PURPOSE To assess the frequency and nature of occult injury screening in infants with subconjunctival hemorrhages (SCH), the incidence of occult injuries in these children, and the factors that may have influenced the decision to screen for additional injury. METHODS Infants aged 14 days to 6 months with SCH who presented to two tertiary pediatric centers were identified from a local database (N = 84). A retrospective chart review collected demographics, examination findings, and imaging results. Infants were further stratified into two groups depending on the presence of additional mucocutaneous injuries. The groups were compared with two-sample t testing. RESULTS Skeletal surveys were completed in 31% of patients overall, but the rate of screening was significantly higher among patients who presented with SCH and additional mucocutaneous injuries as opposed to SCH alone. However, the presence of additional mucocutaneous injuries was not associated with an increased risk for positive skeletal survey. CONCLUSIONS Rates of occult injury screening among infants with SCH were low and were significantly influenced by the presence of additional injuries. When screening was conducted, occult injuries were commonly identified. Future studies should assess the true prevalence of abuse in this population. [J Pediatr Ophthalmol Strabismus. 2021;58(4):213-217.].

中文翻译：

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结膜下出血婴儿的隐匿性损伤筛查。

目的 评估对结膜下出血 (SCH) 婴儿进行隐匿性损伤筛查的频率和性质、这些儿童中隐匿性损伤的发生率以及可能影响筛查额外损伤决定的因素。方法 从本地数据库 (N = 84) 中识别到两个三级儿科中心就诊的 14 天至 6 个月大 SCH 婴儿。回顾性图表审查收集了人口统计数据、检查结果和成像结果。根据是否存在额外的皮肤粘膜损伤，婴儿被进一步分为两组。用两样本 t 检验对组进行比较。结果 总体而言，31% 的患者完成了骨骼调查，但与单独的 SCH 相比，患有 SCH 和其他皮肤粘膜损伤的患者的筛查率显着更高。然而，额外的皮肤粘膜损伤的存在与骨骼检查阳性的风险增加无关。结论 患有 SCH 的婴儿的隐匿性损伤筛查率较低，并且受其他损伤的存在显着影响。进行筛查时，通常会发现隐匿性损伤。未来的研究应该评估这一人群中滥用的真实流行率。[J Pediatr Ophthalmol 斜视。2021;58(4):213-217.]。结论 患有 SCH 的婴儿的隐匿性损伤筛查率较低，并且受其他损伤的存在显着影响。进行筛查时，通常会发现隐匿性损伤。未来的研究应该评估这一人群中滥用的真实流行率。[J Pediatr Ophthalmol 斜视。2021;58(4):213-217.]。结论 患有 SCH 的婴儿的隐匿性损伤筛查率较低，并且受其他损伤的存在显着影响。进行筛查时，通常会发现隐匿性损伤。未来的研究应该评估这一人群中滥用的真实流行率。[J Pediatr Ophthalmol 斜视。2021;58(4):213-217.]。