EPIDEMIOLOGICAL PROFILE OF INJURIES IN PATIENTS WITH HIGH DIAGNOSTIC SUSPICION OF ABUSE.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253304e290194

Isaias Silva Ribeiro de Souza, Victor Peyneau Poncio, Matheus Giovanni Medina Molina, Georges Akira Shigekiyo Perera, Luiz Fernando Cocco, Eiffel Tsuyoshi Dobashi

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引用次数: 0

Abstract

Objective: This study aimed to analyze the epidemiological profile of child abuse cases treated at Hospital Geral de Pirajussara, São Paulo, and to understand the characteristics of associated injuries.

Methods: A retrospective cross-sectional study was conducted by reviewing medical records of patients suspected of abuse, aged 18 years or younger, from January 2012 to December 2022. Data on sex, age, trauma mechanism, presence of fractures, and outcomes were analyzed.

Results: A total of 58 records were included. Most cases involved adolescents (50%, n=29). The most common abuse mechanism was physical force (36.21%, n=21), followed by direct trauma by object (13.79%, n=8). Fractures were present in 41.38% of cases (n=24), with skull and facial fractures being the most frequent (33.33%, n=7). Brain injuries were the most common associated injuries (42.42%, n=14). Most cases (77.59%, n=45) were discharged with an average hospital stay of 9 days.

Conclusions: Abuse is prevalent among young children under 1 year and adolescents (13-18 years). Identified patterns of injuries and abuse mechanisms highlight the need for stringent screening and management protocols. Continuous training and vigilance are crucial for effective prevention and intervention. Level of Evidence III; Cross-Sectional Retrospective Study.

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高诊断怀疑虐待患者损伤的流行病学概况。

目的：分析圣保罗总医院de Pirajussara收治的虐待儿童病例的流行病学特征，了解相关损伤的特点。方法：对2012年1月至2022年12月期间18岁及以下疑似虐待患者的病历进行回顾性横断面研究。对性别、年龄、创伤机制、骨折存在情况和结果进行分析。结果：共纳入58例。大多数病例涉及青少年（50%,n=29）。最常见的虐待机制是肢体暴力（36.21%,n=21），其次是直接物性创伤（13.79%,n=8）。骨折发生率为41.38% (n=24)，其中颅骨和面部骨折发生率最高（33.33%,n=7）。脑损伤是最常见的伴发损伤（42.42%,n=14）。大多数病例（77.59%,n=45）出院，平均住院时间为9天。结论：虐待在1岁以下幼儿和青少年（13-18岁）中普遍存在。已查明的伤害模式和虐待机制突出了严格筛选和管理规程的必要性。持续的培训和警惕对于有效的预防和干预至关重要。证据等级III；横断面回顾性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.