UNITED STATES EMERGENCY DEPARTMENT VISITS CODED FOR INTIMATE PARTNER VIOLENCE
UNITED STATES EMERGENCY DEPARTMENT VISITS CODED FOR INTIMATE PARTNER VIOLENCE
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DOI：
10.1016/j.jemermed.2014.07.053
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发表时间：
2015-01-01
影响因子：
1.5
通讯作者：
Davis, Stephen M.
中科院分区：
文献类型：
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作者：
Davidov, Danielle M.;Larrabee, Hollynn;Davis, Stephen M.
背景：关于亲密伴侣暴力受害者医疗的信息有限。目的：我们的目的是估计急诊科（艾德）就诊和随后住院的数量，这些就诊和住院被分配了IPV特定的代码，并描述这一人群的临床和社会人口学特征。方法：对2006-2009年全国急诊科抽样调查资料进行分析。提取了外部伤害原因代码为E967.3（配偶或伴侣殴打）的病例。结果：从2006年至2009年，有112，664人因伴侣或配偶殴打而访问美国ED。大多数患者为女性（93%），平均年龄为35岁。患者更有可能居住在中位收入最低的四分位数社区和美国南部。约5%的访视导致住院。治疗和出院访视的平均费用为1904.69美元，住院费用为27，068.00美元。常见的诊断包括浅表损伤和挫伤、颅骨/面部骨折和妊娠并发症。女性更可能经历浅表损伤和挫伤，男性更可能有头部，颈部，躯干和四肢的开放性伤口。结论：从2006年到2009年，每年约有28，000例艾德就诊，具有IPV特定的电子代码。虽然是少数，但其中7%的访问是由男性进行的，这在以前没有报告过。未来的前瞻性研究应确认这些访视的独特人口统计学和地理特征，以指导制定有针对性的筛查和干预策略，以减轻IPV并进一步描述男性IPV访视的特征。(C)2015 Elsevier Inc.
Background: Limited information exists about medical treatment for victims of intimate partner violence (IPV). Objective: Our aim was to estimate the number of emergency department (ED) visits and subsequent hospitalizations that were assigned a code specific to IPV and to describe the clinical and sociodemographic features of this population. Methods: Data from the Nationwide Emergency Department Sample from 2006-2009 were analyzed. Cases with an external cause of injury code of E967.3 (battering by spouse or partner) were abstracted. Results: From 2006-2009, there were 112,664 visits made to United States EDs with an e-code for battering by a partner or spouse. Most patients were female (93%) with a mean age of 35 years. Patients were significantly more likely to reside in communities with the lowest median income quartile and in the Southern United States. Approximately 5% of visits resulted in hospital admission. The mean charge for treat-and-release visits was $1904.69 and $27,068.00 for hospitalizations. Common diagnoses included superficial injuries and contusions, skull/face fractures, and complications of pregnancy. Females were more likely to experience superficial injuries and contusions, and males were more likely to have open wounds of the head, neck, trunk, and extremities. Conclusions: From 2006 to 2009, there were approximately 28,000 ED visits per year with an e-code specific to IPV. Although a minority, 7% of these visits were made by males, which has not been reported previously. Future prospective research should confirm the unique demographic and geographic features of these visits to guide development of targeted screening and intervention strategies to mitigate IPV and further characterize male IPV visits. (C) 2015 Elsevier Inc.