Epidemiologia e grau de satisfação do paciente vítima de trauma músculo-esquelético atendido em hospital de emergência da rede pública brasileira

Abstract

SUMMARYObjective: The purpose of this study is to describe the epidemiological profile of trauma victims assisted in a public hospital in Fortaleza -Brazil. It also intends to establish a relationship between the waiting time for primary care and the satisfaction level of those patients. Another topic assessed here is the analysis of the most frequent musculoskeletal pathologies in this population. Methods: A cohort randomized study was conducted during 2002-2003 in a public trauma hospital in Fortaleza -Brazil, where 500 emergency patients were enrolled. Results: The epidemiological profile found in this study is as follows: males (60.4%), young adults (ages ranging 15 -30 years old) (55%), Fortaleza residents (74%), low familiar income (60%), and relatively healthy, being the fractures the most frequent lesions observed (48%). Conclusion: Patients assisted in trauma hospitals constitute a major social problem, and, most of the cases, they present with severe lesions, which demonstrates the need and importance of investments in emergency medical services.

Adultos com fraturas: das implicações funcionais e cirúrgicas à educação em saúde

“…They have become the primary cause of morbidity and mortality in the population from zero to 39 years of age, making them a severe public health problem that demands immediate intervention measures (5) .…”

“…In the motor domain, emphasis lies on self-care (eating, grooming, bathing, dressing, toileting), bladder and bowel management, transferring (bed, chair, wheelchair, toilet, shower) and locomotion (walking and going up and down stairs), covering thirteen activities. The cognitive/ social domain comprises communication (understanding and expression) and social cognition function (social interaction, problem solving and memory), with five activities (5) . These areas are scored from 1 (complete dependence) to 7 (total independence); the higher the score, the greater the person's independence, with total scores ranging from 18 to 126 (7) .…”

Epidemiologia das fraturas em pacientes do interior do Ceará tratadas pelo SUS

“…1 Braga Junior et al 1 2005 verified that of 500 patients treated in the traumatology emergency service of IJF, in Fortaleza, 24% came from small towns in Ceará. This situation leads to the overcrowding of hospitals in the capital city, contributing to the quality impairment of the hospital service.…”

“…Of the patients victims of closed trauma, 85% suffer injury to the musculoskeletal system, 1 while the vast majority of these patients seek medical care in emergency clinics. In the age bracket from 0 to 39 years, for example, trauma ranked first as etiology of morbimortality.…”

“…In the age bracket from 0 to 39 years, for example, trauma ranked first as etiology of morbimortality. 1 Braga Junior et al 1 Frame 2 estimated that in terms of deaths among teenagers and children, respectively, 80% and 60% are secondary to traumatism. The annual costs for US society exceed 400 billion dollars, including hospitalization, insurance administration, labor costs and reduction of productivity.…”