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Enhancing the emergency department approach to pediatric sexual assault care: implementation of a pediatric sexual assault response team program.
Goyal, Monika K; Mollen, Cynthia J; Hayes, Katie L; Molnar, Jennifer; Christian, Cindy W; Scribano, Philip V; Lavelle, Jane.
Afiliação
  • Goyal MK; From the *Children's National Medical Center, Washington, DC; †The George Washington University, ‡The Children's Hospital of Philadelphia, and §University of Pennsylvania School of Medicine, Philadelphia, PA.
Pediatr Emerg Care ; 29(9): 969-73, 2013 Sep.
Article em En | MEDLINE | ID: mdl-23974714
OBJECTIVES: The objectives of this study were to describe the experience of a novel pediatric sexual assault response team (SART) program in the first 3 years of implementation and compare patient characteristics, evaluation, and treatment among subpopulations of patients. METHODS: This was a retrospective chart review of a consecutive sample of patients evaluated at a pediatric emergency department (ED) who met institutional criteria for a SART evaluation. Associations of evaluation and treatment with sex, menarchal status, and presence of injuries were measured using logistic regression. RESULTS: One hundred eighty-four patients met criteria for SART evaluation, of whom 87.5% were female; mean age was 10.1 (SD, 4.6) years. The majority of patients underwent forensic evidence collection (89.1%), which varied by menarchal status among girls (P < 0.01), but not by sex. Evidence of acute anogenital injury on physical examination was found in 20.6% of patients. As per the Centers for Disease Control and Prevention guidelines for acute sexual assault evaluations in pediatric patients, menarchal girls were more likely to undergo testing for sexually transmitted infections and pregnancy (P < 0.01) and to be offered pregnancy, sexually transmitted infection, and HIV prophylaxis (P < 0.01). CONCLUSIONS: In an effort to improve quality and consistency of acute sexual assault examinations in a pediatric ED, development of a SART program supported the majority of eligible patients undergoing forensic evidence collection. Furthermore, a substantial number of patients had evidence of injury on examination. These findings underscore the importance of having properly trained personnel to support ED care for pediatric victims of acute sexual assault.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Abuso Sexual na Infância / Serviço Hospitalar de Emergência Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Sysrev_observational_studies Aspecto: Implementation_research País/Região como assunto: America do norte Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2013 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Abuso Sexual na Infância / Serviço Hospitalar de Emergência Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Sysrev_observational_studies Aspecto: Implementation_research País/Região como assunto: America do norte Idioma: En Revista: Pediatr Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA / PEDIATRIA Ano de publicação: 2013 Tipo de documento: Article País de publicação: Estados Unidos