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. 2024 Dec 27;39(4):293-301.
doi: 10.4274/MMJ.galenos.2024.61426.

Three-Year Assault Cases Performed on the Emergency Trauma Center

Melih Yucel Sanlier  1 , Behcet Al  1 , Volkan Celebi  2 , Gorkem Alper Solakoglu  1 , Eltaf Torun  1 , Kurtulus Aciksari  1 , Bilgehan Ahmet Cumhur  3 , Nafiye Sanlier  4
Affiliations

Three-Year Assault Cases Performed on the Emergency Trauma Center

Melih Yucel Sanlier et al. Medeni Med J. .

Abstract
in English, Turkish

Objective: This study aims to compare the results of cases with a history of assault presented to our emergency department over a period of three years with literature data and to share our experiences with colleagues.

Methods: Demographic characteristics, trauma findings, clinical conditions, surgical interventions, mortality, and outcomes of patients with a history of assault to the emergency department between 2020 and 2022 were retrospectively examined. The results were analyzed using the Number Cruncher Statistical System 2007 Statistical Software package program (Utah, USA).

Results: A total of 2900 patients, including 1850 males (63.79%) and 1050 females (36.21%), with an average age of 35.53±12.46 years, were included in the study. Most admissions (31.28%) occurred during the summer months and outside working hours. Males inflicted all injuries. The most common injuries occurred in the head-neck region (63.31%) and upper extremities (47.97%) in both sexes. Facial injuries were significantly more common in males (p=<0.05), whereas spinal and pelvic injuries were common in females (p<0.05). Tenderness, edema, hematoma, abrasion, ecchymosis, and soft tissue laceration were the most frequently observed findings. Female patients were more likely to be discharged home (p=0.0001), whereas male patients had a higher hospitalization rate (p=0.0001). Life-threatening ailments were discovered in 23 patients (0.79%). Surgical intervention was performed in 50 patients (1.72%). No patient experienced fatal outcomes.

Conclusions: All assaults were committed by males. Males are more frequently and severely assaulted than females. The victims were mainly from young people, and assaults predominantly occurred during the summer months and outside working hours. Head-neck and extremity injuries were the most common. There were no fatal outcomes. Nine of the 10 patients were discharged to home from the emergency department.

Amaç: Bu çalışmanın amacı acil servisimize üç yıllık süre içinde başvuran darp öyküsü olan olguların sonuçlarını literatür verileri ile karşılaştırmak ve deneyimlerimizi meslektaşlarımızla paylaşmaktır.

Yöntemler: 2020-2022 yılları arasında 3. basamak bir hastane acil servisine saldırı öyküsü ile başvuran olguların demografik özellikleri, travma bulguları, klinik durumları, cerrahi müdahaleleri, mortaliteleri ve hasta sonuçları retrospektif olarak incelendi. Sonuçlar Number Cruncher Statistical System 2007 Statistical Software paket programı (Utah, ABD) kullanılarak analiz edilmiştir.

Bulgular: Yaş ortalaması 35,53±12,46 yıl olan 1850 erkek (%63,79) ve 1050 kadın (%36,21) olmak üzere toplam 2900 hasta çalışmaya dahil edildi. Başvuruların çoğunluğu (%31,28) yaz aylarında ve çalışma saatleri dışında gerçekleşmiştir. Tüm yaralanmalar erkekler tarafından gerçekleştirilmiştir. Her iki cinsiyette de en sık yaralanmalar baş-boyun bölgesinde (%63,31) ve üst ekstremitelerde (%47,97) meydana gelmiştir. Yüz yaralanmaları erkek hastalarda istatistiksel olarak daha sık görülürken (p=<0,05), omurga ve pelvis yaralanmaları kadın hastalarda daha sıktı (p<0,05). Hassasiyet, ödem, hematom, abrazyon, ekimoz ve yumuşak doku laserasyonu en sık gözlenen bulgulardı. Kadın hastaların eve taburcu edilme olasılığı daha yüksekken (p=0,0001), erkek hastaların hastaneye yatış oranı daha yüksekti (p=0,0001). Hayati tehlike 23 hastada (%0,79) tespit edildi ve 50 hastaya (%1,72) cerrahi müdahale uygulandı. Hiçbir hastada ölümcül sonuç görülmedi.

Sonuçlar: Çalışmamız, tüm saldırı olgularının erkekler tarafından gerçekleştirildiğini ve erkeklerin kadınlara kıyasla daha sık ve ağır saldırıya uğradığını ortaya koymuştur. Mağdurlar çoğunlukla genç yaş grubundandır ve saldırılar ağırlıklı olarak yaz aylarında ve mesai saatleri dışında gerçekleşmiştir. Saldırılarda en sık baş-boyun ve ekstremite yaralanmaları görülmüş, ölümle sonuçlanan olgu olmamış ve on hastadan dokuzu acil servisten eve taburcu edilmiştir.

Keywords: Assault; age; education; emergency; sex.

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Conflict of interest statement

Conflict of Interest: The authors have no conflict of interest to declare.

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