Proposal of a Method Using the PMSI and SNIIRAM National Databases to Estimate the Frequency of Physical Abuse and to Identify th Eassociated At-risk Situations and Consequences in Children Aged 0 to 5 Years in France (MENFIS)

The epidemiological data currently available on child abuse in France are very inadequate. They do not make it possible to know the number of child victims, nor the precise context and impact of this violence. Very often, the figures put forward are underestimated. Improving the knowledge of these situations would make it possible to develop targeted primary and secondary prevention programs. In this study, is proposed an innovative method of exploiting existing national databases, the PMSI and SNIIRAM, with the aim of 1) approaching an order of magnitude of the frequency of physical abuse in children and 2) evaluating its contexts and consequences. The PMSI is a high-quality database that has been used for many years for medical research purposes. It provides a large amount of epidemiological information and can be used to create cohorts large enough to detect rare events. The SNIIRAM/EGB data allows the recovery of all data on reimbursed consumption, such as drug treatments, biological examinations carried out or consultations (with general practitioners or specialists).

Study Overview

• Status: Completed
• Conditions: Child Abuse
• Intervention / Treatment: Other: ICD-10

• Study Type: Observational
• Enrollment (Actual): 4002359

Contacts and Locations

Study Locations

• France
  • Dijon, France, 21079
    • CHU Dijon Bourgogne

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 5 years (Child)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

children hospitalized in France between 2007 and 2014

Description

Inclusion Criteria:

• All children aged 0 to 5 years hospitalized in France between 2007 and 2014.

• Based on ICD-10 codes generated within the PMSI, 3 groups of children were defined:

  1. those with at least one code dedicated to physical abuse,
  2. those with at least one code or "combination of codes" suspected of physical abuse, and
  3. all other hospitalized children, control group.

Exclusion Criteria: NA

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
children from 0 to 5 years old, hospitalized	Other: ICD-10; A collection of ICD-10 codes used within the PMSI that relate to physical abuse.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The number of confirmed diagnoses for child abuse	Through study completion, an average of 2 years

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire Dijon

Publications and helpful links

General Publications

• ESTIMATION DE LA PRÉVALENCE DES ENFANTS DE MOINS D'UN AN, HOSPITALISÉS EN FRANCE POUR MALTRAITANCE PHYSIQUE SUR LA PÉRIODE 2007-2014 Séverine Gilard-Pioc1, Jonathan Cottenet2,3, Irène François-Purssell1, Catherine Quantin2,3,4 BEH 26-27 | 15 octobre 2019

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2017
• Primary Completion (Actual): December 1, 2019
• Study Completion (Actual): December 1, 2019

Study Registration Dates

• First Submitted: April 29, 2020
• First Submitted That Met QC Criteria: April 30, 2020
• First Posted (Actual): May 1, 2020

Study Record Updates

• Last Update Posted (Actual): March 12, 2026
• Last Update Submitted That Met QC Criteria: March 10, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: GILARD-PIOC AOI 2017

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No