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Interpersonal Violence-Related Trauma Among South African Children.
Arushi Biswas1, Daniel S Rhee1, Adam D Laytin2
1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Journal of Surgical Research
|August 3, 2024
Summary
Pediatric interpersonal violence (IPV) injuries are a significant concern in South Africa, with distinct patient demographics and injury patterns observed in trauma centers. Further research is crucial to address the needs of this vulnerable pediatric population.
Area of Science:
- Trauma Surgery
- Pediatric Emergency Medicine
- Public Health
Background:
- Injuries significantly contribute to childhood disability-adjusted life years globally, with a disproportionate impact on low- and middle-income countries.
- While motor vehicle collisions and self-harm injuries in children are well-documented in South Africa, injuries from interpersonal violence (IPV) remain less understood.
- This study addresses the knowledge gap regarding pediatric IPV-related injuries in a South African trauma setting.
Purpose of the Study:
- To characterize the injury patterns, management strategies, and outcomes of pediatric patients presenting with IPV-related injuries.
- To compare the characteristics and outcomes of pediatric IPV trauma patients with those of non-IPV trauma patients.
- To highlight the unique clinical needs of children experiencing IPV.
Main Methods:
- A retrospective review of trauma patients aged 18 years or younger was conducted.
- Data were collected from the Pietermaritzburg Metropolitan Trauma Service between 2012 and 2022.
- Patients with IPV-related injuries were compared to those with non-IPV injuries, with descriptive analysis of patient and injury characteristics and outcomes.
Main Results:
- Out of 2155 trauma admissions, 500 (23.2%) were attributed to IPV.
- The majority of IPV patients were male (81.4%) with a median age of 16.0 years, experiencing predominantly blunt (54.2%) or penetrating (44.2%) trauma.
- Commonly used weapons included knives (21.6%), stones (11.2%), and firearms (11.0%), with the head (56.4%), abdomen (20.8%), and thorax (19.2%) being the most frequently injured regions.
Conclusions:
- Pediatric patients with IPV-related injuries represent a distinct subgroup within trauma populations.
- These patients exhibit different demographic profiles, injury patterns, and require specific clinical management.
- Further investigation is essential to comprehensively understand and address the needs of this under-recognized group of pediatric trauma patients.
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