Validation of Parent-Reported Injuries to Their Children

Clin Pediatr (Phila). 2015 Sep;54(10):983-6. doi: 10.1177/0009922814566931. Epub 2015 Jan 8.

Abstract

Objective: Injury is a leading cause of emergency department visits, disability, and death in children. This study examined the sensitivity and specificity of parental report of children's specific injuries.

Methods: A prospective validation study was conducted in 3 urban pediatric emergency departments from August 2010 to July 2011. Parents of injured children completed a survey at 2-weeks following the emergency department visit, and their responses were compared to injury data that were abstracted from medical records.

Results: Parent surveys were completed for 516 injured children. Sensitivities were ≥0.75 for all fractures and ≥0.88 for extremity and skull fractures. Internal organ injuries were generally less accurately reported by parents than fractures. Specificity estimates all exceeded 0.95.

Conclusions: This telephone-administered and mailed self-administered survey enabled parents to accurately report specific head and extremity injuries.

Practical applications: This survey may be a useful tool for pediatric injury surveillance activities.

Keywords: adolescent; child; cross-sectional study; injury prevention; survey.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Accidental Falls
  • Child
  • Emergency Service, Hospital
  • Fractures, Bone
  • Humans
  • Medical Records
  • Parents*
  • Postal Service
  • Prospective Studies
  • Reproducibility of Results
  • Skull Fractures
  • Telephone
  • Wounds and Injuries*