scholarly journals Homens e acidentes de trânsito e o atendimento pré-hospitalar móvel

2019 ◽  
Vol 13 ◽  
Author(s):  
Carolina De Araújo Sampaio ◽  
Darliane Ribeiro da Silva ◽  
Flávia Luiza da Silva Almeida ◽  
Anderson Reis de Sousa ◽  
Thiago Da Silva Santana ◽  
...  

Objetivo: caracterizar o atendimento pré-hospitalar prestados a homens vítimas de acidentes de trânsito. Método: trata-se de um estudo quantitativo, descritivo, transversal, numa sede do Serviço de Atendimento Móvel de Urgência, compondo-se a amostra por 2.365 registros de atendimentos documentados em prontuários de homens que sofreram acidentes por causas externas. Apresentaram-se os resultados em tabelas. Resultados: identificou-se um elevado índice de acidentes de trânsito envolvendo motocicletas com homens jovens em idade produtiva, onde a grande maioria dos atendimentos foi realizada por USB e o turno de maior incidência foi o noturno. Conclusão: verificou-se, por meio do estudo, a indispensabilidade de medidas de ações preventivas, educativas e de fiscalização no trânsito por parte de órgãos. Descritores: Masculinidades; Saúde do Homem; Causas Externas; Acidentes de Trânsito Acidente de Tráfego, Traumatismos; Assistência de Ambulatorial.AbstractObjective: to characterize the prehospital care provided to men victims of traffic accidents. Method: this is a quantitative, descriptive, cross-sectional study at a Mobile Emergency Service Headquarters, comprising a sample of 2,365 records of care documented in medical records of men who suffered accidents due to external causes. Results were presented in tables. Results: a high rate of traffic accidents involving motorcycles with young men of productive age was identified, where most of the attendance was performed by BSU and the shift with the highest incidence was nocturnal. Conclusion: it was verified, through the study, the indispensability of preventive, educational and inspection measures in the transit by organs. Descriptors: Masculinities; Human Health; External Causes; Traffic-Accidents. Traffic Accident. Injuries. Ambulatory Care.ResumenObjetivo: caracterizar la atención pre hospitalaria prestada a hombres víctimas de accidentes de tránsito. Método: se trata de un estudio cuantitativo, descriptivo, transversal, en una sede del Servicio de Atención Móvil de Urgencia, con muestra compuesta por 2.365 registros de atendimientos documentados en prontuarios de hombres que sufrieron accidentes por causas externas. Se presentaron los resultados en tablas. Resultados: se identificó un elevado índice de accidentes de tránsito involucrando motocicletas con hombres jóvenes en edad productiva, donde la gran mayoría de las atenciones fue realizada por USB y el turno de mayor incidencia fue el nocturno. Conclusión: se verificó, por medio del estudio, la indispensable de medidas de acciones preventivas, educativas y de fiscalización en el tránsito por parte de órganos. Descriptores: Masculinidades; Salud del Hombre; Causas Externas; Accidentes de Tráfico Accidente de Tráfico, Traumatismos; Atención Ambulatoria.

2019 ◽  
Vol 18 (2) ◽  
pp. 323-352
Author(s):  
Cristiane da Silva Ramos Marinho ◽  
Jokasta Nicoly de Araújo Santos ◽  
Luiz Alves Morais Filho ◽  
Cecília Nogueira Valença ◽  
Emelynne Gabrielly de Oliveira Santos ◽  
...  

Objetivo: Caracterizar a los pacientes víctimas de accidentes de tráfico internados en un hospital general de la ciudad de Natal y el accidente de tráfico sufrido por ellos.Métodos: Estudio exploratorio, descriptivo, transversal, retrospectivo, con abordaje cuantitativo, realizado con 90 víctimas de accidentes de tráfico, en el periodo de julio a noviembre de 2015, que tuvieron Traumatismo Craneoencefálico. Resultados: El 28,3% de las víctimas estudiadas pertenecían al sexo masculino, el 28,9% en el grupo de edad de 20-29 años, el 43,3% de los accidentes fueron en domingo, el vehículo más involucrado fue moto (83,3%), el 74,4% eran conductores de moto, el 26,7% hacía uso de casco y el 65,6% había bebido alcohol. La caída de moto representó el 50% de los accidentes. Se destacó el Traumatismo Craneoencefálico leve. Conclusión: El perfil de las víctimas de accidentes de tráfico con traumatismo craneoencefálico se caracteriza por individuos varones y jóvenes. El accidente presenta predominio el fin de semana, teniendo la moto como su mayor responsable y la ingestión de alcohol contribuye al evento. Objective: The objective of this study was to characterize the victims of traffic accidents hospitalized in a general hospital in the city of Natal and the traffic accident suffered by them.Methods: This is an exploratory, cross-sectional, quantitative, descriptive study conducted with 90 victims of traffic accidents, from July to November 2015, who had Cranioencephalic Trauma.Results: 90% of the victims studied were male, 28.9% were between 20-29 years of age, 43.3% of the accidents were on Sunday, the motorcycle was the most involved vehicle (83.3%). Victims were 74.4% motorcycle drivers, 26.7% were wearing helmets and 65.6% had drunk alcoholic beverages. The motorcycle crashes represented 48.9% of the accidents. Mild Cranioencephalic Trauma was highlighted. Conclusion: The profile of the victims of traffic accidents with traumatic brain injury is characterized by males and young people. Already the accident presents predominance at the end of the week, having the bike as its main responsible and the alcohol intake contributed to the event. Objetivo: Caracterizar vítimas de acidente de trânsito internados em um hospital geral da cidade do Natal e o acidente de trânsito sofrido por eles. Métodos: Trata-se de uma pesquisa exploratória, transversal, com abordagem quantitativa, de caráter descritivo, realizada com 90 vítimas de acidente de trânsito, de julho a novembro de 2015, que tiveram Traumatismo Cranioencefálico. Resultados: Foram encontrados 90% das vítimas estudadas pertenciam ao sexo masculino, 28,9% na faixa etária de 20-29 anos, 43,3% dos acidentes foram no domingo, o veículo mais envolvido foi moto (83,3%), entre as vítimas 74,4% eram condutores de moto, 26,7% fazia uso de capacete e 65,6% havia feito uso de bebida alcoólica. A queda de moto representou 50% dos acidentes. Destacou-se o Traumatismo Cranioencefálico leve.Conclusão: O perfil das vítimas de acidentes de trânsito com traumatismo cranioencefálico caracteriza-se por indivíduos do sexo masculino e jovens. Já o acidente apresenta predomínio no final de semana, tendo a moto como o seu maior responsável e a ingestão de álcool contribuído para o evento.


2018 ◽  
Vol 12 (2) ◽  
pp. 167 ◽  
Author(s):  
Fadilah Andy Nastiti

Traffic accidents are one of the biggest causes of death in the world. WHO states that 90% of deaths that caused by traffic accident in the world occur in low and middle income countries. Indonesia is ranked first with the highest percentage of deaths that caused by traffic accident in Asia. Most t raffic accidents involve motorcyclist with an average age of 15–29 years old. The purpose of this study is to determine the correlation between ownership of driving license and participation in driving license tests with driving k nowledge and t raffic accidents in h igh school students of Xi grade in Kabupaten Sidoarjo in 2017. This research was an observational analytic with cross sectional study design. The population of this study was all senior h igh school students of XI grade in Kabupaten Sidoarjo in 2017. The number of respondents was 204 students that drawn from the population by using two stage cluster random sampling method. Results of analysis using chi square and fisher’s exact test (α = 5%) indicate that the ownership of driving license (p = 0.259; RR 1.533) and participation in driving license test (p = 1.00; RR 0.586) did not have correlation with t raffic accidents in h igh school students of XI grade in Kabupaten Sidoarjo in 2017 and the ownership of driving license (p = 1.00; RR 1.008) and participation in driving license test (p = 1,00; RR 0.983) did not have correlation too with driving k nowledge in h igh school students of XI grades in Kabupaten Sidoarjo in 2017.


2018 ◽  
Vol 12 (3) ◽  
pp. 716 ◽  
Author(s):  
Lucas Corrêa Preis ◽  
Greice Lessa ◽  
Francis Solange Vieira Tourinho ◽  
José Luís Guedes dos Santos

RESUMOObjetivo: analisar o perfil epidemiológico da mortalidade por causas externas na Região Sul do Brasil, no período de 2004 a 2013. Método: estudo quantitativo, descritivo, exploratório, retrospectivo e transversal, desenvolvido a partir dos dados disponibilizados pelo Sistema de Informações sobre Mortalidade. A coleta de dados foi realizada no site do Departamento de Informática do Sistema Único de Saúde utilizando-se um formulário. A amostra foi constituída pelos 1.737.448 registros de óbitos decorrentes de causas externas de morbidade e mortalidade e a análise foi realizada por meio de estatística descritiva. Resultados: os dados mostraram que a maior parte dos óbitos foi de indivíduos do sexo masculino (56,94%), com idade entre 20 e 39 anos (42,73%), de cor branca (86,21%), solteiros (57,81%), com até sete anos de estudos (40,39%) e o hospital como principal local de ocorrência (40,70%). Conclusão: constatou-se aumento progressivo do número de óbitos decorrentes de causas externas. Os resultados obtidos poderão fornecer subsídios para a formulação de políticas públicas eficazes na busca pela diminuição dos índices de mortes. Descritores: Mortalidade; Morbidade; Causas Externas; Sistemas de Informação; Epidemiologia; Gestão em Saúde. ABSTRACT Objective: to analyze the epidemiological profile of mortality due to external causes in the Southern Region of Brazil from 2004 to 2013. Method: this is a quantitative, descriptive, exploratory, retrospective and cross-sectional study, based on data provided by the Mortality Information System. Data collection was performed on the website of the Department of Information Technology of the Unified Health System using a form. The sample consisted of 1,737,448 records of deaths due to external causes of morbidity and mortality, and the analysis was performed using descriptive statistics. Results: data showed that most deaths were male (56.94%), aged 20 to 39 (42.73%), white (86.21%), unmarried (57.81%), with up to seven years of school (40.39%) and the hospital as the main place of occurrence (40.70%). Conclusion: there was a progressive increase in the number of deaths due to external causes. The results obtained may provide subsidies for the formulation of effective public policies in the search for a decrease in death rates. Descriptors: Mortality; Morbidity; External Causes; Information Systems; Epidemiology; Health Management. RESUMEN Objetivo: analizar el perfil epidemiológico de la mortalidad por causas externas en la Región Sur de Brasil en el período de 2004 a 2013. Método: estudio cuantitativo, descriptivo, exploratorio, retrospectivo y transversal, desarrollado a partir de los dados disponibilizados por el Sistema de Informaciones sobre Mortalidad. La recolección de datos fue realizada en el site del Departamento de Informática del Sistema Único de Salud utilizando un formulario. La muestra fue constituida por los 1.737.448 registros de óbitos decurrentes de causas externas de morbilidad y mortalidad y el análisis fue realizado por medio de estadística descriptiva. Resultados: los datos mostraron que la mayor parte de los óbitos fue de individuos del sexo masculino (56,94%), con edad entre los 20 a los 39 años (42,73%), de color blanca (86,21%), solteros (57,81%), con hasta siete años de estudios (40,39%) y el hospital como principal local de ocurrencia (40,70%). Conclusión: se constató aumento progresivo del número de óbitos decurrentes de causas externas. Los resultados obtenidos poderán fornecer subsidios para la formulación de políticas públicas eficaces en la búsqueda por la diminución de los índices de muertes. Descriptores: Mortalidad; Morbilidad; Causas Externas; Sistemas de Información; Epidemiología; Gestión en Salud. 


2021 ◽  
Author(s):  
Eshetu Yisihak ◽  
ASRAT HIZKEL ◽  
Teklemichael Gebru ◽  
Desta Markos

ABSTRACT Background In today's world road traffic accident victims is treated as a major epidemic of non-communicable disease. Road traffic accidents caused numerous family tragedies such as serious economic loss to the community and the death of young people. The problem is more severe in low and middle-income countries. In Ethiopia, the largest proportion of series injuries comes from road traffic accidents and become major causes of death in the emergency room. Despite this, only a little is known about treatment outcomes of road traffic accident victims and its associated factors in Ethiopia. Method An institution-based Cross-sectional study design was conducted at Wolaita Soddo Christian hospital with a sample of 400 road traffic accidents. The medical record was selected using a systematic sampling method. Data was entered using Epi-data version 4.1 and was exported to and analyzed using SPSS version 23. A multivariable logistic regression model was used to assess the association between the independent variables and dependent variables. RESULT The overall death rate was 9.5%. Being out of hospital catchment area [AOR= 2.16, 95% CI= (1.01-4.70)] presence of co-morbid condition [AOR= 6.77 95% CI= (2.44-18.81)] lack of first aid help [AOR= 2.77 95% CI= (1.17-6.52)] and severity of the injury [AOR= 3.85 95% CI= (1.50-9.89)] were found to be significantly associated with outcome of road traffic accident victims. Conclusion The study shows that the death rate from road traffic accidents was high. Therefore, designing strategies to decrease death from road traffic accidents by giving great emphasis to road traffic accident victims with co-morbid conditions and severe injury and focusing on the availability and accessibility of pre-hospital care service. Keywords: Outcome, road traffic accident, Wolaita Soddo Christian hospital, Ethiopia


2018 ◽  
Vol 34 (2) ◽  
pp. 50
Author(s):  
Aning Isfandyari ◽  
Lutfan Lazuardi

Fatality and spatial analysis of road traffic accident in Gunung KidulPurposeThis study is aimed to conduct further analysis of road accidents fatality and accident-potential area using geographic information system.MethodsThis was an analytic observational study using cross-sectional study design. Samples are all traffic accident recorded in police departement accident registry from January 1st to December 31st 2015. Data will be analyzed using poisson regression with robust variance and accident location will be analyzed spatially using ArcGIS 10.4 software.ResultsThe result revealed that  06.00-11.59 a.m  (PR 0.31, 95% CI 0.144-0.687) or 12.00-17.59 p.m (PR 0.40; 95% CI 0.184-0.865),  uphill roadway geometric (PR 2.16, 95% CI 1.144-4.094) or winding roadway  (PR 1.80, 95% CI 1.013-3.213) and single accident type (PR 3.59; 95% CI 1.953-6.592) were significant factors affecting road traffic fatalities. Accident-prone locations to traffic accidents in Gunungkidul are clustered on several streets, such as Yogyakarta-Wonosari Street, Karangmojo-Semin Road, Wonosari Semanu Street and Wonosari Baron Street..ConclusionsFatal traffic accident in Gunungkidul are influenced by environmental conditions and accident types. Multisectoral coordination was needed to improve intervention to population at risk and stakeholders need to make efforts to modify the environment related to road geometric conditions to minimize the occurrence of accidents.


2019 ◽  
Vol 13 ◽  
Author(s):  
Mônica Neris de Lima ◽  
Marielle Maria Oliveira Barros ◽  
Ana Maria Ribeiro dos Santos ◽  
Adélia Dalva Da Silva Oliveira ◽  
Francisca Cecilia Viana Rocha

Objetivo: avaliar o desempenho cognitivo de idosos atendidos por acidente de trânsito. Método: trata-se de um estudo quantitativo, descritivo, observacional, transversal, em um hospital público. Compôs-se a amostra por 250 idosos. Utilizou-se a variável dependente do estudo a função cognitiva definida por meio do Mini Exame do Estado Mental e um formulário sociodemográfico elaborado pelos pesquisadores do estudo e processado estatisticamente. Resultados: caracterizou-se que a maioria dos idosos era do sexo masculino; com idades de 60 a 79 anos; estado civil casado; renda abaixo de um salário mínimo e natural de Teresina. Evidenciou-se, que a maioria dos idosos era apta cognitivamente, observando-se relação estatisticamente significativa entre a função cognitiva, faixa etária, escolaridade, estado civil e renda mensal. Revela-se que o tipo de acidente de trânsito que mais acometeu os idosos foi o atropelamento. Conclusão: manteve-se o desempenho cognitivo dos idosos acidentados preservado, no entanto, observaram-se fatores que mostraram relação como a idade mais avançada, a ausência de alfabetização, a viuvez e o nível econômico mais baixo. Descritores: Idoso; Acidentes de Trânsito; Enfermagem Geriátrica; Prevenção de Acidentes; Saúde do Idoso; Causas Externas.AbstractObjective: to evaluate the cognitive performance of elderly people treated by traffic accident. Method: this is a quantitative, descriptive, observational, cross-sectional study in a public hospital. The sample was composed by 250 elderly. The dependent variable of the study was the cognitive function defined through the Mini Mental State Examination and a sociodemographic form elaborated by the study researchers and processed statistically. Results: it was characterized that most of the elderly were male; aged 60 to 79 years; married marital status; income below a minimum wage and Teresina natural. Most of the elderly were cognitively fit, with a statistically significant relationship between cognitive function, age, education, marital status and monthly income. It is revealed that the type of traffic accident that most affected the elderly was being run over. Conclusion: the cognitive performance of the injured elderly was preserved, however, there were factors that showed a relationship such as older age, lack of literacy, widowhood and lower economic level. Descriptors: Aged Accidents; Traffic; Geriatric Nursing; Accident Prevention; Health of the Elderly; External Causes.ResumenObjetivo: evaluar el desempeño cognitivo de ancianos atendidos por accidente de tránsito. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal en un hospital público. La muestra estuvo compuesta por 250 ancianos. La variable dependiente del estudio fue la función cognitiva definida a través del Mini Examen del Estado Mental y una forma sociodemográfica elaborada por los investigadores del estudio y procesada estadísticamente. Resultados: se caracterizó que la mayoría de los ancianos eran varones; de 60 a 79 años de edad; estado civil: Casado; ingresos inferiores a un salario mínimo y natural de la ciudad de Teresina. La mayoría de los ancianos tenían un estado cognitivo adecuado, con una relación estadísticamente significativa entre la función cognitiva, la edad, la educación, el estado civil y el ingreso mensual. Se revela que el tipo de accidente de tránsito que más afectó a los ancianos fue atropellamiento. Conclusión: se conservó el rendimiento cognitivo de los ancianos lesionados, sin embargo, hubo factores que mostraron una relación como la edad avanzada, la falta de alfabetización, la viudez y el bajo nivel económico. Descriptores: Anciano; Accidentes de Tránsito; Enfermería Geriátrica; Prevención de Accidentes; Salud del Anciano; Causas Externas.


Author(s):  
Birudu Raju ◽  
Kanmani T. R. ◽  
Subhas Konar ◽  
Dhaval Shukla ◽  
Raghavendra kukkehalli

Abstract Background Prehospital care is nonexistent in most rural and semiurban areas. The implementation of golden hour care is still unachieved. The psychosocial problems of family members who accompany the traumatic brain injury (TBI) survivors after road traffic accidents (RTA) are not given attention during prehospital care. Therefore, the current study was aimed to understand the prehospital psychosocial impact on family members. Methodology A cross-sectional study was conducted at the Emergency and Trauma Care Centre at National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru between July 2017 to April 2018. Forty-five (n = 45) referred family members providing care for trauma survivors were purposively recruited in the study. Structured checklists were administered to measure the psychological reactions and psychosocial problems experienced by the family members during prehospital care. Data analysis was analyzed using the R software 3.0.1 version. Results TBI survivor's mean age was found to be 33 years (33.09 ± 13.20), of which males were 23 (51.1%) and females were 22 (48.9%), respectively. The result depicted first aid was provided by unskilled people after an average of 41 minutes (41 ± 30). The results further showed that family members had experienced agitation (100%), shock (82.2%), fatigue and headache (75.6%), depression (66.7%), feeling of hopelessness (55.6%) helplessness, and lack of support from family and financial constraints (48.9%) during prehospital care. Conclusion Psychosocial interventions need to be provided during prehospital care by trained medical and psychiatric social work professionals to address the need of family members during the crisis.


Author(s):  
Silvia Solà-Muñoz ◽  
Oriol Yuguero ◽  
Youcef Azeli ◽  
Guillermo Roig ◽  
José Antonio Prieto-Arruñada ◽  
...  

Abstract Background The extraordinary situation caused by the onset of COVID-19 has meant that at prehospital level, the number of treatments, profile and time taken to respond for treating time-dependent pathologies has been greatly affected. However, it is not known whether the prehospital profile of polytrauma patients (PTP) has been affected. Objective To determine differences in the epidemiological characteristics and the clinical variables of prehospital polytrauma patients during the first wave of the COVID-19 pandemic in Catalonia. Methodology Analytical cross-sectional study. The number of prehospital activations and the clinical and epidemiological characteristics of polytrauma patients attended by the Emergency Medical System (EMS) of Catalonia, were compared for the period between 15 February and 15 May 2020 and the same period in the previous year. Priorities 0 and 1 are assigned to the most severely injured patients. An analysis was conducted using logistic regression and nonparametric tests. Results 3023 patients were included. During the 2019 study period, 2045 (67.6%) patients were treated; however, during the pandemic period, 978 (32.4%) patients were treated, representing a 52% decrease (p = 0.002). The percentage of patients presenting priority 1 was higher during the pandemic period [240 (11.7%) vs 146 (14.9%), p = 0.032]. The percentage of priority 0 and 1 patients attended by a basic life support unit increased [201 (9.8%) vs 133 (13.6%), p = 0.006]. The number of traffic accidents decreased from 1211 (59.2%) to 522 (53.4%) and pedestrian-vehicle collisions fell from 249 (12.2%) to 92 (9.4%). Regarding weapon-related injuries and burns, there was an increase in the number of cases [43 (2.1%) vs 41 (4.2%), and 15 (0.7%) vs 22 (2.2%), p = 0.002 and p < 0.001, respectively]. Hospital mortality remained unchanged (3.9%). Conclusions During the first wave of the pandemic, the number of polytrauma patients decreased and there was a change in the profile of severity and type of accident.


2021 ◽  
Vol 19 (1) ◽  
pp. 87-90
Author(s):  
Sudhan Poudel ◽  
Sudarshan Dhungana ◽  
Raksha Dahal

Background: Road traffic accidents is growing continuously as a global burden and would be a leading cause of death in developing countries. The global burden of road traffic accidents continues to grow and promises to overtake tropical diseases as leading causes of death in the developing world. This study aimed to study the pattern and causes of road traffic accidents in Morang district.Methods: Record based descriptive cross-sectional study was used by reviewing all registered RTA cases of the District Traffic Police Office, Morang during fiscal year 2074/75 (Shrawan 2074 to Ashad 2075). 501 road traffic accident cases were found in the record and used for the study. The data was analysed using SPSS v 16 and presented in normal frequency tables and crosstables.Results: Out of 501 accidents 32.2% occurred Friday and Saturday. In the evening time, most of the accidents occurred. In highways, 53.5% of accident cases occurred. 82% of the accidents occurred in blacktop road. Two-wheelers are mostly involved in accident cases (77%). Negligence (55.7%) and over-speed (36.5%) were the major reasons for accidents. In 33% of cases, accidents occurred involving pedestrians and cyclists. 80% of the drivers are below 40 years; similarly 80% of the victims are also below 40 years. Among victims who died 84.1% were male and among injured 73.3% were males.Conclusions: Weekends, evening, highways and two wheelers are more accident prone time, place and vehicles respectively. Overspeed and negligence of driver tends to major cause of accidents and majority of victims are the young bike riders and pedestrians. Keywords: Burden; causes; road traffic accidents; pattern


2017 ◽  
Vol 4 (2) ◽  
pp. 477
Author(s):  
Mallikarjuna G. P. ◽  
Latha G. S. ◽  
Veeresh Babu D. V. ◽  
Thejraj H. K.

Background: Road traffic accidents (RTA) are the leading cause of unnatural deaths in the world and a major burden on the world’s economy. The aim was to study the prevalence of road traffic accident among children.Methods: It is a retrospective cross sectional study. Data collected from the hospital records in PICU. Children studied are either admitted directly for road traffic accident or referred to our centre for complicated injuries. children of 1 to 18 years are studied, details of address, locality (either rural, urban) road safety precautions used, mode of injury, type of vehicle, type of injury, number of passengers, complications, outcome of injury are collected and entered in prescribed proforma, and impact of each one is analysed and magnitude is studied. Study period was from June 2014 to June 2016.Results: This study shows that road traffic accident prevalence is more in 15-18 year age group (31%), and males are affected more commonly (79.5%), among these majority of children were from rural area (73%), more common type of injury were complicated injuries (85.1%). Children travelling in 2 wheelers were affected more (74.9%). Results analysed with age of victims and type of injury, p value <0.05 is considered significant.Conclusions: To bring the mortality rate down, children especially with rural background should be made aware about the importance of strict compliance to traffic rules and regulations. Government need to start implementing traffic rules awareness programme among rural people.


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