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分析 COVID-19 大流行期间人际暴力和自我伤害受害者的初级护理。

Analysis of primary care of victims of interpersonal and self inflicted violence during the COVID-19 pandemic.

机构信息

- Hospital Universitário Cajuru, Liga Acadêmica do Trauma (LATHUC) - Curitiba - PR - Brasil.

- Pontifícia Universidade Católica do Paraná, Escola de Medicina e Ciências da Vida - Departamento de Bioestatística - Curitiba - PR - Brasil.

出版信息

Rev Col Bras Cir. 2023 Apr 14;50:e20233423. doi: 10.1590/0100-6991e-20233423-en. eCollection 2023.

Abstract

OBJECTIVES

to analyze the epidemiological profile of aggression victims admitted at the emergency room on a trauma hospital during the COVID-19 pandemic, to compare these data in different restriction periods and with prepandemic data from the same service.

METHODS

cross-sectional study with probabilistic sampling using medical records of patients who were victims of aggression admitted at the hospital between June 2020 and May 2021. In addition to the epidemiological variables, other variables collected were the current restriction level, mechanism of aggression, resulting injuries and the Revised Trauma Score (RTS). The data was compared between the three restriction levels and the proportion of attendances during the study period was compared with the pre-pandemic study (December 2016 to February 2018).

RESULTS

the average age was 35.5 years, 86.1% of the patients were male and 61.6% of the attendances were due to blunt injury. The highest average of attendances per day occurred during the "yellow" restriction level (2.9), however there was no significant difference when comparing the restriction periods two by two. There was also no significant difference either in the analysis of the standardized residuals of the proportions of aggressions or the mechanism of aggression in the pre-pandemic and pandemic periods.

CONCLUSIONS

there was a predominance of attendances due to blunt trauma and in young male patients. There was no significant difference between the average daily attendance for aggression during the three restriction levels and between the proportion of attendances in the pre-pandemic and pandemic period.

摘要

目的

分析 COVID-19 大流行期间创伤医院急诊室收治的攻击性受害者的流行病学特征,比较不同限制期和同一服务机构大流行前数据的这些数据。

方法

使用 2020 年 6 月至 2021 年 5 月期间在医院因遭受攻击而入院的患者的病历进行概率抽样的横断面研究。除了流行病学变量外,还收集了其他变量,包括当前限制级别、攻击机制、导致的伤害和修订创伤评分(RTS)。将这三个限制级别之间的数据进行比较,并将研究期间的就诊比例与大流行前的研究(2016 年 12 月至 2018 年 2 月)进行比较。

结果

平均年龄为 35.5 岁,86.1%的患者为男性,61.6%的就诊是由于钝器伤。在“黄色”限制级别(2.9)期间,就诊的平均人数最高,但两两比较时没有显著差异。在大流行前和大流行期间,攻击性的就诊比例和攻击机制的标准化残差分析也没有显著差异。

结论

就诊以钝器伤和年轻男性患者为主。在三个限制级别期间,攻击性的平均每日就诊人数和大流行前和大流行期间的就诊比例之间没有显著差异。

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