Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 7 , ISSUE 1 ( January-April, 2018 ) > List of Articles

ORIGINAL ARTICLE

Caracterización de lesiones de causa externa asociada a violencia en jóvenes entre 14 a 26 años en un Hospital Público de tercer nivel de la ciudad de Cali entre los años 2012 a 2014

Carlos A Ordóñez, Marisol Badiel, Manuela Escobar, Mónica A Morales García, Karyna Reyes Caicedo, Bryan Steven Urrea Trochez, María Juliana Chaves

Keywords : Firearm, Public policy, Violence, Youth, Youth mortality

Citation Information : Ordóñez CA, Badiel M, Escobar M, García MA, Caicedo KR, Trochez BS, Chaves MJ. Caracterización de lesiones de causa externa asociada a violencia en jóvenes entre 14 a 26 años en un Hospital Público de tercer nivel de la ciudad de Cali entre los años 2012 a 2014. Panam J Trauma Crit Care Emerg Surg 2018; 7 (1):4-9.

DOI: 10.5005/jp-journals-10030-1197

License: CC BY-NC 4.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Youth violence has been classified as a public health problem worldwide, due to its high incidence, high costs to health system and society in term of lost life years. Since 2012 a public policy has been implemented to decrease youth violence index, but the results have not been assessed from the perspective of health care. Objective: To describe the characterstics of youth violence in the period 2012 to 2014, in a public hospital level I of Cali, Colombia, after the implementation of a public policy. Materials and methods: Retrospective cohorts study. From International Trauma Register of Hospital Universitario del Valle, all consecutive patients between 14 to 26 years who entered with any external cause injury associated with violence, were included for study. Results: From the International Trauma Register, 32% (7715/24084) cases were reported as trauma injury in patients between 14 to 26 years old, and of these, 37.33% (2880/7715) were associated with violence. During 2012, cases were more frequently reported in the age group of 14 to18 years, and in 2013 and 2014, in 19 to 22 years age group. The main trauma type was penetrating (81.2%): firearm (54.1%) and thenwhite weapon (25.2%). There was alcohol consumption on 17.9%, and 29.8% of psychoactive substances. Youth violence rate changed significantly from 55.7% in 2012 to 37.8% in 2014, (p < 0.0001), and this resulted in the decrease of global mortality rate from 7.4% to 3.3%, p = 0.0349 respectively. Conclusion: Population between 14 to 26 years old had a significant decrease in annual incidence of trauma injuries between 2012 and 2014 (p < 0.0001) and a decrease in global mortality rate. Apparently, the observed trend could be explained by the impact generated due to the implementation of the public policy.


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