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Children hospitalized due to maltreatment in the ICU of a Public Health Service

Letícia Medeiros Santomé1, Sandra Maria Cezar Leal2, Joel Rolim Mancia2

  • 1Universidade Federal de Cências da Saúde de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.

Revista Brasileira De Enfermagem
|July 5, 2018
PubMed

Insights

Childhood violence in pediatric intensive care units (ICUs) is complex. This study found physical violence and neglect were common, with burns posing a high risk for death in hospitalized children.

Area of Science:

  • Pediatric Critical Care Medicine
  • Public Health
  • Child Abuse and Neglect

Background:

  • Childhood violence is a significant public health concern requiring detailed characterization.
  • Understanding the patterns and outcomes of violence-related pediatric hospitalizations is crucial for targeted interventions.

Purpose of the Study:

  • To characterize children hospitalized in a pediatric intensive care unit (ICU) due to violence in 2011.
  • To analyze the relationship between violence, trauma mechanisms, and mortality.
  • To explore the contextual factors of violence based on medical records.

Main Methods:

  • Retrospective cohort study conducted in a first-aid hospital in Porto Alegre.
  • Analysis of medical records of 22 children hospitalized in the ICU due to violence.
  • Quantitative analysis using frequency rates, chi-square, and relative risk.

Main Results:

  • The study population comprised 54.5% boys, 81.8% white children, with 50% aged three years or younger.
  • Physical violence (50%) and neglect (36.4%) were the primary forms of abuse, often perpetrated by family members (77.3%), particularly mothers (35.3%).
  • Falls (22.7%) and burns (18.2%) were common trauma mechanisms; burns were associated with a high risk of death. 59.1% were discharged home.

Conclusions:

  • The characterization of violence cases highlights the intricate nature of the issue.
  • The life histories surrounding each case of hospitalized children due to violence underscore the complexity of addressing this public health challenge.
Abstract

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