Informações sobre mortalidade por causas externas e eventos de intenção indeterminada, Paraná, Brasil, 1979 a 2005

Abstract

Foi analisada a qualidade do Sistema de Informações sobre Mortalidade (SIM) para óbitos por causas externas no Estado do Paraná, Brasil, entre 1979 e 2005, focalizando os eventos de intenção indeterminada. Os óbitos foram agrupados em acidentes de transporte, homicídios, suicídios, eventos de intenção indeterminada, e calculadas a mortalidade proporcional e a variação percentual anual dos coeficientes entre triênios. Os acidentes de transporte foram as causas mais freqüentes de óbito no período e, a partir de 1997, os homicídios passam à segunda posição. Os óbitos por eventos de intenção indeterminada por arma (de fogo ou branca) reduziram de 4,8% em 1981 para 0,3% em 2005. Os coeficientes dos eventos (todos) de intenção indeterminada passaram de 14,9 óbitos por 100 mil habitantes em 1979/1981 para 2,0 em 2003/2005. A variação percentual anual foi de -13,1% entre 1980 e 1985; -6% entre 1996 e 2000 e -11% entre 2000 e 2004. Os resultados evidenciam a boa qualidade do SIM sobre causas externas no Estado do Paraná, permitindo análises com potencial para subsidiar ações de prevenção e promoção da saúde.

Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Hospital Universitário de Curitiba

“…In the present study, the average hospital stay was 5.48 days in the elderly and 8.03 days in non-elderly. This difference may be due to more serious lesions in the latter group 14,20 . The mortality rate in hospitalized individuals varies between 7.4% and 9.1%, being 12.5% at the Evangelical Hospital in Curitiba, which is a reference in treatment of polytrauma victims, receives patients with greater complexity and severity of injuries, which may explain the higher mortality in relation to other studies 6,7,17 .…”

“…Traffic accidents are the leading cause for seeking treatment and hospitalization, represented by accidents involving motorcycles and cars, and motorcycle accidents, the latter being the leading cause of hospitalization 3,20 . Data from our study confirm these findings.…”

“…Interpersonal violence comes as the second leading cause of care and admission in the non-elderly, with an increasing trend over the last years 20 . The factors that lead to this increase are worth a more accurate investigation, since such violence often affects part of economically active, resulting in harm to the society.…”

“…The events with motorcyclists tend to be more frequent and the lesions more serious, because there is no barrier of protection, such as in cars, protecting the rider. This is a problem to be faced in trauma, especially in large cities, where there is increased use of motorcycles as a means of transportation and labor.Interpersonal violence comes as the second leading cause of care and admission in the non-elderly, with an increasing trend over the last years 20 . The factors that lead to this increase are worth a more accurate investigation, since such violence often affects part of economically active, resulting in harm to the society.…”

Acidentes de trânsito no Brasil de 1998 a 2010: muitas mudanças e poucos resultados

“…39 A study in the state Paraná using SIM data showed a reduction in the proportion of deaths due to events of undetermined intent, 22% in 1980 to 2% in 2005. 33 The reduction of 15 deaths per 100,000 during the triennium 1979-1981 to two deaths in [2003][2004][2005] suggests improved quality of records as a result of local data processing (1993) and systematic training of technical coders. According to Jorge Mello et al, 46 SIM has greatly improved coverage and quality of data and is expected to have a coverage close to 100%.…”