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Andrade SSCDA, Jorge MHPDM. Estimate of physical sequelae in victims of road traffic accidents hospitalized in the Public Health System. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2017; 19:100-11. [PMID: 27167652 DOI: 10.1590/1980-5497201600010009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 09/02/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES To describe the profile of the victims of road accidents presenting physical sequelae, according to the criteria established by researchers and analyze the trends in hospitalization for this cause in Brazil, from 2000 to 2013. METHODS An ecological time-series study was performed using the data from the Hospital Information System of the National Health System (SUS). Trends in hospitalization were estimated using Prais-Winstein regression. RESULTS During this period, a total of 1,747,191 hospitalizations for traffic accidents were registered; 410,448 were victims with physical sequelae. About 77.7% of them were male subjects, 26.5% belonged to the age group of 20 - 29 years, 46.4% lived in Southeast Brazil, 44.0% were pedestrians, and 31.1% were motorcyclists. In total, 51,189 cases were "confirmed" sequelae (12.5%), and pedestrians accounted for 43.8% of cases. There were 359,259 hospitalizations for the diagnosis of "possible" sequelae, and motorcyclists accounted for 43.3% of these cases. There was a trend of stability for all the patients with confirmed and possible sequelae, but there was a significant rise in hospitalization rates owing to confirmed sequelae among the men in North and Central-West regions. CONCLUSION The hospitalizations associated with physical sequelae were responsible for about one-fourth of the hospitalizations in the Hospital Information System in the studied period. Most events involved men, young adults, residents in Southeast Brazil, and pedestrians. Hospitalization rates for traffic accidents associated with physical sequelae were stable in Brazil and regions, but a significant increase was observed for confirmed sequelae among men in the North and Central-West regions.
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Dos Anjos KC, de Rezende MR, Mattar R. Social and hospital costs of patients admitted to a university hospital in Brazil due to motorcycle crashes. TRAFFIC INJURY PREVENTION 2017; 18:585-592. [PMID: 28436733 DOI: 10.1080/15389588.2017.1293823] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Accepted: 02/07/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE This study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims. METHOD This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to 6 months after the crash. A questionnaire covering quantitative and qualitative questions was administered. RESULTS Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54.4% were young (18-28 years of age); 92.6% were the drivers; 91.2% were male; and 50% used their motorcycles as daily means of transportation. Six months afterward, 94.1% needed help from someone; 83.8% had changed their family dynamics; and 73.5% had not returned to their professional activities. Among the injuries, 94.7% had some type of fracture, of which 53.5% were exposed fractures; 35.3% presented temporary sequelae; and 32.4% presented permanent sequelae. They used the surgical center 2.53 times on average, with a mean hospital stay of 18 days. The per capita hospital cost of these victims' treatment was US$17,481.50. CONCLUSION The social and hospital costs were high, relative to the characteristics of a public institution. Temporary or permanent disability caused changes to family dynamics, as shown by the high numbers of patients who were still away from their professional activities more than 6 months afterward.
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Affiliation(s)
- Katia Campos Dos Anjos
- a Hospital das Clínicas , Institute of Orthopedics and Traumatology , São Paulo , Brazil
| | | | - Rames Mattar
- a Hospital das Clínicas , Institute of Orthopedics and Traumatology , São Paulo , Brazil
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Mesquita Filho M. Quality of life and self-esteem in traffic victims in physical therapy. FISIOTERAPIA EM MOVIMENTO 2016. [DOI: 10.1590/1980-5918.029.004.ao06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Motor vehicles have transformed human life in radical and contradictory ways. At the same time that cars have brought comfort and ease to human life, they are also a main cause of trauma, pain, disability, and death worldwide. Objective: To investigate the quality of life and self-esteem of traffic accident victims undergoing physical rehabilitation. Methods: This was a controlled, cross-sectional study that compared quality of life and self-esteem among traffic accident victims in physical therapy with other accident victims, physical therapy patients for other causes, and the general population. Results: The self-esteem of individuals undergoing physical therapy due to traffic accidents was lower compared to victims of other accidents and those in physical therapy for other reasons (p < 0.05). Regarding quality of life, the study group sample obtained the following mean scores: physical domain 48.1; psychological 52.8; social 68.1; environmental 54.1. These scores were lower than those of traffic accident victims who did not undergo physical therapy and of the general population in all domains (p < 0.05), but higher than that of individuals undergoing physical therapy for other causes, except in the psychological domain. Conclusion: Self-esteem and quality of life were low in traffic accident victims undergoing physical therapy. Physical therapy professionals can play an important role in improving these conditions provided they assume a humanized posture, practicing patient-centered rather than disease-centered health actions.
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Baldo RCS, Spagnuolo RS, Almeida IMD. O Serviço Integrado de Atendimento ao Trauma em Emergência (SIATE) como fonte de informações de acidentes de trabalho em Londrina, PR. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2015. [DOI: 10.1590/0303-7657000091714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: descrever as características dos acidentes de trabalho e o perfil das vítimas atendidas pelo Serviço Integrado de Atendimento ao Trauma em Emergência, de Londrina (SIATE), PR. Métodos: trata-se de estudo descritivo transversal. Os dados foram coletados no período de 1º julho a 31 de dezembro de 2008, por meio de entrevistas telefônicas às vítimas ou familiares e busca de informações complementares em relatórios de atendimento dos socorristas. Resultados: foram realizadas 1.312 entrevistas, sendo 465 (35,4%) casos considerados acidentes de trabalho. O perfil predominante dos acidentados é jovem, do sexo masculino, inserido no mercado formal de trabalho como empregado. A maioria dos acidentes de trabalho ocorreu na rua, sendo 376 (80,9%) relacionados ao trânsito; desses, cerca de 65,0% foram identificados como acidentes de trajeto. Nenhum dos casos foi notificado em sistema de informação do Ministério da Saúde. Junto à Previdência Social houve subnotificação de cerca de 40% dos casos de acidentes ocorridos com trabalhadores formais. Conclusão: os serviços de Saúde do Trabalhador devem priorizar ações de prevenção de acidentes ocorridos no espaço da rua, assim como implantar rotinas sistematizadas a fim de intensificar a notificação dos casos em bancos de dados de interesse nacional, conforme preconiza o Ministério da Saúde.
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Petean E, Araújo LFSD, Bellato R, Wunsch CG. Trajetória de busca por cuidado na vivência do evento traumático e sua cronificação. SAUDE E SOCIEDADE 2013. [DOI: 10.1590/s0104-12902013000400026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Este estudo tem como foco a trajetória de busca por cuidado empreendida por pessoa que vivencia a condição crônica. Nessa trajetória evidenciaram-se as necessidades de cuidado, os profissionais de saúde buscados, as práticas ofertadas e a resolutividade obtida, ou não, nos diferentes componentes preconizados para o atendimento às urgências. Objetivou-se compreender a trajetória de busca por cuidado de pessoa e família que vivenciam condição crônica decorrente de evento traumático e a efetivação do seu direito à saúde. Estudo qualitativo, desenvolvido pelo método do estudo de caso. O corpus de análise foi composto pela estratégia da história de vida focal, operacionalizada por entrevista em profundidade. A análise apontou pouca resolutividade dos serviços de saúde e demora na oferta de cuidado profissional médico especializado. Ao se deparar com serviços de saúde pouco resolutivos, o curso do adoecimento foi modificado de um evento agudo para a cronificação. Diante da fragilidade dos serviços em ofertar o cuidado, a mediação jurídica foi acionada e garantiu acesso a um serviço de saúde requerido juridicamente pela pessoa e pela família. Contudo essa mediação se mostrou pouca efetiva, por sua pontualidade, frente a novas necessidades de saúde que a condição crônica abarca. Desse modo, ressalta-se que esses serviços têm atuado de modo precário frente às necessidades de cuidado que lhes são direcionadas, o que produz efeitos consideráveis para as pessoas e famílias. Uma vez que as práticas profissionais não são inócuas, sua baixa resolutividade interfere no curso do adoecimento, sendo um dos responsáveis pelo seu fim ou seu prolongamento.
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Influence of helmet use in facial trauma and moderate traumatic brain injury victims of motorcycle accidents. J Craniofac Surg 2013; 23:982-5. [PMID: 22777446 DOI: 10.1097/scs.0b013e31824e5b04] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE The objective of this research was to study the influence of the use of helmet in facial trauma victims of motorcycle accidents with moderate traumatic brain injury. METHODS We retrospectively reviewed the incidence of facial injuries in helmeted and nonhelmeted victims with moderate traumatic brain injury at a referral trauma hospital. RESULTS The sample consisted of 272 patients predominantly men (94.5%) and between 21 and 40 years old (62.9%). The majority of patients were using helmet (80.1%). The occurrence of facial fractures was most frequent for zygomatic bone (51.8%), followed by mandible (18.8%) and nasal bones (9.2%). CONCLUSIONS Individuals in the most productive age group are most affected, which causes a great loss to financial and labor systems. It is important to take measures to alert the public regarding the severity of injuries likely to occur in motorcycle-related accidents and ways to prevent them.
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de Oliveira NLB, de Sousa RMC. [Risk for injuries among motorcyclists involved in traffic incidents]. Rev Esc Enferm USP 2012; 46:1133-40. [PMID: 23223729 DOI: 10.1590/s0080-62342012000500014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2011] [Accepted: 02/14/2012] [Indexed: 11/21/2022] Open
Abstract
The objective of this study was to identify, among motorcyclists involved in traffic incidents, the factors associated with risk of injuries. In 2004, in the city of Maringá-PR, it was determined that there were a total of 2,362 motorcyclists involved in traffic incidents, according to records from the local Military Police. Multivariate analysis was applied to identify the factors associated with the presence of injury. A significantly higher probability of injury was observed among motorcyclists involved in collisions (odds Ratio= 11.19) and falls (odds Ratio= 3.81); the estimated odds ratio for females was close to four, and those involved in incidents including up to two vehicles were 2.63 times more likely to have injuries. Women involved in motorcycle falls and collisions with up to two vehicles stood out as a high-risk group for injuries.
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Amorim CR, Araújo EMD, Araújo TMD, Oliveira NFD. Acidentes de trabalho com mototaxistas. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2012; 15:25-37. [DOI: 10.1590/s1415-790x2012000100003] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2010] [Accepted: 10/06/2011] [Indexed: 11/21/2022] Open
Abstract
A utilização da motocicleta como meio de trabalho vem contribuindo para o aumento no número dos acidentes de trânsito e se constituindo em acidentes de trabalho para os mototaxistas. O objetivo deste estudo foi estimar a incidência anual de acidentes de trabalho entre mototaxistas cadastrados em Feira de Santana, BA. Trata-se de um estudo de caráter descritivo e censitário. Foram entrevistados 267 profissionais dos 300 cadastrados na Secretaria Municipal de Transporte e Trânsito - SMTT, através de questionário estruturado. Procedeu-se à análise descritiva e foram estimadas incidências anuais de acidentes de trabalho segundo as variáveis de interesse. Calcularam-se os riscos relativos e, como medida de significância estatística, utilizou-se o teste de qui-quadrado de Pearson e o teste exato de Fisher, adotando-se p < 0,05. Utilizou-se a regressão logística no intuito de realizar a análise simultânea das variáveis estudadas. Observou-se uma incidência anual de acidentes de trabalho de 10,5%. Ocorreram lesões leves, principalmente ferimentos (48,7%), sendo necessário afastamento das atividades laborais para 27% dos profissionais. Na análise de regressão logística verificou-se associação entre quantidade de dias de trabalho por semana, presença de fadiga em membros inferiores e queixa musculoesquelética e os acidentes de trabalho. O conhecimento acerca das condições de trabalho e dos acidentes envolvidos nessa atividade pode ser de grande importância para a adoção de políticas de educação no trânsito, com vistas à prevenção de acidentes e melhoria das condições de trabalho e de vida desses profissionais.
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Montenegro MDMS, Duarte EC, Prado RRD, Nascimento ADF. Mortality of motorcyclists in traffic accidents in the Brazilian Federal District from 1996 to 2007. Rev Saude Publica 2011; 45:529-38. [PMID: 21552757 DOI: 10.1590/s0034-89102011000300011] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2010] [Accepted: 01/23/2011] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To describe sociodemographic characteristics and analyze temporal trends in the mortality of motorcyclists injured in traffic accidents. METHODS This was a time-series study with data from 580 motorcyclist deaths in the Brazilian Federal District from 1996 to 2007. The data were obtained from the Mortality Information System. Mortality rates specific for age and sex, the standardized rates (direct method), and the ratio of deaths per fleet (motorcycles) were calculated. The centralized moving average of the standardized mortality rate for men was calculated for a three-year period, and a linear regression model was constructed to study the evolution of mortality. The joinpoint method (inflection point) was used to calculate the annual increase in the standardized mortality rate. RESULTS Most of the motorcyclists killed were male (94.3%), mixed skin color (71.0%), and between the ages of 20 and 39 years (73.8%). The standardized mortality rate for resident motorcyclists (men) was 1.9 to 7.2 deaths/100,000 men between 1996 and 2007. Between 1998 and 2007, the ratio of deaths per fleet increased from 2.0 deaths/10,000 motorcyclists to 10.0 deaths/10,000 motorcyclists among men. There was an estimated annual increase of 0.48 deaths/100,000 men (95%CI 0.31, 0.65; p <0.001). The percent increase of the annual standardized mortality rate for males was 36.2% in the period from 1998-2007 (95%CI 21.2%, 53.2%; p <0.05). CONCLUSIONS The mortality rate resulting from motorcycle road accidents has increased dramatically. This increase is partially explained by the increase of the fleet of motorcycles. Individual characteristics of drivers, as well as local traffic conditions, need to be investigated for the planning of preventive policies.
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Affiliation(s)
- Marli de Mesquita Silva Montenegro
- Programa de Mestrado Profissional em Saúde Coletiva, Departamento de Medicina Social, Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil
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Cabral APDS, Souza WVD, Lima MLCD. Serviço de Atendimento Móvel de Urgência: um observatório dos acidentes de transportes terrestre em nível local. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2011. [DOI: 10.1590/s1415-790x2011000100001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Conhecer a epidemiologia dos acidentes de transportes terrestres é fundamental para definir políticas de prevenção desse agravo e das mortes por ele causados. Objetivou-se caracterizar o perfil epidemiológico das vítimas do trânsito e a distribuição dos atendimentos por acidentes de transporte a partir de técnica de análise espacial. Estudo descritivo, utilizou como fonte de dados o banco de atendimentos do Serviço de Atendimento Móvel de Urgência do município de Olinda, Pernambuco, entre julho de 2006 a junho de 2007. A distribuição geográfica das ocorrências foi analisada por meio do Índice de Moran. Pedestres, ocupantes de motocicleta e ciclistas concentraram 78% dos atendimentos; houve predomínio do sexo masculino (79%) e da faixa etária 20-39 anos (65%). Os finais de semana concentraram a maioria dos atendimentos (56,1%; χ² = 123,7; p < 0,001). Enquanto de segunda a quintas-feira 52% dos atendimentos se concentraram das 6h00 às 17h59, nos finais de semana, entre 18h00 e 5h59, ocorreram 57% dos atendimentos. Motocicletas estão envolvidas em 68% dos acidentes e em 54% dos atropelamentos. O Índice de Moran apontou regiões críticas, ratificando a importância do Sistema de Informação Geográfica e da análise espacial na vigilância dos acidentes de transportes terrestres. Os dados mostram o potencial dessa fonte de dados em contribuir no monitoramento permanente destes eventos ao apontar áreas geográficas e fatores associados ao maior risco de atendimentos no município. É pertinente a divulgação desses dados aos gestores, profissionais de saúde e o público em geral.
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