儿童期事故：巴西一个中等城市三级医疗服务的个案分析

Accidents in childhood: casuistry of a tertiary service in a medium-sized city in Brazil.

作者信息

Gonçalves Anderson César, Araújo Maria Paula Bortoleti de, Paiva Karina Veronezi de, Menezes Caio de Souza Araújo, Silva Anna Érica Mero Cavalcanti da, Santana Giuliana de Oliveira, Ortolan Érika Veruska Paiva, Lourenção Pedro Luiz Toledo de Arruda

机构信息

Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Cirurgia e Ortopedia, Botucatu, SP, Brasil.

出版信息

Rev Col Bras Cir. 2019;46(2):e2104. doi: 10.1590/0100-6991e-20192104. Epub 2019 Apr 18.

DOI:10.1590/0100-6991e-20192104

PMID:31017178

Abstract

OBJECTIVE

to investigate the main causes and most common risk situations related to childhood accidents, in our local reality.

METHODS

an observational, cross-sectional, retrospective, descriptive, and analytical study from the medical records of patients attended in the pediatric emergency services of the hospital complex of Hospital das Clínicas, Botucatu Medical School - UNESP, in 2016. We included patients from zero to 15 years old who had received medical care related to accidents, determining age, gender, type of accident, period of the day, accident place, and history of previous accidents.

RESULTS

considering all consultations with appropriate medical records, 936 (27.5%) were related to accidents: 588 (62.8%) in male patients and 348 (37.2%) in female patients. As to age, 490 (52.3%) happened with children from zero to five years, 245 (26.2%) with children from six to ten years, and 201 (21.5%) with children over ten years. Falls and local traumas were the most common types of accidents in all analyzed age groups. Most accidents occurred in the afternoon (46.1%), at home (60.7%), and 26.6% of the patients had a history of previous accidents.

CONCLUSION

accidents were responsible for a large portion of urgent care. The high rate of patients with previous accident records indicated the repeated exposure of these children to risk situations.

摘要

目的

在我们当地的实际情况中，调查与儿童意外事故相关的主要原因和最常见的风险情况。

方法

对2016年在巴西圣保罗州立大学博图卡图医学院临床医院综合院区儿科急诊就诊的患者病历进行观察性、横断面、回顾性、描述性和分析性研究。我们纳入了0至15岁因意外事故接受医疗护理的患者，确定其年龄、性别、事故类型、一天中的时间段、事故发生地点以及既往事故史。

结果

在所有有完整病历的会诊中，936例（27.5%）与意外事故相关：男性患者588例（62.8%），女性患者348例（37.2%）。在年龄方面，0至5岁儿童发生意外事故490例（52.3%），6至10岁儿童245例（26.2%），10岁以上儿童201例（21.5%）。跌倒和局部创伤是所有分析年龄组中最常见的意外事故类型。大多数意外事故发生在下午（46.1%），发生在家里（60.7%），26.6%的患者有既往意外事故史。