Caracterização clínica e das situações de fratura da coluna vertebral no município de ribeirão preto, propostas para um programa de prevenção do trauma raquimedular

Vasconcelos, Eduardo Mourão; Riberto, Marcelo

doi:10.1590/s1808-18512011000100007

“…The need to improve traffic safety is corroborated by the findings of Vasconcelos and Riberto 24 , who showed that half of the interviewed individuals with SI, about the seriousness of SIs. The preventive aspects of SI most mentioned by the interviewees were the need for more attention, precaution and caution, the proper use of individual protection devices and respect for traffic rules 24 .…”

mentioning

confidence: 79%

“…The need to improve traffic safety is corroborated by the findings of Vasconcelos and Riberto 24 , who showed that half of the interviewed individuals with SI, about the seriousness of SIs. The preventive aspects of SI most mentioned by the interviewees were the need for more attention, precaution and caution, the proper use of individual protection devices and respect for traffic rules 24 . Therefore, while the etiology of trauma mechanisms was similar in two Brazilian states -the one in this study and the one in the study by Koch, Graells and Zanielli 19 -, Pirouzmand 20 shows that, for 10 years, 66% of the 12,192 patients from an adult trauma center in Canada suffered SI from a traffic accident.…”

mentioning

confidence: 79%

Estudo do perfil do trauma raquimedular em Porto Alegre

Frison

¹

,

Teixeira²,

Oliveira³

et al. 2013

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Este estudo de coorte retrospectivo foi desenvolvido com o objetivo de traçar o perfil da população que sofreu trauma raquimedular (TRM) e foi internada em hospitais de pronto atendimento de Porto Alegre/RS. O perfil da população que sofreu TRM de janeiro de 2005 a janeiro de 2010 foi investigado retrospectivamente a partir da coleta de dados em registros médicos. Foram analisados 1320 prontuários, dos quais 63,3% eram do sexo masculino, com média de idade de 47,02±19,60 anos. Os mecanismos de TRM que prevaleceram foram queda de altura (27,2%), acidente de trânsito (25,8%) e queda da própria altura (13,2%), e os níveis da coluna vertebral mais acometidos foram lombar (35,6%), torácico (21,9%) e cervical (20,5%). Da amostra total, 10,7% dos indivíduos que sofreram TRM apresentaram lesão medular (LM), com maior prevalência da lesão incompleta (63,3%). O TRM em Porto Alegre acomete principalmente homens na meia-idade, que tiveram na queda de altura a etiologia mais frequente e no nível lombar o mais acometido. A LM ocorreu mais em indivíduos jovens, sendo o nível cervical o mais lesado. Esses achados são importantes para orientar a alocação eficiente de recursos para o manejo desses agravos e suas repercussões e para prevenir a sua ocorrência nas populações em risco.

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“…In this study, the sociodemographic characteristics of the respondents resembles the scenario described by other researchers, mainly males and individuals in the economically active age group [2,4,[15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 75%

“…In this context, the study carried out by Vasconcelos and Riberto [4] shows the need to further invest in awareness of the importance of respecting traffic laws, including mandatory use of such equipment.…”

Section: Discussionmentioning

confidence: 99%

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Rachimedural Trauma: Epidemiology And Complications

Diniz

¹

,

Brito

²

,

Aguiar

³

et al. 2016

Int Arch Med

0

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Background: Traumatic spinal cord is a public health problem due to the high morbidity and mortality worldwide. The objective of this research was to characterize the profile demographic and clinical partner of people with TRM; analyze correlations between clinical features of traumatic injury level and its complications. Methods:Observational study, the cut cross-sectional with a quantitative approach, performed with 80 people with TRM. Data were analyzed using descriptive and inferential techniques statistics. Results:The results show correlation of spinal cord injury in lumbar level with accidents with firearms, of chest injury to car accidents and cervical injuries the diving in shallow water. Regarding complications, quadriplegia had greater influence as a risk factor for UP, spasticity, orthostatic hypotension, urinary complications, autonomic dysreflexia and intestinal disorders in relation to paraplegia, but showed a protective factor to pain syndromes. Conclusion:The absence of notification is a limiting factor for research and construction of new public policies aimed at preventing determinants external causes of TRM, as well as development of actions aimed at specialized care to minimize complications and improve quality of life in this population.

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