Abstract
Background Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. Methods We conducted a descriptive, retrospective chart review to identify all pregnant trauma patients between Jan 1993 and Sept 2013. Pediatric was ≤18 years of age. We evaluated demographics, mechanism of injury, injury location, disposition, and outcome data. Results We treated 438 pregnant patients at our center over 20 years. 378 (86%) were adult and 60 (14%) were pediatric. Intentional injuries occurred in 89 (20%) patients. The pediatric pregnant patients experienced a significantly higher proportion of intentional, interpersonal violence (33% vs. 18%, p = 0.007) compared to adults. Patients presenting after intentional, interpersonal violence had a higher mortality compared to non-intentional 5% vs 1% (p = 0.019). Conclusions Pediatric pregnant trauma patients remain at risk of interpersonal violence, especially firearm-related injury. Screening should be instituted by obstetricians and pediatricians for primary prevention.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 596-598 |
| Number of pages | 3 |
| Journal | American Journal of Surgery |
| Volume | 214 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 2017 |
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Keywords
- Firearms
- Intentional
- Interpersonal violence
- Pediatric
- Pregnant
ASJC Scopus subject areas
- Surgery
Cite this
A 20-year review of pediatric pregnant trauma from a Level I trauma center. / Zakrison, Tanya; Ruiz, Xiomara; Namias, Nicholas; Crandall, Marie.
In: American Journal of Surgery, Vol. 214, No. 4, 01.10.2017, p. 596-598.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A 20-year review of pediatric pregnant trauma from a Level I trauma center
AU - Zakrison, Tanya
AU - Ruiz, Xiomara
AU - Namias, Nicholas
AU - Crandall, Marie
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Background Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. Methods We conducted a descriptive, retrospective chart review to identify all pregnant trauma patients between Jan 1993 and Sept 2013. Pediatric was ≤18 years of age. We evaluated demographics, mechanism of injury, injury location, disposition, and outcome data. Results We treated 438 pregnant patients at our center over 20 years. 378 (86%) were adult and 60 (14%) were pediatric. Intentional injuries occurred in 89 (20%) patients. The pediatric pregnant patients experienced a significantly higher proportion of intentional, interpersonal violence (33% vs. 18%, p = 0.007) compared to adults. Patients presenting after intentional, interpersonal violence had a higher mortality compared to non-intentional 5% vs 1% (p = 0.019). Conclusions Pediatric pregnant trauma patients remain at risk of interpersonal violence, especially firearm-related injury. Screening should be instituted by obstetricians and pediatricians for primary prevention.
AB - Background Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. Methods We conducted a descriptive, retrospective chart review to identify all pregnant trauma patients between Jan 1993 and Sept 2013. Pediatric was ≤18 years of age. We evaluated demographics, mechanism of injury, injury location, disposition, and outcome data. Results We treated 438 pregnant patients at our center over 20 years. 378 (86%) were adult and 60 (14%) were pediatric. Intentional injuries occurred in 89 (20%) patients. The pediatric pregnant patients experienced a significantly higher proportion of intentional, interpersonal violence (33% vs. 18%, p = 0.007) compared to adults. Patients presenting after intentional, interpersonal violence had a higher mortality compared to non-intentional 5% vs 1% (p = 0.019). Conclusions Pediatric pregnant trauma patients remain at risk of interpersonal violence, especially firearm-related injury. Screening should be instituted by obstetricians and pediatricians for primary prevention.
KW - Firearms
KW - Intentional
KW - Interpersonal violence
KW - Pediatric
KW - Pregnant
UR - http://www.scopus.com/inward/record.url?scp=85024089280&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85024089280&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2017.07.003
DO - 10.1016/j.amjsurg.2017.07.003
M3 - Article
C2 - 28724500
AN - SCOPUS:85024089280
VL - 214
SP - 596
EP - 598
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -