Morbimortalidade por traumatismo crânio-encefálico no município de São Paulo, 1997

Abstract

There are few epidemiological studies on traumatic brain injury (TBI), and those that allow broad comparative analyses of this problem are even more scarce, due to methodological obstacles. Usually, the studies address head injury (they include the cranial envelopments and content) but are reported as TBI, given the difficulty of mutual exclusion. It is also common for them to be centered at specific severity levels, only for hospitalized victims or according to the external cause, such as traffic accidents. With full respect to these limits, this study had as its objective the estimation of the TBI incidence in patients resident and in-hospital, in the hospital network in the city of São Paulo, Brazil, in 1997, as well as the estimation of TBI-caused mortality amongst external causes, at this same time and locale. Data for the study consisted of Ministério da Saúde data on hospital discharges, analyzed based on Autorizações de Internação Hospitalar (AIH) and obituary data on external causes, contained in the Programa de Aprimoramento das Informações de Mortalidade (PROAIM) data base. It was found that 29 717 patients were hospitalized due to lesions and poisoning; of these 3 635 (12%) had TBI; the hospitalization rate was 0.36/1000 pop.; and hospital mortality was 10%. The mortality coefficient due to external causes was 87.3/100 000 pop. Minimum TBI mortality rate is estimated at a minimum of 26.2 and a maximum of 39.3/100000 pop.

O Sistema de Informação Hospitalar e sua aplicação na saúde coletiva

“…Para a asma, a dificuldade diagnóstica pode ser maior na primeira manifestação da doença e varia conforme a idade do paciente 23 . A leptospirose apresenta grande número de casos com quadro clínico inespecífico 47 e o TCE apresenta problemas associados à sua definição operacional de caso, dificultando comparações no tempo e no espaço 27,36 . Outros problemas referem-se aos diferentes códigos que podem ser usados para descrever a mesma condição, por exemplo, estreitamento das artérias coronarianas que causam desconforto no tórax com esforço.…”

Cognitive deficits in patients with mild to moderate traumatic brain injury

“…To the World Health Organization (WHO), traumatic brain injury (TBI) is a public health issue 1 , because it is one of the largest causes of brain injury, resulting in high rates of morbidity and mortality [2][3][4] . However, with modern medicine and the progress of techniques for acute treatment of TBI victims, patient survival rate is in- creasing.…”

“…However, with modern medicine and the progress of techniques for acute treatment of TBI victims, patient survival rate is in- creasing. Consequently, the number of patients who survive with cognitive impairment is growing [3][4][5] . TBI severity (mild, moderate, severe) depends on a number of factors, including type of injury (diffuse or focal), extension and location, resulting in different patterns of damage 2 .…”

Caracterização de cuidadores de vítimas de trauma crânio-encefálico em seguimento ambulatorial

“…No conjunto das lesões decorrentes das causas externas, o Trauma Crânio-Encefálico (TCE) destaca-se em termos de magnitude tanto entre mortos quanto feridos, sendo uma das lesões mais freqüentes (2) .…”