Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases

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dc.contributor.author Human, Rule
dc.contributor.author Geyser, M.M. (Mimi)
dc.date.accessioned 2020-05-22T10:21:52Z
dc.date.available 2020-05-22T10:21:52Z
dc.date.issued 2020-06
dc.description.abstract INTRODUCTION : Interpersonal violence cases make up a significant portion of the trauma cases seen in emergency centres in South Africa. Community assaults are extremely violent attacks on suspected perpetrators by members of the community aimed at inflicting serious injury. The aim of this study was to profile the major interpersonal violence cases at Kalafong Hospital with emphasis on the community assaults and how this group compares with non- community assaults regarding demographics, surgical intervention and mortality. METHODS : A retrospective analysis was conducted of the major interpersonal violence cases seen over a one-year period (1 January 2016 to 31 December 2016) at Kalafong Hospital, Pretoria, South Africa. Data was manually collected and entered into a Microsoft Excel spreadsheet. The Stata 13 statistical program was used for data analysis. RESULTS : During the study period, a total of 578 cases were analysed. Penetrating trauma accounted for 446 (77.2%) cases and blunt trauma for 132 (22.8%) cases. The number of community assault cases was 75 (12.9%). A total of 28 deaths were recorded during this period. Community assaults accounted for 13 (46.4%) of these deaths. Community assault cases had a significantly higher mortality compared to non-community assault cases with 17.3% versus 3%; Odds ratio 6.82 (95% CI 3.04–15.33, p < 0.001). The community assault group also showed a statistically significant difference in the intensive care admission rate with 15.3% compared to 6.9% in the interpersonal violence cases; Odds ratio 2.41 (CI 1.07–5.43, p = 0.028). CONCLUSION : Community assault cases may present with similar demographics when compared to non-community assault cases, but the difference in disposition and outcome was highlighted in this study with a higher intensive care unit admission rate and a higher mortality rate. A multi-centre follow-up study is recommended to compare demographics across Pretoria and to monitor trends in this subgroup of interpersonal violence cases. en_ZA
dc.description.department Family Medicine en_ZA
dc.description.librarian am2020 en_ZA
dc.description.uri http://www.afjem.com en_ZA
dc.identifier.citation Human, R. & Geyser, M. 2020, 'Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases', Journal of Emergency Medicine, vol. 10, no. 2, pp. 81-83, https://DOI.org/10.1016/j.afjem.2020.01.006. en_ZA
dc.identifier.issn 2211-419X (online)
dc.identifier.other 10.1016/j.afjem.2020.01.006
dc.identifier.uri http://hdl.handle.net/2263/74698
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2020 African Federation for Emergency Medicine. This is an open access article under the CC BY-NC-ND license. en_ZA
dc.subject Interpersonal violence en_ZA
dc.subject Community assaults en_ZA
dc.subject Trauma en_ZA
dc.subject South Africa (SA) en_ZA
dc.title Major interpersonal violence cases seen in a Pretoria academic hospital over a one-year period, with emphasis on community assault cases en_ZA
dc.type Article en_ZA


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