![]() To improve surveillance of AHT, the Centers for Disease Control (CDC) convened a panel of experts to develop a uniform definition using the International Classification of Diseases (ICD) diagnostic codes ( Parks et al., 2012). Two studies in Japan, however, found two peaks of incidence at two and eight months ( Fujiwara et al., 2008 Yamaoka et al., 2020). AHT typically occurs around three months of age ( Parks et al., 2012). AHT was estimated to cost over $69 million annually in the USA between 20 ( Peterson et al., 2015). The practice and policy implications of these findings are discussed.Ībusive head trauma (AHT) is a severe form of child maltreatment that often has serious or even fatal medical consequences such as neurological, cognitive and developmental impairments ( Barlow et al., 2005 Duhaime et al., 1996 Parks et al., 2012). ![]() The strongest risk factor was a prior CPS allegation, a similar finding to a California study on injury mortality. Risk factors included a teenaged mother at the time of birth, births paid for using public insurance, child’s low birth weight, and maternal Native American race. A total of 354 AHT hospitalisations were identified and the incidence for the state was 22.8 per 100 000 children under the age of one. We identified AHT using diagnostic codes in hospital discharge records defined by the US Centers for Disease Control. We used a linked administrative dataset comprised of birth, hospital discharge, child protective services (CPS) and death records to identify the scale and risk factors for AHT for the state population using quantitative survival methods. This study provides new knowledge regarding these two aspects using the population of the US state of Washington born between 19. Previous studies on Abusive Head Trauma (AHT) suggest incidence may vary by geographic location and there is limited information regarding population-based risk factors on this form of child maltreatment.
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