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Advisor(s)
Abstract(s)
Introdução: A violência interpessoal é um problema de saúde publica com considerável
impacto pessoal, social e económico. A estratificação do índice de choque e de mortalidade
destas vítimas no serviço de urgência, permite intervenções ajustadas com o intuito de aumentar
a sua sobrevida.
Objetivos: Determinar o índice de choque e de mortalidade em vítimas de violência
interpessoal assistidas no serviço de urgência e analisar a influencia das variáveis
sociodemográficas, antecedentes pessoais e variáveis de contexto no índice de choque e de
mortalidade.
Métodos: Estudo observacional, com coorte transversal e foco retrospetivo, numa amostra de
221 vítimas de violência interpessoal, admitidas no serviço de urgência de um centro hospitalar
da região centro de Portugal. Foram aplicadas as escalas Schok Índex (Mutschler, et al., 2013)
e a MGAP (Sartorius et al., 2010). O estudo teve parecer favorável da Comissão de Ética para
a Saúde da instituição.
Resultados: Prevaleceu a violência na comunidade em ambos os géneros (25.6%), o choque
ligeiro (60.7%) e o baixo índice de mortalidade (95.4%) foram os índices de gravidade mais
representativos. A idade tem influência no índice de choque e de mortalidade. A violência na
comunidade e o tempo de permanência no serviço de urgência têm influência no índice de
mortalidade. Quanto maior o índice de choque, maior o índice de mortalidade, apesar de sem
diferenças estatisticamente significativas.
Conclusão: O índice de choque ligeiro e o baixo índice de mortalidade foram os mais
representativos demonstrando uma elevada sobrevida das vítimas. O cálculo destes índices
garante a gestão adequada da assistência à pessoa vítima de violência interpessoal, permitindo
estabelecer intervenções diferenciadas reduzindo o risco de mortalidade. Vítimas mais jovens
apresentam maior risco de choque e de mortalidade. Vítimas de violência na comunidade e com
tempos de permanência inferior a 240 minutos apresentam maior índice de mortalidade. O
estudo demostrou a necessidade de sensibilizar os profissionais de saúde para a melhoria de
registos concisos e objetivos.
Palavras-chave: violência interpessoal; índice de choque; índice de mortalidade; urgência
Abstract Introduction: Interpersonal violence is a public health problem with considerable personal, social and economic impact. The stratification of the shock and mortality rates of these victims in the emergency department allows for tailored interventions with the aim of increasing their survival. Objectives: To determine the shock and mortality rate in victims of interpersonal violence assisted in the emergency department and to analyze the influence of sociodemographic variables, personal background and context variables on the shock and mortality rate. Methods: Observational study, with cross-sectional cohort and retrospective focus, in a sample of 221 victims of interpersonal violence, admitted to the emergency service of a hospital center in the central region of Portugal. The Schok Index (Mutschler, et al., 2013) and the MGAP (Sartorius et al., 2010) scales were applied. The study received a favorable opinion from the Ethics Committee for Health at the institution. Results: Community violence prevailed in both genders (25.6%), mild shock (60.7%) and low mortality rate (95.4%) were the most representative severity indices. Age has an influence on the shock and mortality rates. Violence in the community and length of stay in the emergency department have an influence on the mortality rate. The higher the shock index, the higher the mortality rate, although without statistically significant differences. Conclusion: The mild shock index and the low mortality rate were the most representative, demonstrating a high survival of the victims. The calculation of these indices guarantees the adequate management of the assistance to the person victim of interpersonal violence, allowing to establish differentiated interventions reducing the risk of mortality. Younger victims are at greater risk of shock and mortality. Victims of violence in the community and with lengths of stay of less than 240 minutes have a higher mortality rate. The study demonstrated the need to sensitize health professionals to the improvement of concise and objective records. Keywords: interpersonal violence; shock index; mortality rate; urgency
Abstract Introduction: Interpersonal violence is a public health problem with considerable personal, social and economic impact. The stratification of the shock and mortality rates of these victims in the emergency department allows for tailored interventions with the aim of increasing their survival. Objectives: To determine the shock and mortality rate in victims of interpersonal violence assisted in the emergency department and to analyze the influence of sociodemographic variables, personal background and context variables on the shock and mortality rate. Methods: Observational study, with cross-sectional cohort and retrospective focus, in a sample of 221 victims of interpersonal violence, admitted to the emergency service of a hospital center in the central region of Portugal. The Schok Index (Mutschler, et al., 2013) and the MGAP (Sartorius et al., 2010) scales were applied. The study received a favorable opinion from the Ethics Committee for Health at the institution. Results: Community violence prevailed in both genders (25.6%), mild shock (60.7%) and low mortality rate (95.4%) were the most representative severity indices. Age has an influence on the shock and mortality rates. Violence in the community and length of stay in the emergency department have an influence on the mortality rate. The higher the shock index, the higher the mortality rate, although without statistically significant differences. Conclusion: The mild shock index and the low mortality rate were the most representative, demonstrating a high survival of the victims. The calculation of these indices guarantees the adequate management of the assistance to the person victim of interpersonal violence, allowing to establish differentiated interventions reducing the risk of mortality. Younger victims are at greater risk of shock and mortality. Victims of violence in the community and with lengths of stay of less than 240 minutes have a higher mortality rate. The study demonstrated the need to sensitize health professionals to the improvement of concise and objective records. Keywords: interpersonal violence; shock index; mortality rate; urgency
Description
Keywords
Choque Mortalidade Serviço de urgência hospitalar Violência Violência doméstica Domestic violence Emergency service, hospital Mortality Shock Violence