ABSTRACT
OBJECTIVE: To prospectively determine injury recovery time in the medical-legal examinations of non-fatal injuries and their associated factors, carried out by the National Institute of Legal Medicine and Forensic Sciences of Colombia to create a multivariate analysis. METHODS: A prospective medical-legal assessment of non-fatal injuries was carried out on 281 individuals with complete follow-up, in which the observational unit of analysis was the most serious injury. Variables, such as sex, circumstances of the injury, the mechanism that caused the injury, medical certificate of incapacity to work, among others were related to the injury recovery time, measured in days. The Kruskal Wallis (K-W) ANOVA and a multivariate analysis using the ordinal regression model were applied. RESULTS: In the multivariate analysis, the factors most associated with longer recovery time were the extent of joint damage (CR95%:1.47-5.94,p = 0.0001) and bone damage (CR95%:2.92-7.42,p < 0.001). In terms of circumstances of the injury, traffic accidents (CR95%:1.03-2.96,p < 0.001), medical-legal impairments (CR95%:0.34-2.19,p = 0.007), and complications of the primary injury (CR95%: 1.18-2.57,p < 0.001) had the greatest impact on recovery time. Others factors that significantly impacted injury recovery time are surgical treatments (IC95%: 0.33-3.26,p = 0.0164) and delayed treatment (CR95%:1.41-4.72,p < 0.001). A direct correlation (significant and moderately strong) was found between the recovery time of the injury and the days of incapacity for work (r = 0.802, p < 0.001). CONCLUSION: This prospective analysis determined which variables were most strongly related to the medical-legal assessment of non-fatal injuries and the recovery time of said injuries. Further studies aimed at improving the strategies to help individuals complete the legal process are required.
Subject(s)
Forensic Medicine , Wounds and Injuries , Humans , Accidents, Traffic , Colombia , Multivariate Analysis , Wounds and Injuries/epidemiology , Male , FemaleABSTRACT
En este artículo se presenta una revisión de la literatura con respecto al tema del maltrato infantil, abordado desde un punto de vista general y odontológico, en el cual se resalta el papel del odontólogo en la detección del maltrato en la consulta clínica. Primero se hace una reseña histórica, destacando los aspectos culturales del maltrato; luego se encuentra la definición y clasificación del maltrato infantil, haciendo énfasis en el maltrato físico y la forma como el odontólogo es una ficha clave en la detección de las lesiones, se retoman datos de la epidemiología del maltrato, y por último se recalca el papel del odontólogo forense en los casos donde se sospeche maltrato en un menor. Este artículo pretende sensibilizar a los odontólogos para que estén alerta a cualquier signo que presente sospecha de síndrome de maltrato infantil