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大海捞针:利用急诊科常规收集的损伤监测数据来帮助识别儿童身体虐待。

A needle in a haystack: the use of routinely collected emergency department injury surveillance data to help identify physical child abuse.

作者信息

Scott Debbie, Walker Sue, Fraser Jennifer A, Valmuur Kirsten

机构信息

a Australian Institute for Family Studies (AIFS) Level 20 , LaTrobe St , Melbourne Victoria 3000 Australia.

出版信息

Int J Inj Contr Saf Promot. 2014;21(3):227-35. doi: 10.1080/17457300.2013.806558. Epub 2013 Jun 14.

DOI:10.1080/17457300.2013.806558
PMID:23768210
Abstract

A retrospective, descriptive analysis of a sample of children under 18 years presenting to a hospital emergency department (ED) for treatment of an injury was conducted. The aim was to explore characteristics and identify differences between children assigned abuse codes and children assigned unintentional injury codes using an injury surveillance database. Only 0.1% of children had been assigned the abuse code and 3.9% a code indicating possible abuse. Children between 2 and 5 years formed the largest proportion of those coded to abuse. Superficial injury and bruising were the most common types of injury seen in children in the abuse group and the possible abuse group (26.9% and 18.8%, respectively), whereas those with unintentional injury were most likely to present with open wounds (18.4%). This study demonstrates that routinely collected injury surveillance data can be a useful source of information for describing injury characteristics in children assigned abuse codes compared to those assigned no abuse codes.

摘要

对18岁以下因受伤到医院急诊科就诊的儿童样本进行了回顾性描述性分析。目的是利用伤害监测数据库,探讨被分配虐待代码的儿童与被分配意外伤害代码的儿童之间的特征并找出差异。只有0.1%的儿童被分配了虐待代码,3.9%的儿童被分配了表明可能存在虐待的代码。2至5岁的儿童在被编码为虐待的儿童中占比最大。在虐待组和可能存在虐待组的儿童中,浅表损伤和瘀伤是最常见的损伤类型(分别为26.9%和18.8%),而意外伤害儿童最常出现开放性伤口(18.4%)。这项研究表明,与未被分配虐待代码的儿童相比,常规收集的伤害监测数据可以成为描述被分配虐待代码儿童伤害特征的有用信息来源。

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Int J Inj Contr Saf Promot. 2014;21(3):227-35. doi: 10.1080/17457300.2013.806558. Epub 2013 Jun 14.
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