Resultados de la implantación de un protocolo de atención a víctimas de agresiones sexuales en Urgencias de un hospital terciario de referencia.

Fecha de publicación: 30/11/2021 Fecha Ahead of Print: 30/11/2021

Autores de IIS La Fe

• Ana María Monzó Miralles

  Autor

Participantes ajenos a IIS La Fe

• Couchoud-Falcó A

Grupos

• Medicina Reproductiva

  

  Investigador Principal

  José Morales Roselló

Abstract

OBJECTIVE: To assess the degree of compliance of the Comprehensive Health and Judicial Care Protocol for Victims of Sexual Assaults attended in Emergencies, and to compare the quality indicators of care with those obtained for the 2 years prior to its implementation. METHODS: Retrospective, comparative, cohort study of the 128 victims (124 women and 4 men), aged 4 to 62 years, treated in the Hospital Emergency Department, before and after the publication of the Protocol through the CIE-10 diagnostic code T74.2 Sexual assault and CIE-10 T76.2 Suspected sexual assault, between January 2018 and December 2020. The sample was divided into two groups, before (n=80) and after (n=48) the implementation of the protocol. A sub-analysis of 109 women older than 16 years attended in the Gynecological Emergencies has been performed. RESULTS: The implementation of the Protocol has led to a significant increase in the compliance with the main indicators, more evident in Gynecological Emergencies: HIV prophylaxis (43.4% vs 83.7%, respectively in the Pre and Post-protocol Groups), pregnancy prophylaxis (54.5% vs 81.4%), police intervention (48.5% vs 74.4%) and SIVIO form compliance (16.7% vs 46.5%). Attention time has not shown significant changes. The referral for psychological support has been increased by a very low percentage (0% vs 12.5%). CONCLUSIONS: The implementation of the Protocol has led to an evident improvement in the quality of care in Emergencies, with a significant increase in key indicators. Care time in Emergencies should be reduced, and the SIVIO form compliance, as well as the referral for psychological support should be increased.

Keywords

• Emergency; Follow-up; Health care; Prophylaxis; Protocol; Sexual assault; Spain