Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases
Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases
复制标题
DOI：
10.1016/j.afjem.2020.01.006
复制
发表时间：
2020-06-01
影响因子：
1.3
通讯作者：
Geyser, Mimi
中科院分区：
文献类型：
--
作者：
Human, Rule;Geyser, Mimi
简介：人际暴力案件占南非急救中心创伤案件的很大一部分。社区袭击是指社区成员对犯罪嫌疑人进行极其暴力的袭击，旨在造成严重伤害。本研究的目的是概述卡拉丰医院的主要人际暴力案件，重点关注社区攻击，以及该群体如何与非社区攻击在人口统计、手术干预和死亡率方面进行比较。方法：对南非比勒陀利亚卡拉丰医院一年内（2016年1月1日至2016年12月31日）发生的主要人际暴力案件进行回顾性分析。数据是手动收集的并输入到 Microsoft Excel 电子表格中。采用Stata 13统计程序进行数据分析。结果：研究期间共分析578例病例。穿透伤446例（77.2%），钝挫伤132例（22.8%）。社区殴打案件75起（12.9%）。在此期间，共有28人死亡。其中 13 例（46.4%）是社区袭击造成的。与非社区袭击案件相比，社区袭击案件的死亡率显着较高，分别为 17.3% 和 3%；比值比 6.82（95% CI 3.04-15.33，p < 0.001）。社区攻击组的重症监护入院率也显示出统计学上的显着差异，为 15.3%，而人际暴力案件的入院率为 6.9%；比值比 2.41（CI 1.07-5.43，p = 0.028）。结论：与非社区袭击案件相比，社区袭击案件可能具有相似的人口统计特征，但本研究强调了处置和结果的差异，其中重症监护病房入院率较高，死亡率较高。建议进行一项多中心后续研究，以比较比勒陀利亚的人口统计数据，并监测这一人际暴力案件亚组的趋势。
Introduction: Interpersonal violence cases make up a significant portion of the trauma cases seen in emergency centres in South Africa. Community assaults are extremely violent attacks on suspected perpetrators by members of the community aimed at inflicting serious injury. The aim of this study was to profile the major interpersonal violence cases at Kalafong Hospital with emphasis on the community assaults and how this group compares with non- community assaults regarding demographics, surgical intervention and mortality.Methods: A retrospective analysis was conducted of the major interpersonal violence cases seen over a one-year period (1 January 2016 to 31 December 2016) at Kalafong Hospital, Pretoria, South Africa. Data was manually collected and entered into a Microsoft Excel spreadsheet. The Stata 13 statistical program was used for data analysis.Results: During the study period, a total of 578 cases were analysed. Penetrating trauma accounted for 446 (77.2%) cases and blunt trauma for 132 (22.8%) cases. The number of community assault cases was 75 (12.9%). A total of 28 deaths were recorded during this period. Community assaults accounted for 13 (46.4%) of these deaths. Community assault cases had a significantly higher mortality compared to non-community assault cases with 17.3% versus 3%; Odds ratio 6.82 (95% CI 3.04-15.33, p < 0.001). The community assault group also showed a statistically significant difference in the intensive care admission rate with 15.3% compared to 6.9% in the interpersonal violence cases; Odds ratio 2.41 (CI 1.07-5.43, p = 0.028).Conclusion: Community assault cases may present with similar demographics when compared to non-community assault cases, but the difference in disposition and outcome was highlighted in this study with a higher intensive care unit admission rate and a higher mortality rate. A multi-centre follow-up study is recommended to compare demographics across Pretoria and to monitor trends in this subgroup of interpersonal violence cases.