Human Rulé, Geyser Mimi
Division of Emergency Medicine, University of Pretoria, Kalafong Hospital, Private Bag X396, Pretoria 0001, South Africa.
Afr J Emerg Med. 2020 Jun;10(2):81-83. doi: 10.1016/j.afjem.2020.01.006. Epub 2020 Feb 5.
Interpersonal violence cases make up a significant portion of the trauma cases seen in emergency centres in South Africa. Community assaults are extremely violent attacks on suspected perpetrators by members of the community aimed at inflicting serious injury. The aim of this study was to profile the major interpersonal violence cases at Kalafong Hospital with emphasis on the community assaults and how this group compares with non- community assaults regarding demographics, surgical intervention and mortality.
A retrospective analysis was conducted of the major interpersonal violence cases seen over a one-year period (1 January 2016 to 31 December 2016) at Kalafong Hospital, Pretoria, South Africa. Data was manually collected and entered into a Microsoft Excel spreadsheet. The Stata 13 statistical program was used for data analysis.
During the study period, a total of 578 cases were analysed. Penetrating trauma accounted for 446 (77.2%) cases and blunt trauma for 132 (22.8%) cases. The number of community assault cases was 75 (12.9%). A total of 28 deaths were recorded during this period. Community assaults accounted for 13 (46.4%) of these deaths. Community assault cases had a significantly higher mortality compared to non-community assault cases with 17.3% versus 3%; Odds ratio 6.82 (95% CI 3.04-15.33, p < 0.001). The community assault group also showed a statistically significant difference in the intensive care admission rate with 15.3% compared to 6.9% in the interpersonal violence cases; Odds ratio 2.41 (CI 1.07-5.43, p = 0.028).
Community assault cases may present with similar demographics when compared to non-community assault cases, but the difference in disposition and outcome was highlighted in this study with a higher intensive care unit admission rate and a higher mortality rate. A multi-centre follow-up study is recommended to compare demographics across Pretoria and to monitor trends in this subgroup of interpersonal violence cases.
人际暴力案件在南非急诊中心所见创伤病例中占很大比例。社区袭击是社区成员针对涉嫌犯罪者实施的极其暴力的攻击，旨在造成重伤。本研究的目的是剖析卡拉方医院主要的人际暴力案件，重点关注社区袭击，以及该群体在人口统计学、手术干预和死亡率方面与非社区袭击的比较情况。
对南非比勒陀利亚卡拉方医院在一年期间（2016年1月1日至2016年12月31日）所见的主要人际暴力案件进行回顾性分析。数据通过手动收集并录入Microsoft Excel电子表格。使用Stata 13统计程序进行数据分析。
在研究期间，共分析了578例病例。穿透性创伤占446例（77.2%），钝性创伤占132例（22.8%）。社区袭击病例数为75例（12.9%）。在此期间共记录到28例死亡。社区袭击占这些死亡病例的13例（46.4%）。社区袭击病例的死亡率显著高于非社区袭击病例，分别为17.3%和3%；优势比为6.82（95%可信区间3.04 - 15.33，p < 0.001）。社区袭击组在重症监护病房入住率方面也显示出统计学上的显著差异，为15.3%，而人际暴力案件为6.9%；优势比为2.41（可信区间1.07 - 5.43，p = 0.028）。
与非社区袭击病例相比，社区袭击病例可能具有相似的人口统计学特征，但本研究突出了处置和结局方面的差异，即重症监护病房入住率更高和死亡率更高。建议开展多中心随访研究，以比较比勒陀利亚各地的人口统计学情况，并监测这一人际暴力病例亚组的趋势。
