Andrade Silvânia Suely Caribé de Araújo, Jorge Maria Helena Prado de Mello
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Bras Epidemiol. 2016 Mar;19(1):100-11. doi: 10.1590/1980-5497201600010009.
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.
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.
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.
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.
根据研究人员制定的标准描述道路交通事故身体后遗症受害者的概况,并分析2000年至2013年巴西因该原因住院治疗的趋势。
采用国家卫生系统(SUS)医院信息系统的数据进行生态时间序列研究。使用普雷斯-温斯坦回归估计住院趋势。
在此期间,共登记了1,747,191例交通事故住院病例;410,448例为有身体后遗症的受害者。其中约77.7%为男性,26.5%属于20 - 29岁年龄组,46.4%居住在巴西东南部,44.0%为行人,31.1%为摩托车手。总共有51,189例为“确诊”后遗症(12.5%),行人占病例的43.8%。有359,259例因“可能”后遗症诊断而住院,摩托车手占这些病例的43.3%。所有确诊和可能有后遗症的患者都有稳定趋势,但北部和中西部地区男性因确诊后遗症导致的住院率显著上升。
在所研究期间,与身体后遗症相关的住院病例约占医院信息系统住院病例的四分之一。大多数事故涉及男性、年轻人、巴西东南部居民和行人。巴西及各地区与身体后遗症相关的交通事故住院率稳定,但北部和中西部地区男性确诊后遗症的住院率显著上升。