Histórico: A violência contra a mulher constitui uma grande preocupação de saúde pública brasileira, que apresenta uma taxa de homicídio feminino que coloca o Brasil no quinto lugar no ranking mundial dessa estatística. Contudo, há poucas informações publicadas na literatura sobre mecanismos de trauma e prevalência de lesões nesse cenário. Este trabalho objetiva analisar o perfil epidemiológico das mulheres vítimas de violência através da análise de atendimentos pré-hospitalares. Desenho do estudo: Source of support: Nil Conflict of interest: None AbStRActIntroduction: Violence against women is a great concern in Brazilian public health, which has a female homicide rate that places the country at the fifth place of the world ranking of this statistic. However, there is little information published in literature about trauma mechanisms and prevalence of lesions in such scenario. This paper aims to study the epidemiological profile of female victims of violent trauma by analyzing prehospitalar assistance records. Study design:A retrospective descriptive study was carried out based on the data extracted from case records of the mobile urgency medical service (SAMU, acronym in Portuguese) in the city of Ilhéus, Bahia from January to December, 2014. From a universe of 1588 cases of trauma, we selected female victims (466) and, from them, those who were subjected to aggression trauma, resulting in a final sample of 49 individuals. It was analyzed age, time of assistance, day of the week of event, lesion mechanisms, main site of injury, need of fluid replacement therapy, Revised Trauma Scores (RTS) and pre-hospitalar death. Statistical analysis was performed using Epi Info 7.1.5 software. Results:The mean age of victims was 32.6 years. About 23.4% of events happened on Saturdays, 21.3% on Sundays, and 57.1% during the night. Nearly 49% of injuries were caused by beating. Approximately 61.3% of lesions were located on the head and neck and 48% of lesions were lacerations. Fluid therapy was used in 14.3% of times. Only a single living victim had RTS lower than 7.8408. The mortality rate verified was 4.1%. Conclusion:This study highlights the worrying reality of violence against women, an urgent issue that requires a response so that Brazilian and world society can achieve better conditions of life, security and equality.
Introduction: BP assessed by ABPM is better related to TOD than office measurement. Evaluate TOD patients presented at a Hypertension Lab for first screening. Methods: 353 hypertensive (188 Female, aged 19-89) by 24h-ABPM (SpaceLabs 90307), lab. tests, LVMIU by Echo (Terason, M3000), Divided in two groups: Controlled [C] by 24h-BP (<130x80 mmHg) and Not controlled [NC] (>130/80 mmHg), albuminuria (ALB). Results: Table shows no difference detected in lab panel, except Glu, Trygl, ALB and LVMI. Discussion: Expected Higher, Glu, trygl, ALB levels and LVMI, in NC group, with significant statistical differences comparing C group. Expected because the high blood pressure are the trigger to TOD. Conclusion: Screening with 24-h ABPM is a valuable tool to hypertensives patients and should be used more frequently to prevent TOD progression.
BP assessed by ABPM is better related to TOD than office measurement. Evaluate TOD patients presented at a Hypertension Lab for first screening. Methods: 278 hypertensive (147 Female, aged 19-89) by 24h-ABPM (SpaceLabs 90307), lab. tests, LVMI by Echo (Terason M3000); Divided in two groups: Controlled [C] by 24h-BP (<130x80 mmHg) and Not controlled [NC] (>130/80 mmHg), albuminuria (ALB) was log transformed in order to allow proper analysis. Dipping pattern 24h-ABPM: dipper (DP) (>10- 20%), nondipper-absente (NDP) (<10%), reverse dipper (RDP)(> 20%). Results: Table 1 and 2 : Demography and ALB,LVMI. No differences detected in lab panel, except Glu, Trygl, ALB and LVMI. Discussion: Expected Higher LVMI, Glu, trygl, ALB levels, in NC group, with significant statistical differences comparing C group. Expected reverse dipping pattern would show differences when compared with dipper pattern but probably the small number of subjects didn’t allow detect such differences. Conclusion: Screening with 24-h ABPM is a valuable tool to hypertensives and dipper pattern should be achived to prevent TOD progression.
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