Pediatric injury resulting from family violence.
Pediatric injury resulting from family violence.
复制标题
家庭暴力造成的儿童伤害。
DOI：
10.1542/peds.99.2.e8
复制
发表时间：
1997
期刊：
影响因子：
8
通讯作者：
Jennifer Pinto
中科院分区：
文献类型：
--
作者：
Cindy W. Christian;P. Scribano;Toni Seidl;Jennifer Pinto
目标
生活在暴力家庭中的儿童面临情感和身体伤害的风险。尽管最近的研究探讨了目睹家庭暴力的情感影响，但没有研究探讨目睹家庭暴力的儿童因无意中受到的身体伤害。本研究的目的是描述家庭暴力造成的儿科伤害的原因、类型和模式。
方法
我们回顾了 139 名因家庭暴力而到急诊室就诊的儿童的医疗记录，了解人口统计信息、受伤机制、受伤类型、部位和严重程度、治疗和处置。
结果
家庭暴力中受伤的儿童年龄从 2 周岁到 17 岁不等。尽管所确定儿童的平均年龄为 5 岁，但 48% 的儿童年龄小于 2 岁。尽管参与打斗的最常见二人是母亲和父亲（占案件的 57%），但近三分之一的案件涉及大家庭成员和无关的成年人。最常见的伤害机制是直接撞击（36%）。在2岁以下的受伤儿童中，59%是在父母抱着时受伤的。百分之三十九的儿童在试图干预打斗时受伤。大多数受伤部位为头部（25%）、面部（19%）和眼睛（18%）。年幼的儿童比年长的儿童遭受更多的头部和面部伤害，而年长的儿童遭受的四肢创伤更是不成比例。 43% 的患者需要医疗干预，其中 9% 需要入院，2% 需要手术或重症监护干预。在 91% 的急诊科出院儿童中，73% 返回家中，27% 前往替代之家。
结论
儿童因家庭暴力而遭受多种身体伤害。由于大多数伤害都是轻微的，对所有儿科伤害的原因进行具体调查可能有助于进一步识别生活在家庭暴力中的儿童。
OBJECTIVE
Children who live in violent households are at risk for emotional and physical injury. Although recent research has addressed the emotional impact of witnessing family violence, no study has addressed the inadvertent physical injuries that result to children who witness family violence. The objective of this study was to describe the causes, types, and patterns of pediatric injuries resulting from family violence.
METHODS
We reviewed the medical records of 139 children who presented to the emergency department with injuries resulting from domestic violence for demographic information, mechanism of injury, type, location, and severity of injury, treatment, and disposition.
RESULTS
Children who were injured during domestic violence ranged in age from 2 weeks to 17 years. Although the mean age of the children identified was 5 years, 48% of the children were younger than 2 years. Although the most common dyad involved in the fight was the mother and father (57% of cases), extended family members and nonrelated adults were involved in almost one third of the cases. The most common mechanism of injury was a direct hit (36%). Of the injured children who were younger than 2 years, 59% were injured while being held by parents. Thirty-nine percent of the children were injured during attempts to intervene in fights. The majority of injuries were to the head (25%), face (19%), and eyes (18%). Young children sustained more head and facial injuries than older children, who had disproportionately more extremity trauma. Medical intervention was indicated in 43% of patients, of which 9% required hospital admission and 2% required surgical or intensive care intervention. Of the 91% of children discharged from the emergency department, 73% returned home, and 27% went to alternative homes.
CONCLUSIONS
Children sustain a wide range of physical injuries from family violence. Because the majority of injuries are minor, specific inquiry into the causes of all pediatric injuries may help further identify children living among family violence.