Maxillofacial injuries associated with domestic violence: experience at a major trauma centre
Maxillofacial injuries associated with domestic violence: experience at a major trauma centre
复制标题
DOI：
10.1016/j.bjoms.2019.11.009
复制
发表时间：
2020-02-01
影响因子：
1.8
通讯作者：
Fan, K.
中科院分区：
文献类型：
--
作者：
Boyes, H.;Fan, K.
家庭暴力仍然是一个全球性的公共卫生问题，在这些情况下，面部受伤是常见的，据报道发病率高达94%。我们的目的是确定家庭暴力造成的面部损伤的患者，并了解口腔颌面外科（OMFS）团队的成员在评估他们时有多自信。在这项为期18个月的回顾性研究中，我们确定了18名在国王学院医院就诊的患者，并从他们的电子记录中获得了性别、年龄、颌面部损伤性质、损伤机制、就诊时间和据称攻击者的详细信息。大多数患者为女性，平均（范围）年龄为28（16-44）岁。在10起案件中，被指控的袭击者是患者的现任伴侣。共有15名患者在受伤当天就诊，第二天只有3名。打孔是最常见的机制（n = 13），其次是使用武器。我们还在OMFS团队中分发了一份调查问卷，以了解他们对家庭暴力筛查的态度。大多数OMFS临床医生在识别和询问家庭暴力方面只是“有点自信”，很少有人“非常”或“非常自信”。对OMFS团队的一线工作人员进行有针对性的培训可能会增加他们识别和管理这些患者的信心，并适当地将他们转介。(C)2019由Elsevier Ltd代表英国口腔颌面外科医生协会发布。
Domestic violence continues to be a global public health issue, and facial injuries in these cases are common with a reported incidence of up to 94%. Our aims were to identify patients with facial injuries caused by domestic violence, and to find out how confident members of the oral and maxillofacial surgical (OMFS) team were at assessing them. In this 18-month retrospective study of patients seen at King's College Hospital we identified 18 and obtained details on sex, age, nature of maxillofacial injury, mechanism of injury, time to presentation, and alleged assailant, from their electronic records. Most of the patients were female and the mean (range) age was 28 (16-44) years. In 10 cases, the alleged assailant was the patient's current partner. A total of 15 patients presented on the same day as their injury, and only 3 the following day. Punching was the most common mechanism (n = 13) followed by use of a weapon. We also circulated a questionnaire among the OMFS team to gain an insight into their attitudes regarding screening for domestic violence. Most OMFS clinicians were only "somewhat confident" at recognising and asking about domestic violence, and few were "very" or "extremely confident". Targeted training for frontline staff in OMFS teams is likely to increase their confidence to identify and manage these patients, and to refer them appropriately. (C) 2019 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.