深入探究非意外性创伤：照料者所致伤害与非照料者所致伤害的比较。

A closer look at non-accidental trauma: Caregiver assault compared to non-caregiver assault.

作者信息

Litz Cristen N, Ciesla David J, Danielson Paul D, Chandler Nicole M

机构信息

Johns Hopkins All Children's Hospital, Outpatient Care Center, 601 5th Street South, Dept 70-6600, 3rd Floor, Saint Petersburg, FL 33701, USA.

University of South Florida, Morsani College of Medicine, 1 Tampa General Circle, G417, Tampa, FL 33606, USA.

出版信息

J Pediatr Surg. 2017 Apr;52(4):625-627. doi: 10.1016/j.jpedsurg.2016.08.026. Epub 2016 Sep 2.

DOI:10.1016/j.jpedsurg.2016.08.026

PMID:27624565

Abstract

PURPOSE

The purpose of this study was to examine the outcomes of non-accidental trauma (NAT) patients compared to other trauma (OT) patients across the state of Florida. In addition, NAT and OT patients with a mechanism of injury of assault were further analyzed.

METHODS

A statewide database was reviewed from January 2010 to December 2014 for patients aged 0-18years who presented following trauma. Patients were sorted by admitting diagnosis into two groups: rule out NAT and all other diagnoses. Patients with a mechanism of assault were subanalyzed and outcomes were compared.

RESULTS

There were 46,557 patients included. NAT patients were younger, had more severe injuries and had a higher mortality rate compared to OT patients. Assault was the mechanism of injury in 95% of NAT patients. NAT assault patients were younger, required more intensive care unit (ICU) resources, and had a higher mortality rate compared to other assault patients.

CONCLUSION

Non-accidental trauma patients require more resources and have a higher mortality rate compared to accidental trauma patients, and these differences remain even when controlling for the mechanism of injury.