How often do women in the emergency department without intimate violence injuries return with such injuries?

OBJECTIVE To determine the rate at which a group of women visiting the ED for reasons other than intimate violence return to the ED at a later time for intimate-violence-related injuries. METHODS Retrospective cohort study of a group of women with intimate-violence-related injuries on an index visit and a matched comparison group. Return visit rates to the ED for intimate violence injuries over the next 5 years were then compared. RESULTS The 95 women in each group were followed an average of 57 months. The return rates in the positive index case group and matched comparison group, respectively, for any reason were 74.9% vs 77.9% (p = 0.463) and for intimate violence injuries were 29.5% vs 18.9% (p = 0.118). CONCLUSION Women in the ED without intimate violence injuries often return to the ED later with such injuries. This suggests the ED may play an important role in identifying women at risk for future intimate-violence-related injury.

[1]  S. Lowenstein,et al.  Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. , 1997, JAMA.

[2]  S. Lowenstein,et al.  Accuracy of 3 Brief Screening Questions for Detecting Partner Violence in the Emergency Department , 1997 .

[3]  L. Poirier.  The Importance of Screening for Domestic Violence in All Women , 1997, The Nurse practitioner.

[4]  R. Muelleman,et al.  Battered women: injury locations and types. , 1996, Annals of emergency medicine.

[5]  D. Gremillion,et al.  Overcoming barriers to physician involvement in identifying and referring victims of domestic violence. , 1996, Annals of emergency medicine.

[6]  S. Hohenhaus,et al.  Development and validation of an emergency department screening and referral protocol for victims of domestic violence. , 1996, Annals of emergency medicine.

[7]  N. Chescheir.  Violence against women: response from clinicians. , 1996, Annals of emergency medicine.

[8]  S. Lowenstein,et al.  Domestic violence against women. incidence and prevalence in an emergency department population , 1995 .

[9]  P. Salber,et al.  California hospital emergency departments response to domestic violence: survey report. , 1993 .

[10]  M. Karlan,et al.  Violence against women: Relevance for medical practitioners , 1992 .

[11]  M. Roberts,et al.  Inquiry about victimization experiences. A survey of patient preferences and physician practices. , 1992, Archives of internal medicine.

[12]  S. McLeer,et al.  A study of battered women presenting in an emergency department. , 1989, American journal of public health.

[13]  M. Straus,et al.  Societal Change and Change in Family Violence from 1975 to 1985 As Revealed by Two National Surveys , 1986 .

[14]  M. Straus.  Medical care costs of intrafamily assault and homicide. , 1986, Bulletin of the New York Academy of Medicine.