Home accident or physical abuse: Evaluation of younger children presenting with trauma, burn and poisoning in the Pediatric Emergency Department
Home accident or physical abuse: Evaluation of younger children presenting with trauma, burn and poisoning in the Pediatric Emergency Department
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DOI：
10.24953/turkjped.2018.06.002
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发表时间：
2018-11-01
影响因子：
0.7
通讯作者：
Kale, Gulsev
中科院分区：
文献类型：
--
作者：
Isiyel, Emel;Teksam, Ozlem;Kale, Gulsev
大多数身体虐待和忽视的案例都是指儿科急诊诊所，这些病人被诊断为仅仅是家庭事故。无法正确诊断和治疗的病例再次受到严重创伤，因此可能死亡。本研究的目的是评估身体虐待和忽视的儿童年龄小于3岁，承认与创伤，烧伤，药物中毒和/或腐蚀性摄入的投诉儿科急诊科。这项前瞻性研究纳入了132名儿科急诊科收治的患者。儿童被分为三组：“没有虐待”，“怀疑虐待”和“虐待”后，评估与标准的表格。此外，Hacettepe大学Ihsan Dogramaci儿童医院的“虐待儿童和儿童虐待评估、研究和治疗小组”再次评估了疑似虐待和虐待案件，发现在所有烧伤、创伤和中毒案件中，疑似虐待或虐待案件的发生率为7.5%。注意到，考虑到事件发生的机制，65例患者（49.2%）在身体上被忽视。计划外怀孕、缺乏产前随访、兄弟姐妹人数多、家庭中有过身体虐待、事件发生时没有目击者以及住院治疗是无虐待与怀疑虐待或虐待病例之间的统计学显著差异（p
Most cases of physical abuse and neglect refer to pediatric emergency clinics, and these patients are diagnosed as only home accidents. Cases that cannot be diagnosed and managed correctly are again exposed to severe trauma and consequently, they may die. The aim of this study is to evaluate the physical abuse and neglect in children younger than three years of age, admitted to the pediatric emergency department with the complaints of trauma, burn, drug poisoning and/or caustic ingestion. This prospective study included 132 patients who were admitted to the pediatric emergency department. Children were classified into three groups as "no abuse", "suspected abuse" and "abused" after being evaluated with a standard form. Additionally, suspected abuse and abused cases were evaluated once again by "The Team of Child Abuse and Neglect Evaluation, Research and Treatment" in Hacettepe University, Ihsan Dogramaci Children's Hospital.The frequency of the suspected abuse or abused cases in all burn, trauma and poisoning cases was found to be 7.5%. It was noticed that 65 of the patients (49.2%) were physically neglected considering the mechanism of occurrence of events. Unplanned pregnancy, absence of prenatal follow-up, high number of siblings, previous physical abuse in the family, absence of witness during the event, and hospitalization were statistically significant differences between no abuse and suspected abuse or abused cases (p