Cheong Kai Xiong, Lo Hong Yee, Teo Li Tserng, Raphael Crystal A, Go Karen T S, Appasamy Vijayan, Chiu Ming Terk
Trauma Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
Ann Acad Med Singap. 2014 Mar;43(3):170-6.
This study aimed to characterise interpersonal violence victims admitted to a major trauma centre.
A retrospective cohort study of interpersonal violence victims who were admitted to our centre from 1 January 2001 to 31 December 2010 was conducted. Data were obtained from our trauma registry.
Interpersonal violence victims constituted 444 (90.1% males and 9.9% females) out of a total of 8561 trauma admissions in the same time period. The average age was 36.6 years (range, 14 to 83 years). Majority were Chinese (53.4%) and Singaporeans (77.3%). The number of cases increased from 10 per year to 96 per year in the first 8 years, then decreased in the last 2 years (55 in year 2010). Time of injury was predominantly 0000 to 0559 hours (72.3%). Interpersonal violence mostly occurred in public spaces for both genders (88.7%). However, the number of females who were injured at home was significantly higher than males (P = 0.000). Blunt trauma (58.3%) was more common than penetrating trauma (41.7%). The average injury severity score (ISS) was 13.5 (range, 1 to 75); 34.9% of patients had major trauma (ISS >15). The average Glasgow coma scale (GCS) score was 13.5 (range, 3 to 15); 16.4% of patients had moderate-to-severe brain injury (GCS 3-8). Blunt trauma was significantly more likely to cause major trauma than penetrating trauma (P = 0.003). The sole case of firearm assault caused most morbi-mortality. Overall mortality was 4.5%. Major trauma (OR: 25.856; P = 0.002) and moderate-to-severe brain injury (OR: 7.495; P = 0.000) were independent risk factors of mortality.
There has been no prior published data on interpersonal violence locally. This study is thus useful as preliminary data for future population-based studies. It also provides data for authorities to formulate preventive and intervention strategies.
本研究旨在对入住一家大型创伤中心的人际暴力受害者进行特征描述。
对2001年1月1日至2010年12月31日期间入住本中心的人际暴力受害者进行回顾性队列研究。数据来自我们的创伤登记处。
在同一时期的8561例创伤入院患者中，人际暴力受害者有444例（男性占90.1%，女性占9.9%）。平均年龄为36.6岁（范围为14至83岁）。大多数为华裔（53.4%）和新加坡人（77.3%）。病例数在前8年从每年10例增加到每年96例，然后在最后2年有所下降（2010年为55例）。受伤时间主要为00:00至05:59（72.3%）。人际暴力在公共场所发生的情况在男女中都最为常见（88.7%）。然而，在家中受伤的女性人数显著高于男性（P = 0.000）。钝器伤（58.3%）比穿透伤（41.7%）更常见。平均损伤严重度评分（ISS）为13.5（范围为1至75）；34.9%的患者有严重创伤（ISS>15）。平均格拉斯哥昏迷量表（GCS）评分为13.5（范围为3至15）；16.4%的患者有中度至重度脑损伤（GCS 3 - 8）。钝器伤比穿透伤更有可能导致严重创伤（P = 0.003）。唯一的火器袭击病例导致了最高的病残率和死亡率。总体死亡率为4.5%。严重创伤（比值比：25.856；P = 0.002）和中度至重度脑损伤（比值比：7.495；P = 0.000）是死亡率的独立危险因素。
此前本地尚无关于人际暴力的已发表数据。因此，本研究作为未来基于人群研究的初步数据很有用。它还为当局制定预防和干预策略提供了数据。
