Comparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System, Moreno Valley, CA, USA.
University of California, Riverside School of Medicine, Riverside CA, USA.
Am Surg. 2020 Oct;86(10):1230-1237. doi: 10.1177/0003134820964191. Epub 2020 Nov 10.
Intimate partner violence (IPV) refers to physical or sexual violence, stalking, and psychological aggression by an intimate partner. The present study aims to examine the incidence, injury patterns, and outcomes using a representative nationwide data set.
The Nationwide Emergency Department Sample database was queried from 2010 to 2014 to identify IPV in adult patients by injury code E967.3. Demographics, diagnoses, and injury mechanisms were captured. Primary outcome was mortality, and logistic regression analyses were used to compare the baselines and outcomes.
132 806 IPV emergency visits were identified, with 5.1% of patients requiring hospitalization. Most patients were female (92.6%). The most common injury mechanisms were unintentional injury (36%) and striking (22.0%). Contusions of face/scalp/neck (13.2%) and unspecified head injury (6.9%) were the most common diagnoses. Males were significantly older [median and interquartile range of 39 (30, 50)] than females [33 (26, 43)], and were more frequently hospitalized (6.7% vs. 5.0%, = .002) with more injuries with injury severity score ≥ 15 (.7% vs. .4%, = .004) than females. Overall, IPV-related mortality was .06%, .26% in males and .05% in females ( = .003). Older age (odds ratio (OR) = 1.053) and male gender (OR = 3.102) were significantly associated with mortality. The annual incidence rate decreased from 9.7 in 2010 to 8.2/100 000 US population in 2014 ( = .659).
Young women are more likely to be victims of IPV, whereas men are more likely to be older and hospitalized with more severe injuries and worse outcomes.
亲密伴侣暴力（IPV）是指伴侣之间的身体或性暴力、跟踪和心理攻击。本研究旨在使用代表性的全国性数据集检查发病率、损伤模式和结果。
从 2010 年到 2014 年，通过损伤代码 E967.3 从全国急诊部样本数据库中查询识别成年患者中的 IPV。记录人口统计学、诊断和损伤机制。主要结果是死亡率，并使用逻辑回归分析比较基线和结果。
共确定了 132806 例 IPV 急诊就诊，其中 5.1%的患者需要住院治疗。大多数患者为女性（92.6%）。最常见的损伤机制是意外伤害（36%）和击打（22.0%）。挫伤的脸/头皮/颈部（13.2%）和未特指的头部损伤（6.9%）是最常见的诊断。男性明显比女性年龄更大[中位数和四分位间距为 39（30，50）]，[33（26，43）]，住院率更高（6.7%比 5.0%，.002），损伤严重程度评分≥15 的损伤更多（.7%比.4%，.004）比女性。总的来说，IPV 相关死亡率为.06%，男性为.26%，女性为.05%（.003）。年龄较大（优势比（OR）=1.053）和男性（OR=3.102）与死亡率显著相关。发病率从 2010 年的 9.7 例/10 万人口下降到 2014 年的 8.2/10 万人口（.659）。
年轻女性更有可能成为 IPV 的受害者，而男性更有可能年龄较大，受伤更严重，住院治疗，结果更差。
