对妇女的暴力行为是一个全球性的公共卫生问题。疾病预防控制中心的数据显示,41%的美国女性经历过亲密伴侣暴力。与烧伤有关的暴力侵害妇女行为是一种极其对抗的身体暴力形式。这项研究的目的是描述频率,人口统计,与遭受意外烧伤的妇女相比,在美国烧伤中心接受烧伤暴力的妇女的创伤特征和结局。从ABABurnQualityCarePlatform注册表查询了2008-2018年女性和≥18岁患者的数据。包括遭受袭击或意外烧伤的妇女。经历过自我伤害的妇女被排除在外。描述性/简单比较统计学用于描述/比较组。54,523名妇女符合研究纳入标准。956(2%)经历了烧伤暴力。经历过烧伤暴力的女性年龄中位数较年轻(36[27,48]vs47[32,61],p<0.0001),是黑人/非裔美国人(44.5%vs.22.4%,p<0.0001),由医疗补助覆盖(38.8%对21.6%,p<0.0001),TBSA范围的中位数[IQR]%(6.0%[3,15.2]与3.0%[1,7.3],p<0.0001),三度烧伤的比例更高(35.4%vs.28.9%,p<0.0001),TBSA>20%的比例更高(18.2%与6.7%,p<0.0001)。烫伤/火焰损伤是最常见的损伤机制。经历过暴力的女性住院时间中位数[IQR]较高(7.0[2,18]vs.4.0[1,11]天,p<0.0001),ICU住院(8.5[2,27]vs.4[2,13]天,p<0.0001),和死亡率(5.7%vs4.3%,p<0.04)。遭受烧伤暴力的妇女的频率似乎很小,但结果却更糟。临床医生应该意识到这些人口统计学/临床特征,以便为这些脆弱人群提供最佳护理。
Violence against women is a global public health problem. CDC data shows 41% of US women have experienced intimate partner violence. Burn-related violence against women is an extremely confronting form of physical violence. The aim of this study was to describe the frequency, demographics, injury characteristics and outcomes of women admitted to US burn centers who have experienced burn violence compared to those with accidental burn injuries. 2008-2018 data was queried from the ABA Burn Quality Care Platform registry for patients that were women and ≥18 years old. Women who experienced an assault or accidental burn injury were included. Women who experienced self-harm were excluded. Descriptive/simple comparative statistics were used to describe/compare groups. 54,523 women met study inclusion criteria. 956 (2%) experienced burn violence. Women who experienced burn violence had a younger median [IQR] age (36 [27,48] vs 47 [32,61],p<0.0001), were Black/African American (44.5% vs. 22.4%,p< 0.0001), were covered by Medicaid (38.8% vs. 21.6%,p< 0.0001), had a higher median [IQR] %TBSA extent (6.0% [3,15.2] vs. 3.0% [1,7.3],p< 0.0001), a higher proportion with 3rd degree burns (35.4% vs. 28.9%,p<0.0001), and a higher proportion with TBSA >20% (18.2% vs. 6.7%,p<0.0001). Scald/flame injuries were the most frequent mechanism of injury. Women who experienced violence had a higher median [IQR] length of hospital stay (7.0 [2,18] vs. 4.0 [1,11] days, p< 0.0001), ICU stay (8.5 [2,27] vs. 4 [2,13] days,p< 0.0001), and mortality rate (5.7% vs 4.3%,p<0.04). The frequency of women who sustained burn violence appears small yet experience worse outcomes. Clinicians should be aware of these demographic/clinical characteristics to provide optimal care to this vulnerable population.