University of Michigan Injury Center, 24 Frank Lloyd Wright Dr, Suite H-3200, Ann Arbor, MI 48106-5570.
Pediatrics. 2014 Jan;133(1):e96-105. doi: 10.1542/peds.2013-1864. Epub 2013 Dec 9.
To characterize youth seeking care for assault injuries, the context of violence, and previous emergency department (ED) service utilization to inform ED-based injury prevention.
A consecutive sample of youth (14-24) presenting to an urban ED with an assault injury completed a survey of partner violence, gun/knife victimization, gang membership, and context of the fight.
A total of 925 youth entered the ED with an assault injury; 718 completed the survey (15.4% refused); 730 comparison youth were sampled. The fights leading to the ED visit occurred at home (37.6%) or on streets (30.4%), and were commonly with a known person (68.3%). Fights were caused by issues of territory (23.3%) and retaliation (8.9%); 20.8% of youth reported substance use before the fight. The assault-injured group reported more peer/partner violence and more gun experiences. Assault-injured youth reported higher past ED utilization for assault (odds ratio [OR]: 2.16) or mental health reasons (OR: 7.98). Regression analysis found the assault-injured youth had more frequent weapon use (OR: 1.25) and substance misuse (OR: 1.41).
Assault-injured youth seeking ED care report higher levels of previous violence, weapon experience, and substance use compared with a comparison group seeking care for other complaints. Almost 10% of assault-injured youth had another fight-related ED visit in the previous year, and ~5% had an ED visit for mental health. Most fights were with people known to them and for well-defined reasons, and were therefore likely preventable. The ED is a critical time to interact with youth to prevent future morbidity.
描述因袭击受伤而寻求医疗的年轻人的特点、暴力发生的背景以及之前急诊部门（ED）服务的利用情况，以提供基于 ED 的伤害预防信息。
连续采集了一批在城市 ED 因袭击受伤就诊的年轻人（14-24 岁），完成了关于伴侣暴力、枪支/刀具受害、帮派成员身份和打斗背景的调查。
共有 925 名年轻人因袭击受伤进入 ED；718 人完成了调查（15.4%拒绝）；对 730 名对照年轻人进行了抽样。导致 ED 就诊的打斗发生在家庭（37.6%）或街道上（30.4%），通常是与熟人（68.3%）。打斗的起因是领土问题（23.3%）和报复（8.9%）；20.8%的年轻人报告在打架前使用了药物。受伤的年轻人报告了更多的同伴/伴侣暴力和更多的枪支经历。受伤的年轻人报告了过去因袭击（优势比 [OR]：2.16）或心理健康原因（OR：7.98）而更多地使用 ED。回归分析发现，受伤的年轻人更频繁地使用武器（OR：1.25）和滥用药物（OR：1.41）。
因袭击受伤而寻求 ED 护理的年轻人与因其他疾病就诊的对照人群相比，报告了更高水平的先前暴力、武器经历和药物滥用。近 10%的受伤年轻人在过去一年中因与打斗相关的 ED 就诊而再次受伤，约 5%的人因心理健康问题就诊。大多数打斗都是与熟人发生的，而且是为了明确的原因，因此很可能是可以预防的。ED 是与年轻人互动以预防未来发病的关键时刻。
