常规的急救部门查,以减少随后的身体虐待
Daniel M Lindberg1, Ryan A Peterson2, Rebecca Orsi-Hunt3
1Department of Emergency Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO; The Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado Anschutz Medical Campus, Aurora, CO.
针对儿童身体虐待的例行急诊部 (ED) 查并没有显著影响到儿童保护服务 (CPS) 的转诊. 这项研究发现,在实施查协议后,滥用识别率没有变化.
科学领域:
- 儿科急救医学 儿科急救医学
- 虐待和忽视儿童的行为
- 公共卫生政策 公共卫生政策
背景情况:
- 紧急部门 (ED) 对儿童身体虐待的查是常见的.
- 在识别虐待儿童时,ED查的有效性仍然不确定.
- 了解查对儿童保护服务 (CPS) 转诊的影响至关重要.
研究的目的:
- 评估常规ED查对儿童虐待中介医院转诊的影响.
- 确定查是否会影响识别幼儿虐待的情况.
主要方法:
- 在两个医疗保健系统中对6岁以下儿童进行了回顾性队列研究.
- 一个系统实施了常规的虐待儿童查;另一个作为控制.
- 链接记录被用来比较初始 (<2天) 和随后 (3-180天) 的CPS转诊,在查实施之前和之后识别滥用.
主要成果:
- 总共有331,120次ED遭遇被分析;12.6%发生在查期间.
- 勃起障碍查没有显著改变最初或随后的儿童虐待的CPS转诊.
- 调整后的赔率比率显示,与选前期或非选ED相比,转诊率没有统计学上显著的差异.
结论:
- 针对儿童身体虐待的常规ED查没有证明对CPS转诊的影响.
- 该研究表明,目前的查协议可能无法通过CPS转介来加强儿童虐待的识别.
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