Author/Editor		Rok-Simon, Mateja; Obersnel-Kveder, Dunja; Toplak-Ostan, Majda
Title		Nasilno povzročene poškodbe otrok in mladostnikov v Sloveniji
Translated title		Inflicted injuries in children and adolescents in Slovenia
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 5
Publication year		1998
Volume		str. 279-84
Language		slo
Abstract		Background. The purpose of this paper is to determine how many cases of child abouse were detected and registered in Slovenian health care in the last years and what were the characteristics of injuries and injury events. Methods. From the national data bank on mortality, hospitalizations and primary preschool and school children health services data we obtained cases with diagnosis of the external cause of injury E960-969 (ICD-9th revision). Results. In primary health services 415 international injuries by other persons were detected per year, 158 children and adolescents were hospitalised and 5 have died. Adolescents have five times greater risk to be hospitalised due to inflicted injuries than younger children (OR = 5,55 (4,88-6,30), p < 0,001). The most frequent nature of injury are contusions (36,3%) and fractures of head bones (26,5%). The most fequent cause is beating (86,8%). Infants have seven times greater risk than older children to die due to inflicted injuries (OR = 7,81 (3,25-18,14), p < 0,001). The most frequent causes of death are head injuries (9 from 33) and injuries of internal organs (7 from 33). External causes of death are strangulation (9 from 33) and assault with sharp objects (6 from 33). Conclusions. It is necessary to start with additional education for phisicians to improve their recognizing skills of child abuse and to define the appropriate way of reporting child abouse.
Summary		Izhodišča. Namen prispevka je ugotoviti, koliko primerov nasilja nad otroki je bilo v Sloveniji v zadnjih letih ugotovljenih v zdravstvu in zabeleženih v zdravstveni statistiki ter kakšne so bile značilnosti in okoliščine nastanka poškodb. Metode. Iz nacionalnih podatkovnih baz o umrlih, o hospitalizacijah ter iz podatkov otroških in šolskih dispanzerjev smo za obdobje 1988-1994 izbrali primere z diagnozo zunanjega vzroka E960 - E969 (MKB-9. revizija). Rezultati. V predšolskih in šolskih dispanzerjih je bilo ugotovljenih letno povprečno 415 namernih poškodb od druge osebe, 158 otrok in mladostnikov je bilo hospitaliziranih, pet pa jih je umrlo. Mladostniki so petkrat bolj izpostavljeni večjemu tveganju, da bodo hospitalizirani zaradi poškodb, povzročenih zaradi nasilja, kot manjši otroci (OR = 5,55 (4,88-6,30), p < 0,001). Po naravi poškodbe prevladujejo udarnine (36,3%) in zlomi kosti glave (26,5%), najpogostejši vzrok je pretepanje (86,8%). Dojenčki so v sedemkrat večji nevarnosti kot starejši otroci, da bodo umrli zaradi namernih poškodb od druge osebe (OR = 7,81 (3,25-18,14), p < 0,001). Prevladujejo poškodbe glave (9 od 33) in poškodbe notranjih organov (7 od 33), najpogostejši vzrok je zadavljenje (9 od 33) in napad z ostrim predmetom (6 od 33). Potrebno bi bilo dodatno izobraževanje zdravnikov, s katerim bi izbolšali prepoznavanje nasilja nad otroki ter opredelitev ustaljenega načina, kako sporočati o sumu na nasilje nad otroki.
Descriptors		CHILD ABUSE BATTERED CHILD SYNDROME CHILD VIOLENCE CHILD, HOSPITALIZED