南非儿童中与人际暴力相关的创伤
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
概括
儿童人际暴力 (IPV) 伤害在南非是一个重大问题,在创伤中心观察到不同的患者人口统计和伤害模式. 进一步的研究对于解决这个脆弱的儿科患者群体的需求至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
背景情况:
- 伤害在全球范围内对儿童残疾调整寿命年数作出了重大贡献,对低收入和中等收入国家产生了不成比例的影响.
- 虽然南非的机动车碰撞和儿童自我伤害受伤记录得很好,但人际暴力 (IPV) 造成的伤害仍然不太了解.
- 这项研究解决了南非创伤环境中关于儿科IPV相关伤害的知识差距.
研究的目的:
- 描述与IPV相关的损伤的儿科患者的损伤模式,管理策略和结果.
- 将儿科IPV创伤患者的特征和结果与非IPV创伤患者的特征和结果进行比较.
- 突出IPV儿童的独特临床需求.
主要方法:
- 对18岁或更年轻的创伤患者进行了回顾性审查.
- 从2012年至2022年期间从皮特马里茨堡大都会创伤服务中心收集数据.
- 与IPV相关损伤的患者与非IPV损伤的患者进行了比较,对患者和损伤特征和结果进行了描述性分析.
主要成果:
- 在2155例创伤病例中,500例 (23.2%) 被归因于IPV.
- 大多数IPV患者是男性 (81.4%),平均年龄为16.0岁,患有主要是的 (54.2%) 或透的 (44.2%) 创伤.
- 通常使用的武器包括刀 (21.6%),石头 (11.2%) 和枪支 (11.0%),头部 (56.4%),腹部 (20.8%) 和胸部 (19.2%) 是最常受伤的区域.
结论:
- 患有IPV相关伤害的儿科患者代表了创伤人群中的一个独特的子组.
- 这些患者表现出不同的人口特征,受伤模式,需要特定的临床管理.
- 进一步调查至关重要,以全面了解和解决这个未被认可的小儿创伤患者群体的需求.
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