Describing Nonfatal Intimate Partner Strangulation Presentation and Evaluation in a Community-Based Hospital: Partnerships Between the Emergency Department and In-House Advocates.
Describing Nonfatal Intimate Partner Strangulation Presentation and Evaluation in a Community-Based Hospital: Partnerships Between the Emergency Department and In-House Advocates.
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DOI：
10.1097/htr.0000000000000742
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发表时间：
2022-01-01
期刊：
影响因子：
--
通讯作者：
Patch M
中科院分区：
文献类型：
--
作者：
Bergin A;Blumenfeld E;Anderson JC;Campbell JC;Patch M
描述2008至2016年间因非致命性亲密伴侣勒死(NF-IPS)而向社区ED和相关IPV倡导计划提供护理的女性的勒死特征、相关医疗护理、文件和伤害。对345例女性ED患者的病历进行了回顾，她们在一次包括亲密伴侣勒死在内的身体攻击后到社区医院急诊就诊。人口统计学，与报告的体征和症状相关的特征，损伤，以及随后的成像，诊断和出院信息被提取。常见的症状是颈部疼痛(67.2%)和头痛(45.8%)，很少有患者报告更严重的症状，如意识丧失(22.6%)、吞咽困难(25.0%)或发音困难(26.7%)。2008年至2014年间，患者向整个多学科团队和专门的颈部成像披露勒死的比率似乎有所改善。在45例有明显头颈部表现的患者中，两名患者被发现有颈内动脉夹层，两名患者被发现有中风，一名患者被发现有颅内出血。核因子-IPS的幸存者可以提交给社区医院，现有的成像指南可以支持临床医生识别严重的内伤，如颈动脉夹层和中风。需要进一步的研究来更好地辨别之前被归因于勒死后脑损伤的心理创伤的症状。这项研究为不断增长的关于NF-IPS的文献做出了贡献，提供了基于社区的ED访问的具体数据。
To describe characteristics of strangulation, and associated medical care, documentation, and injuries of women after non-fatal intimate partner strangulation (NF-IPS) who present for care to a community-based ED with an associated IPV advocacy program between 2008 and 2016. A retrospective review of 345 female ED patients’ medical records who sought care at a community hospital ED following a physical assault including strangulation by an intimate partner was conducted. Demographics, characteristics related to reported signs and symptoms, injuries, and subsequent imaging, diagnoses and discharge information were abstracted. Commonly reported symptoms were neck pain (67.2%) and headache (45.8%), with fewer patients reporting more severe symptoms such as loss of consciousness (22.6%), dysphagia (25.0%), or dysphonia (26.7%). Rates of patients disclosing strangulation to the entire multidisciplinary team and dedicated neck imaging appeared to improve between 2008 and 2014. Among the 45 patients with noted head and neck findings, two patients were found to have an internal carotid artery dissection, two patients were found to have strokes, and one patient was found to have an intracranial hemorrhage. Survivors of NF-IPS may present to community-based hospitals, and existing imaging guidelines can support clinicians in identifying serious internal injury like carotid artery dissection and stroke. Further research is needed to better discern symptoms previously attributed to psychological trauma from post-strangulation brain injury. This study contributes to the growing literature on NF-IPS with data specific to community-based ED visits.
影响因子：
2.5
作者：
McKee GB;Gill-Hopple K;Oesterle DW;Daigle LE;Gilmore AK
通讯作者：
Gilmore AK