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急性亲密伴侣暴力伤害的临床与放射学检查:对意大利女性队列的回顾性分析

The Clinical and Radiological Examination of Acute Intimate Partner Violence Injuries: A Retrospective Analysis of an Italian Cohort of Women.

作者信息

Matteoli Marco, Piacentino Daria, Kotzalidis Georgios D, Serata Daniele, Rapinesi Chiara, Angeletti Gloria, Rossi Michele, David Vincenzo, De Dominicis Chiara

机构信息

Sapienza University, Rome, Italy.

出版信息

Violence Vict. 2016;31(1):85-102. doi: 10.1891/0886-6708.VV-D-14-00107. Epub 2015 Dec 8.

DOI:10.1891/0886-6708.VV-D-14-00107
PMID:26646262
Abstract

BACKGROUND

Intimate partner violence (IPV) is the most frequent type of violence against women. We compared clinical and radiological IPV characteristics to stranger assault (SA).

METHODS

We retrospectively identified 123 women with IPV from court reports and matched them to 124 SA. Clinical and radiological characteristics were evaluated by testing their sensitivity, specificity, positive and negative predictive value for IPV, and the strength of their association with IPV.

RESULTS

IPV women referred with more delay to the emergency department (ED), had more ED accesses, and showed more mismatch between reports to the triage and disclosures to the ED physician. They also displayed more head, neck, and face injuries, and new-plus-old fractures.

CONCLUSION

The identification of specific features may help ED physicians to suspect IPV.

摘要

背景

亲密伴侣暴力(IPV)是针对女性最常见的暴力形式。我们比较了亲密伴侣暴力与陌生人袭击(SA)在临床和影像学方面的特征。

方法

我们从法庭报告中回顾性地识别出123名遭受亲密伴侣暴力的女性,并将她们与124名遭受陌生人袭击的女性进行匹配。通过测试其对亲密伴侣暴力的敏感性、特异性、阳性和阴性预测值以及与亲密伴侣暴力的关联强度,对临床和影像学特征进行评估。

结果

遭受亲密伴侣暴力的女性到急诊科(ED)就诊的延迟时间更长,就诊次数更多,并且在分诊报告与向急诊科医生披露的情况之间显示出更多不匹配。她们还表现出更多的头部、颈部和面部损伤以及新伤加旧伤骨折。

结论

识别特定特征可能有助于急诊科医生怀疑亲密伴侣暴力。

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