Radiologic Findings in Intimate Partner Violence

Purpose: To assess the radiologic findings associated with intimate partner violence (IPV) Materials ad Methods: Electronic medical records of 185 patients referred to the IPV support program from the emergency department (ED) between January 2015 and October 2016 were retrospectively reviewed and compared with an age- and sex-matched control group of 555 subjects (1:3 ratio of IPV victims to control subjects) who presented to the EL). Reports of all imaging studies performed within 5 years prior to the index ED visit were reviewed. Results: The majority of patients who experienced IPV (mean age, .34.2 years +/- 12.2 [standard deviation]) were female (178 185 [96.2%]) and were largely African American (69 of 185 [37.3%]). Demographic and clinical variables independently associated with IPV were race (odds ratio [OR] range, 3.2 5.9; 95% confidence interval [CI]: 1.8, 12.7), psychiatric conumbidities (OR, 5.4; 95% CA: 3.4, 8.8), and homelessness (OR, 13.0; 95% CI: 5.4, 31.2). IPV victims underwent mole imaging studies in the preceding 5 years (median, four studies) than did control subjects (median, one study). Obstetric-eynecoh)gic findings (OR, 4.4; 95% CI: 2.1, 9.6) and acute fractures (OR, 2.4, 95% CI: 1.1, 5.3) seen on images were independently associated with IPV. The addition of imaging findings to demographic and clinical variables increased the area under the receiver operating characteristic curve (AUX) of the multivariate model to detect IPV (0.87 vs 0.86, P < .01), and the crms-validated multivariate model had an AUC. of 0.85. Acute fractures involved the face or skull (range, P < .01 to P = .05), and chronic fractures affected the extremities and nasal bone (P < .01 and P = .05, respectively) more frequently in the IPV group than in the control group. Conclusion: Intimate partner violence victims undergo more imaging studies and have a higher of potential violence-related imaging findings when compared with age- and sex-matched control subjects. (C) RSNA, 2019