articles were located for review from 8 of 21 countries. Most of the articles identified were case reports, case series, or educational, and there were no studies regarding overall incidence or prevalence of AHT. Some scientific information contained in the articles varied considerably from that in the English language literature in the areas of etiology and preventive strategies. This survey highlights that the Spanish language literature regarding AHT is sparse and variable. This must be considered when working collaboratively in a global setting. Additionally, identification of this gap presents an opportunity for education and information exchange among global medical communities.
authors.affiliation: The University of Oklahoma Health Sciences Center, Department of Pediatrics, General and Community Pediatrics, 1200 Children's Ave, Suite 12400, Oklahoma City, OK 73104, USA. Electronic address: michael-t-cooper@ouhsc.edu.
authors.forename: M Townsend
authors.initials: MT
authors.lastname: Cooper
authors.affiliation: The University of Oklahoma Health Sciences Center, Department of Pediatrics, Neonatal-Perinatal Medicine, 1200 Everett Drive, ETNP7504, Oklahoma City, OK 73104, USA. Electronic address: eszyld@gmail.com.
authors.forename: Edgardo
authors.initials: E
authors.lastname: Szyld
authors.affiliation: The University of Oklahoma Health Sciences Center, Department of Pediatrics, General and Community Pediatrics, 1200 Children's Ave, Suite 12400, Oklahoma City, OK 73104, USA. Electronic address: paul-darden@ouhsc.edu.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Darden
mesh_terms: D002648:Child; D002649:Child Abuse / Q000175:diagnosis*; D003299:Cooperative Behavior; D006259:Craniocerebral Trauma / Q000209:etiology*; D006801:Humans; D015994:Incidence; D007802:Language; D008297:Male; D010506:Periodicals as Topic / Q000706:statistics & numerical data*; D015995:Prevalence; D013030:Spain; D011795:Surveys and Questionnaires; D009626:Terminology as Topic
keywords: Abusive head trauma; Latin America; Spanish language