دورية أكاديمية
أعرض في EDS

Traumatic Injuries Due to Interpersonal and Domestic Violence in the United States.

التفاصيل البيبلوغرافية
العنوان: Traumatic Injuries Due to Interpersonal and Domestic Violence in the United States.
المؤلفون: Tennakoon L; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University, Stanford, California., Hakes NA; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University, Stanford, California., Knowlton LM; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University, Stanford, California. Electronic address: drlmk@stanford.edu., Spain DA; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University, Stanford, California.
المصدر: The Journal of surgical research [J Surg Res] 2020 Oct; Vol. 254, pp. 206-216. Date of Electronic Publication: 2020 May 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
مواضيع طبية MeSH: Emergency Service, Hospital/*statistics & numerical data , Intimate Partner Violence/*statistics & numerical data , Rape/*statistics & numerical data , Wounds and Injuries/*mortality, Adult ; Aged ; Aged, 80 and over ; Emergency Service, Hospital/economics ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Retrospective Studies ; United States/epidemiology ; Wounds and Injuries/economics
مستخلص: Background: Domestic and intimate partner violence (DV) are under-reported causes of injury. We describe the health care utilization of DV patients, hypothesizing they are at increased risk of mortality.
Methods: We queried the 2014 Nationwide Emergency Department Sample for adult patients (18 y and older) with a primary diagnosis of trauma. DV was abstracted using International Statistical Classification of Diseases, ninth Revision codes for partner or spouse intimate violence, abuse, or neglect. The primary outcome was mortality; secondary outcomes included admission rates and charges.
Results: Among 14 million trauma patients, 654,356 (5.0%) had a diagnosis of DV. Compared with other trauma patients, DV patients were younger (34.6 versus 46.8 y, P < 0.001), more often male (69.5% versus 50.1%, P < 0.001), and more likely to be uninsured (31.5% versus 15.6%, P < 0.001). 9154 (1.4%) were injured because of intimate partner violence, of which 90.2% were female. Drug and alcohol abuse (22.2%), anxiety (1.8%), and depression (1.3%) were high among all DV trauma patients. DV emergency department charges were higher ($4462 versus $2,871, P < 0.001). In adjusted analyses, DV trauma patients had 2.1 higher odds of mortality (aOR: 2.31, P < 0.001). DV trauma patients were also associated with a $1516 increase in emergency department charges compared with non-DV trauma patients (95% CI: $1489-$1,542, P < 0.001).
Conclusions: Injuries related to all types of DV are emerging as a public health crisis among both genders. To mitigate under-reporting, it is important to identify at-risk patients and provide them with appropriate resources.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Domestic violence; Injury prevention; Interpersonal violence; Intimate partner violence; Psychological abuse; Trauma
تواريخ الأحداث: Date Created: 20200530 Date Completed: 20201102 Latest Revision: 20201102
رمز التحديث: 20221213
DOI: 10.1016/j.jss.2020.03.062
PMID: 32470653
قاعدة البيانات: MEDLINE
الوصف
تدمد:1095-8673
DOI:10.1016/j.jss.2020.03.062