title: [Quality of documentation and care for victims of violence for the example of a trauma surgery emergency department in a major city].
abstract: BACKGROUND
  People who have become victims of violence have manifold problems. Besides medical diagnostics and therapy, it is necessary to recognise the situation in which these patients have become such victims, to document the consequences of this violence for use in court and to offer further assistance. Victims of violence often contact primarily a trauma ambulance. The optimisation of the medical treatment of the victims is a relevant traumatological topic, which so far has received only very scant attention. Therefore the aim of this study was to evaluate the necessity for an interdisciplinary combination of treatments for the targeted treatment of these victims.
  
  
  METHODS
  Using a standardised data card a retrospective data analysis of all out-patients and all in-patients of a trauma centre with regard to the existence of a violent context was carried out for the year 2004. All such cases were included and the data were evaluated descriptively according to age, gender, information about the act of violence, consequences thereof, type and scope of the diagnostic findings, as well as inducements for further measures. In this context we differentiated between "domestic violence" and "public violence".
  
  
  RESULTS
  The data of 7132 patients were evaluated. Altogether 347 victims of violence were identified (among them 109 victims of "public violence", 59 victims of domestic violence, and 179 cases that could not be allocated clearly). This results in a quota of 4.9% of all patients treated. The average age of the victims was 30.6 years. It was striking that in many cases the anamnesis and documentation were rather fragmentary.
  
  
  CONCLUSIONS
  A very high percentage of victims of violence could be found among the patients needing traumatological treatment. With regard to the fragmentary care there is an enormous need for medical training and interdisciplinary treatment of victims of violence.
authors: Klinik für Unfall- und Handchirurgie, Heinrich-Heine-Universität, Düsseldorf.
authors: P
authors: P
authors: Jungbluth
authors: M
authors: M
authors: Wild
authors: M
authors: M
authors: Hakimi
authors: M
authors: M
authors: Betsch
authors: K
authors: K
authors: Dassler
authors: L
authors: L
authors: Möller-Herckenhoff
authors: J
authors: J
authors: Windolf
authors: S
authors: S
authors: Ritz-Timme
authors: H
authors: H
authors: Graß
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D019548:Crime Victims / Q000534:rehabilitation / Q000706:statistics & numerical data*; D004282:Documentation / Q000592:standards / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008875:Middle Aged; D015995:Prevalence; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data*; D014193:Trauma Centers / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014754:Violence / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000628:therapy*; D055815:Young Adult