Patricia G. Schnitzer

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OBJECTIVES We sought to describe the characteristics and sleep circumstances of infants who die suddenly and unexpectedly and to examine similarities and differences in risk factors among infants whose deaths are classified as resulting from sudden infant death syndrome (SIDS), suffocation, or undetermined causes. METHODS We used 2005 to 2008 data from 9(More)
OBJECTIVE Approximately 2000 children die annually in the United States from maltreatment. Although maternal and child risk factors for child abuse have been identified, the role of household composition has not been well-established. Our objective was to evaluate household composition as a risk factor for fatal child maltreatment. METHODOLOGY(More)
OBJECTIVE In order to be reimbursed for the care they provide, hospitals in the United States are required to use a standard system to code all discharge diagnoses: the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9). Although ICD-9 codes specific for child maltreatment exist, they do not identify all(More)
BACKGROUND Public health surveillance was established for nonfatal child maltreatment in Missouri using two data sources. This paper describes the epidemiology of nonfatal child maltreatment using this surveillance system, and assesses the usefulness of combining medical data with child protective services (CPS) reports for child maltreatment surveillance.(More)
PURPOSE To determine if household composition is an independent risk factor for fatal unintentional injuries related to child maltreatment. DESIGN A population-based, case-control study using data from the Missouri Child Fatality Review Program for 1992-1999. METHODS Children under age five who died during the 8-year study period were eligible for(More)
OBJECTIVE To determine whether there is seasonal variation (by season and month of year) in homicides among young children. STUDY DESIGN Homicide deaths in children<or=5 years (n=797), as identified in death certificates from 5 states (Indiana, Ohio, Missouri, Oklahoma, and Washington), were analyzed for a seasonality effect in the years 1999-2006. Season(More)
OBJECTIVE To determine the role of household composition as an independent risk factor for fatal inflicted injuries among young children and describe perpetrator characteristics. DESIGN, SETTING, AND POPULATION A population-based, case-control study of all children < 5 years of age who died in Missouri between January 1, 1992, and December 31, 1999.(More)
OBJECTIVES We sought to describe approaches to surveillance of fatal child maltreatment and to identify options for improving case ascertainment. METHODS Three states--California, Michigan, and Rhode Island--used multiple data sources for surveillance. Potential cases were identified, operational definitions were applied, and the number of maltreatment(More)
OBJECTIVE Assess the association between caregiver supervision and acute unintentional injury in young children; evaluate whether lower levels of supervision result in more severe injury. METHODS A case cross-over study was conducted. Parents of children aged ≤4 years whose injuries required emergency department (ED sample) treatment or admission to the(More)
BACKGROUND Child death review (CDR) is a mechanism to more accurately describe the causes and circumstances of death among children. The number of states performing CDR has more than doubled since 1992, but little is known about the characteristics of these programs. The purpose of this study was to describe the current status of CDR in the United States(More)