PDF(Pubmed)
Abstract：
Intimate partner violence (IPV) affects 1 in 4 American women, and physical child abuse is reported to occur in 10-67 % of homes with IPV. Routine evaluation of physical abuse in IPV-exposed children is neither widespread nor informed by clinical guidelines. Thus, the true frequency of detectable injuries in IPV-exposed children remains unknown. The purpose of this study was to examine the frequency of injuries in children <3-years-old reported for IPV to a regional child protective services (CPS) office.
In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019-June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (\"non-acute\" evaluation) or 2) a child presented immediately after an IPV incident (\"acute\" evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7-9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an \"acute\" evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.
In this prospective observational study, we reviewed encounters of children whose caregivers agreed to an evaluation for injuries (physical exam and imaging, if indicated) from July 2019-June 2022. Children were included if: 1) a CPS investigator referred a child for evaluation for injuries (\"non-acute\" evaluation) or 2) a child presented immediately after an IPV incident (\"acute\" evaluation).
Of 326 children <3-years-old reported to the CPS office after IPV exposure, 90 (27.6 %) were evaluated: 81(90 %) presented for a non-acute evaluation, and 21(23 %) were reported to have sustained trauma during the IPV event. Of the 90 children evaluated, 3 (3.3 %, 95 % CI 0.7-9.4) were found to have cutaneous injuries, fractures, and/or intracranial findings. Each was <6-months old and had an \"acute\" evaluation.
In this study of children reported to CPS for IPV exposure, a small percentage was found to have injuries. A multi-center study that examines the frequency of and factors that increase the risk of abusive injuries in IPV-exposed children may ensure that testing targets children at highest risk.
摘要：
目标：亲密伴侣暴力（IPV）影响四分之一的美国女性，据报道，10-67%的IPV家庭发生身体虐待儿童。对IPV暴露儿童的身体虐待的常规评估既不广泛，也不被临床指南所告知。因此，IPV暴露儿童中可检测到的损伤的真实频率仍然未知.这项研究的目的是检查向区域儿童保护服务（CPS）办公室报告的IPV<3岁儿童受伤的频率。
方法：在这项前瞻性观察研究中，我们回顾了照顾者同意评估伤害的儿童的遭遇(体检和成像，如果注明）从2019年7月至2022年6月。包括以下情况下的儿童：1）CPS研究者转介儿童进行损伤评估（“非急性”评估）或2）IPV事件后立即出现的儿童（“急性”评估）。
结果：在IPV暴露后向CPS办公室报告的326名3岁以下儿童中，90（27.6%）进行了评估：81（90%）进行了非急性评估，据报道,21例(23%)在IPV事件期间有持续创伤.在接受评估的90名儿童中，3（3.3%，95%CI0.7-9.4)被发现有皮肤损伤，骨折,和/或颅内发现。每个年龄均<6个月，并进行了“急性”评估。
结论：在这项向CPS报告IPV暴露的儿童研究中，一小部分人受伤。一项多中心研究检查了IPV暴露儿童遭受虐待伤害的频率和因素，可以确保测试针对风险最高的儿童。
方法：在这项前瞻性观察研究中，我们回顾了照顾者同意评估伤害的儿童的遭遇(体检和成像，如果注明）从2019年7月至2022年6月。包括以下情况下的儿童：1）CPS研究者转介儿童进行损伤评估（“非急性”评估）或2）IPV事件后立即出现的儿童（“急性”评估）。
结果：在IPV暴露后向CPS办公室报告的326名3岁以下儿童中，90（27.6%）进行了评估：81（90%）进行了非急性评估，据报道,21例(23%)在IPV事件期间有持续创伤.在接受评估的90名儿童中，3（3.3%，95%CI0.7-9.4)被发现有皮肤损伤，骨折,和/或颅内发现。每个年龄均<6个月，并进行了“急性”评估。
结论：在这项向CPS报告IPV暴露的儿童研究中，一小部分人受伤。一项多中心研究检查了IPV暴露儿童遭受虐待伤害的频率和因素，可以确保测试针对风险最高的儿童。
