高度怀疑存在虐待行为患者的损伤流行病学概况
EPIDEMIOLOGICAL PROFILE OF INJURIES IN PATIENTS WITH HIGH DIAGNOSTIC SUSPICION OF ABUSE.
作者信息
de Souza Isaias Silva Ribeiro, Poncio Victor Peyneau, Molina Matheus Giovanni Medina, Perera Georges Akira Shigekiyo, Cocco Luiz Fernando, Dobashi Eiffel Tsuyoshi
机构信息
Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia e Traumatologia, Sao Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2025 Sep 8;33(4):e290194. doi: 10.1590/1413-785220253304e290194. eCollection 2025.
OBJECTIVE
This study aimed to analyze the epidemiological profile of child abuse cases treated at Hospital Geral de Pirajussara, São Paulo, and to understand the characteristics of associated injuries.
METHODS
A retrospective cross-sectional study was conducted by reviewing medical records of patients suspected of abuse, aged 18 years or younger, from January 2012 to December 2022. Data on sex, age, trauma mechanism, presence of fractures, and outcomes were analyzed.
RESULTS
A total of 58 records were included. Most cases involved adolescents (50%, n=29). The most common abuse mechanism was physical force (36.21%, n=21), followed by direct trauma by object (13.79%, n=8). Fractures were present in 41.38% of cases (n=24), with skull and facial fractures being the most frequent (33.33%, n=7). Brain injuries were the most common associated injuries (42.42%, n=14). Most cases (77.59%, n=45) were discharged with an average hospital stay of 9 days.
CONCLUSIONS
Abuse is prevalent among young children under 1 year and adolescents (13-18 years). Identified patterns of injuries and abuse mechanisms highlight the need for stringent screening and management protocols. Continuous training and vigilance are crucial for effective prevention and intervention.
目的
本研究旨在分析圣保罗皮拉茹萨拉综合医院收治的虐待儿童病例的流行病学概况，并了解相关损伤的特征。
方法
通过回顾2012年1月至2022年12月期间18岁及以下疑似受虐患者的病历，进行了一项回顾性横断面研究。分析了性别、年龄、创伤机制、骨折情况及预后等数据。
结果
共纳入58份记录。大多数病例涉及青少年（50%，n = 29）。最常见的虐待机制是身体暴力（36.21%，n = 21），其次是物体直接创伤（13.79%，n = 8）。41.38%的病例（n = 24）存在骨折，其中颅骨和面部骨折最为常见（33.33%，n = 7）。脑损伤是最常见的相关损伤（42.42%，n = 14）。大多数病例（77.59%，n = 45）出院，平均住院时间为9天。
结论
虐待在1岁以下幼儿和青少年（13 - 18岁）中普遍存在。已确定的损伤模式和虐待机制凸显了严格筛查和管理方案的必要性。持续培训和警惕对于有效预防和干预至关重要。
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