了解您的患者群体:在创伤注册表中捕获高风险的身体虐待婴儿的技术
Stephanie Papillon1, Sahal Master1, Matthew Klein2
1Department of Pediatric General, Thoracic and Minimally Invasive Surgery, St. Christopher's Hospital for Children, 160 E. Erie Avenue, Philadelphia, PA, 19134, USA.
Journal of pediatric surgery
|February 27, 2024
概括
在创伤登记册中识别1岁以下的婴儿对于理解虐待儿童至关重要. 世界卫生组织 (WHO) 的生长标准有效地捕捉了这些高风险的婴儿,揭示了受伤风险的增加.
科学领域:
- 儿科创伤研究儿童创伤研究
- 公共卫生监督 公共卫生监督
- 虐待和忽视儿童的行为
背景情况:
- 身体虐待是婴儿发病率和死亡率的一个重要原因.
- 创伤记录有助于风险分层,但缺乏婴儿年龄数据.
- 需要一种方法来识别创伤数据中的高风险虐待婴儿.
研究的目的:
- 在创伤质量改善计划 (TQIP) 数据库中开发和验证用于识别婴儿 (<1岁) 的方法.
- 评估包括婴儿在儿童虐待案件中了解伤害模式的影响.
主要方法:
- 对TQIP数据 (2017-2019年) 的回顾性,横截面分析.
- 确定的患者年龄≤17岁,有确认/怀疑虐待儿童的指标.
- 利用世界卫生组织 (WHO) 的生长标准来识别1岁以下的婴儿.
- 与已识别的婴儿队列和未识别的婴儿队列进行比较的结果和受伤数据.
主要成果:
- 世卫组织的生长标准方法确定了19,916名1岁以下的婴儿.
- 包括婴儿在内显示,骨折 (肋骨,脊椎,上肢,脊柱) 和头部受伤的年龄调整赔率比率增加.
- 在20,513名身体虐待报告的患者中,发现了9393名1岁以下的婴儿.
结论:
- 世界卫生组织 (WHO) 的生长标准对于在国家创伤登记册中识别一年以下的婴儿是有效的.
- 这种方法提高了被虐待的婴儿的捕获,提高了对其不利结果的理解.
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