[Factors associated with aggression perpetrated by unknown assailants among young males treated by the emergency services: a case-control study]

EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH VERTEBRAL TRAUMA AT A REFERENCE CENTER IN THE AMAZON

ABSTRACT Objective To analyze the epidemiological profile of patients with vertebral trauma treated at a medical reference center at the state of Pará, Northern Brazil. Methods A quantitative and retrospective study conducted at Hospital Metropolitano de Urgência e Emergência (HMUE) in Ananindeua, Northern Brazil, from January 2020 to March 2020, using medical records of patients admitted to the hospital from January 2018 to December 2019. Results Data from 270 medical records from the orthopedic and trauma sector of the hospital were analyzed. Conclusion The predominant profile was male patients, aged between 20 and 29 years, with low social conditions, presenting compressive lesions of lumbar vertebrae, submitted to conservative intervention, with hospital stays of 8 to 30 days, and evolving to complete recovery without sequelae. Level of evidence II; Retrospective Study.

Aggressions in urgency and emergency care in Brazilian capitals: perspectives of 2011, 2014 and 2017 VIVA Survey

OBJECTIVES

To describe the profile of care provided by aggressions in emergency units from the VIVA Survey 2011, 2014 and 2017 data, and to compare the evolution of six indicators over four (2011 to 2014) and seven years (2011 to 2017).

METHODS

Cross-sectional study, using data from the last three editions of the VIVA Survey carried out in the Federal District and in 19 Brazilian capitals. The types of occurrence were selected: aggression/mistreatment and intervention by a public agent. The weighted frequencies of the characteristics of the people assisted, of the aggressions, injuries and evolution of the cases were calculated, according to sex. Differences between proportions were compared using the χ2 Test. Six indicators were also selected and their evolution over the years was evaluated by means of the percentage variation and the 95% confidence interval.

RESULTS

In most cases of aggression, the individuals were black, young and adult, of both sexes. The main nature of the assaults was physical, reaching over 85% in all investigations, followed by negligence. In the comparison between 2011 and 2017, "neglect" aggressions had a significant increase in both sexes and in children and the elderly; aggressions of a "sexual" nature had a significant increase only in children.

CONCLUSIONS

The VIVA Survey is an important tool for Brazil's Violence and Accident Surveillance System, providing evidence for public health decision-making and for coping with and preventing violence.