Characteristics of Family Violence Victims Presenting to Emergency Departments in Hong Kong

Chan, Ko Ling; Choi, Anna; Fong, Daniel Yee Tak; Chow, Chun Bong; Leung, Ming; Ip, Patrick

doi:10.1016/j.jemermed.2012.01.061

Cited by 29 publications

(27 citation statements)

References 38 publications

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“…The service is available to all Hong Kong residents (.7 million). CDARS has been used previously for various epidemiologic studies, including MPH-prescribing trends in Hong Kong 9,29,30 and trauma-related ED admissions, [31][32][33] and has proved to be a reliable database for research. Patient-specific data, which are recorded by trained clinicians, typically include basic demographic information, payment method, prescription information, pharmacy dispensing information, diagnosis, and admission and discharge information.…”

Section: Methods the Clinical Data Analysis And Reporting Systemmentioning

confidence: 99%

“…It is standard operating procedure for ED physicians in the Hong Kong Hospital Authority to classify ED admission as "trauma" or "non-trauma." Although previous studies on trauma-related ED admissions have demonstrated the reliability and validity of these records, [31][32][33] detailed diagnostic codes for trauma are not available. As a result, we were unable to identify the actual type of trauma (eg, head trauma, hip trauma).…”

Section: Figurementioning

confidence: 99%

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Methylphenidate and the Risk of Trauma

et al. 2015

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BACKGROUND AND OBJECTIVE: Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are prone to sustaining trauma that requires emergency department (ED) admission. Methylphenidate (MPH) can reduce ADHD symptoms and may thus theoretically reduce the risk of trauma-related ED admission, but previous studies do not make this association clear. This study examines this association.METHODS: A total of 17 381 patients aged 6 to 19 years who received MPH prescriptions were identified by using the Clinical Data Analysis & Reporting System (2001. Using a self-controlled case series study design, the relative incidence of trauma-related ED admissions was compared with periods of patient exposure and nonexposure to MPH. RESULTS:Among 17 381 patients prescribed MPH, 4934 had at least 1 trauma-related ED admission. The rate of trauma-related ED admission was lower during exposed periods compared with nonexposed periods (incidence rate ratio [IRR]: 0.91 [95% confidence interval (CI): 0.86-0.97]). The findings were similar only when the incident trauma episode was assessed (IRR: 0.89 [95% CI: 0.82-0.96]). A similar protective association was found in both genders. In validation analysis using nontrauma-related ED admissions as a negative control outcome, no statistically significant association was found (IRR: 0.99 [95% CI: 0.95-1.02]). All sensitivity analyses demonstrated consistent results.CONCLUSIONS: This study supports the hypothesis that MPH is associated with a reduced risk of traumarelated ED admission in children and adolescents. A similar protective association was found in both male and female patients. This protective association should be considered in clinical practice.WHAT'S KNOWN ON THIS SUBJECT: Children and adolescents with attention-deficit/hyperactivity disorder are prone to sustaining trauma that requires emergency department (ED) admission. Methylphenidate can reduce attention-deficit/ hyperactivity disorder symptoms and thus theoretically may reduce the risk of traumarelated ED admission, but previous studies did not provide a clear association. WHAT THIS STUDY ADDS:For patients treated with methylphenidate, on-medication periods were associated with lower rates of traumarelated ED admission compared with offmedication periods. A similar protective association was found in both genders. Potential treatment benefit was greater for age $16 years. Mr Man had the original idea for the study, contributed to the development of the study, extracted data from the source database, constructed the study design and the statistical model, reviewed the literature, undertook the primary analysis, contributed to the interpretation of the analysis, and wrote the first draft of the manuscript; Dr Chan had the original idea for the study, contributed to the development of the study and the interpretation of the analysis, wrote the first draft of the manuscript, and provided oversight for all aspects of the project; Drs Coghill, Ip, Leung, and Tsui contributed to the interpretation of the...

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Section: Methods the Clinical Data Analysis And Reporting Systemmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Methylphenidate and the Risk of Trauma

et al. 2015

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“…Aile içi şiddetin en korunmasız olgu grubu çocuklardır [23]. İstismar şüphesi bulunan çocuk ölümü olgularında, olayın orijininin belirlenmesi için yapılacak olay yeri incelemesi, ölü muayenesi, otopsi ve adli tahkikatın her biri ayrı ayrı önem taşır.…”

Section: Discussionunclassified

Two Physical Child Abuse Cases with Lethal Outcome [Olumle Sonuclanan Iki Fiziksel Cocuk Istismari Olgusu]

Erkol¹,

Cantürk²,

Erkol³

2014

Med-Science

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“…Another study on IPV victims presenting to AEDs from 1997 to 2008 found an overall male-to-female ratio of 1:6 (14). These changes in the male-to-female IPV ratio should raise public concern over IPV trends and the needs of male IPV victims.…”

Section: Introductionmentioning

confidence: 99%

“…They may perceive it as a threat to their masculine identity and fear of losing face (9)(10)(11)(12)(13). Accident and emergency departments (AEDs) may be the only place that male IPV victims seek help (14). Thus, exploring AED records can be an important source of information to improve our understanding of the profile, injury patterns, and help-seeking characteristics of these victims.…”

Section: Introductionmentioning

confidence: 99%