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To assess the incidence of child maltreatment-related hospitalizations for children under 3 years for the population of Washington State. A population-based study using retrospective linked administrative data for all children born in Washington State from 2000 through 2013 (n=1 191 802). The dataset was composed of linked birth and hospitalization records for the entire state. Child maltreatment-related hospitalizations were identified using diagnostic codes, both specifically attributed to and suggestive of maltreatment. Incidence we