Mascarenhas Márcio Dênis Medeiros, de Freitas Mariana Gonçalves, Monteiro Rosane Aparecida, da Silva Marta Maria Alves, Malta Deborah Carvalho, Gómez Carlos Minayo
Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Ministério da Saúde, Brasília, DF, Brasil,
Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
Cien Saude Colet. 2015 Mar;20(3):667-78. doi: 10.1590/1413-81232015203.16842014.
Work-related injuries, often classified as occupational injuries (OI), stand out among visits due to external causes (accidents and violence) in health services. To describe the characteristics and factors associated with emergency room visits for OI, a cross-sectional study was conducted using data from the Survey of Violence and Injuries in Emergency Services (VIVA Inquérito 2011) in 24 state capitals and the Federal District. The prevalence of treatment for OI and prevalence ratios (PR) with confidence intervals of 95% (95%CI) were calculated. There were 29,463 emergency room visits due to accidental injuries in the population above 18 years of age. The prevalence of OI was 33.4% and was positively and significantly associated with the male gender, age 30-59 years old, industrial workers, agricultural sector or repair and maintenance services. The occurrence of OI was significantly higher in attendance for objects falling on people (PR = 3.37, 95% CI 2.80 to 4.05) and injuries due to perforating object (PR = 3.01, 95% CI 2.50-3.65). The results support the surveillance of external causes and direct public policies to promote occupational health.
工伤，通常归类为职业伤害（OI），在卫生服务机构因外部原因（事故和暴力）就诊的情况中较为突出。为了描述与职业伤害急诊就诊相关的特征和因素，我们利用来自24个州首府和联邦区的急诊服务暴力与伤害调查（VIVA Inquérito 2011）的数据进行了一项横断面研究。计算了职业伤害的治疗患病率以及95%置信区间（95%CI）的患病率比值（PR）。18岁以上人群因意外伤害到急诊室就诊的有29463例。职业伤害的患病率为33.4%，且与男性、30至59岁年龄组、产业工人、农业部门或维修保养服务呈正相关且具有显著关联。物体砸落到人身上导致的职业伤害发生率（PR = 3.37，95%CI 2.80至4.05）以及穿孔物体导致的伤害发生率（PR = 3.01，95%CI 2.50 - 3.65）显著更高。研究结果支持对外部原因进行监测，并指导促进职业健康的公共政策。
