Publication: Epidemiología del maltrato infantil detectado en un servicio de urgencias extrahospitalario (SUMMA 112) de la Comunidad de Madrid
Loading...
Files
Official URL
Full text at PDC
Publication Date
2015-09-25
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
Objetivo: Identificar la evidencia disponible sobre la detección en servicios de urgencias del maltrato infantil sufrido por menores (0-18 años) y relacionarla con la prevalencia del MTI detectado por un servicio de urgencias extrahospitalario (SUMMA 112) en la Comunidad de Madrid. Diseño: consta de 2 fases: revisión panorámica (Scoping Review) y estudio observacional de corte. Fuentes de datos: Academic Search Premier, MEDLINE, PsycINFO, Psyclist, PubMed, Cochrane Library, Epistemonikos, Lilacs, ENFISPO, BVS, Academic Emergency Medicine, The Journal of Emergency Medicine, IME. Métodos de la revisión: se utilizaron diversas palabras clave para seleccionar estudios descriptivos observacionales sobre la detección del MTI. La cobertura temporal fue desde 2007 a 2013, en idioma inglés y español. Métodos del estudio: se analizaron las historias clínicas correspondientes al período 2008-2011 cuya codificación diagnóstica estuviera relacionada con un posible caso de MTI. Resultados: se encontraron 503 artículos de los cuales se han seleccionado 77 artículos de texto completo del año 2007 en adelante y 22 referencias a artículos en la Biblioteca Virtual de la Salud (BVS). La formación del personal y el uso de cuestionarios de detección han demostrado utilidad en el aumento de hallazgos de nuevos casos. En el estudio realizado también se detectó una prevalencia de MTI similar a la del resto de estudios. El tipo de MTI predominantemente encontrado en los servicios de urgencias hospitalarios es el maltrato físico y el abuso sexual; el que más se produce pero menos se detecta es la negligencia y en nuestro estudio el más detectado fue el maltrato emocional. El lugar donde más se produce sigue siendo el domicilio y el agresor, un familiar. Conclusiones: la detección del MTI es coincidente con la de todos los países y estudios analizados, aunque continúa siendo insuficiente. Se recomienda mejorar la formación de los profesionales y diseñar un cuestionario de detección apropiado para el SUMMA 112.
Objective: To identify the available evidence on child abuse suffered by minors (0-18 years old) detected in emergency medical services and torelate it to the prevalence of the CA detected by a prehospital emergency service (SUMMA 112, Medical Emergencies Services of Madrid) in the Autonomous Community of Madrid. Study design: This research consists of 2 phases: Scoping Review and observational cross-sectional study. Sources of data: Academic Search Premier, MEDLINE, PsycINFO, Psyclist, PubMed, Cochrane Library, Epistemonikos, Lilacs, ENFISPO, VHL, Academic Emergency Medicine, The Journal of Emergency Medicine, IME. Method of Review: several key words were used to select observational descriptive studies on CA detection. The temporal coverage went from 2007 to 2013, both in English and in Spanish. Method of the study: medical histories corresponding to the period 2008-2011, whose diagnosis codifications were related to a possible case of CA were analysed. Results: 503 articles were found of which 77 full text articles from 2007 and onwards were selected as well as 22 references to articles from the Virtual Health Library (VHL). Staff training and the use of detection questionnaires have shown to be useful to increase new cases findings. This study also found CA prevalence to be similar to the prevalence found in the other studies. Predominant CA types found in hospital emergency services were physical and sexual abuse. Neglect occurred most frequently but was the least detected. In this study, psychological abuse was the most detected. The most common place where it took place was the victim¿s home address and the most common aggressor was a relative. Conclusions: CA detection rates are the same as those found in all of the countries and studies analysed, although the detection continues to be insufficient. Recommendations include improving staff training and designing an appropriate detection questionnaire for SUMMA 112.
Objective: To identify the available evidence on child abuse suffered by minors (0-18 years old) detected in emergency medical services and torelate it to the prevalence of the CA detected by a prehospital emergency service (SUMMA 112, Medical Emergencies Services of Madrid) in the Autonomous Community of Madrid. Study design: This research consists of 2 phases: Scoping Review and observational cross-sectional study. Sources of data: Academic Search Premier, MEDLINE, PsycINFO, Psyclist, PubMed, Cochrane Library, Epistemonikos, Lilacs, ENFISPO, VHL, Academic Emergency Medicine, The Journal of Emergency Medicine, IME. Method of Review: several key words were used to select observational descriptive studies on CA detection. The temporal coverage went from 2007 to 2013, both in English and in Spanish. Method of the study: medical histories corresponding to the period 2008-2011, whose diagnosis codifications were related to a possible case of CA were analysed. Results: 503 articles were found of which 77 full text articles from 2007 and onwards were selected as well as 22 references to articles from the Virtual Health Library (VHL). Staff training and the use of detection questionnaires have shown to be useful to increase new cases findings. This study also found CA prevalence to be similar to the prevalence found in the other studies. Predominant CA types found in hospital emergency services were physical and sexual abuse. Neglect occurred most frequently but was the least detected. In this study, psychological abuse was the most detected. The most common place where it took place was the victim¿s home address and the most common aggressor was a relative. Conclusions: CA detection rates are the same as those found in all of the countries and studies analysed, although the detection continues to be insufficient. Recommendations include improving staff training and designing an appropriate detection questionnaire for SUMMA 112.
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, leída el 21-05-2015