Unintentional pediatric injuries in São Paulo. How often is it severe?

Abib, Simone de Campos Vieira; Francoia, Alessandra; Waksman, R; Dolci, Maria Inês; Guimarães, Hélio Penna; Moreira, Frederico G. P.; BoarettoCezillo, Marcus Vinícius; Góes, Adenauer Marinho de Oliveira

doi:10.1590/s0102-865020170070000010

Cited by 14 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A number of predictable demographic and socioeconomic status are significant factors related to UI vulnerability. The WHO and UNICEF data reveal the higher UI mortality in low and middle income countries and show that boys are more vulnerable to most forms of UIs in all age groups, which is in concordance with the present study and several studies across the globe [8][9][10][13][14][15][16][17][18][19][20]. This can be explained by the fact that male children take more risks and are more impulsive than girls [21].…”

Section: -Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Epidemiological profile of child victims of everyday life injuries versus road traffic accident

Boughaleb¹,

Mouad²,

Aqqaoui³

et al. 2021

E3S Web Conf.

View full text Add to dashboard Cite

Unintentional injuries (UI) correspond to “unplanned” events; they include everyday life injuries (EDL), road traffic accident (RTA) and work accidents. In our pediatric context, the latter are excluded. Aim: Draw up an epidemiological profile of UI in children hospitalized for at least 24 hours and make a comparison between EDL and RTA. Material and Methods: A cross-sectional study conducted during four years, about children hospitalized for UI, in the pediatric surgical emergency department (PSE) of the children's hospital of Rabat, Morocco. Sociodemographic and medical data were analyzed by statistical software (JAMOVI). Results: 545 files were retained. EDL represented 81.9 % with a male predominance (70.4%). The median age was 8 years [4; 12] with predominance of school children (63.5%). Infants predominated in EDL (15.1%). Spring has a predominance in RTA (33%), while there is a reversal of the trend for the other seasons (p<0.05). As regards the accident, the majority occurred on weekdays. The injured body parts were multiple for the RTA (39.1%) and affected the limbs (58.5%) for the EDL (p <0.05). Radiological abnormalities were found in 79.6% of cases in EDL. The 24-hour hospital stay was for EDL (66.7%) while RTA is hospitalized beyond 48 hours (53.7%).

show abstract

Section: -Discussionsupporting

confidence: 92%

“…This can be explained by the fact that male children take more risks and are more impulsive than girls [21]. Also, culturally, boys are given relatively greater freedom to explore their environment [6,14].…”

Section: -Discussionmentioning

confidence: 99%

Epidemiological profile of child victims of everyday life injuries versus road traffic accident

Boughaleb¹,

Mouad²,

Aqqaoui³

et al. 2021

E3S Web Conf.

View full text Add to dashboard Cite

show abstract

“…Com maior renda e maior instrução educacional. Dessa forma, observa-se redução da gestação entre adolescentes [19][20][21] .…”

Section: Discussionunclassified

[Id 57395] Internações E Mortes Por Causas Externas Entre Os Menores De Um Ano, Recife, Pernambuco

Oliveira¹,

Silva²,

Silva³

et al. 2021

RBCS

View full text Add to dashboard Cite

Objetivo: Descrever as características clínicas e epidemiológicas dos óbitos infantis por causas externas de residentes no Recife, Pernambuco, no período de 2010 a 2016. Metodologia: Estudo transversal, descritivo, com abordagem quantitativa. A população do estudo foi constituída por 83 óbitos infantis por causa externa de residentes no Recife. Utilizou-se o programa R versão 3.6.3 para análise descritiva dos dados. Além disso, utilizou-se o teste de x² para testar se os dados categóricos associados a uma variável se comportam de modo homogêneo. Resultados: No período de estudo foram registrados 83 óbitos infantis por causa externa em residentes na Cidade do Recife - PE. Os óbitos apresentaram maiores proporções em indivíduos do sexo masculino (n = 44; 53,0%), da raça/cor preta (n = 54; 65,1%) no período pós-neonatal (n = 65; 78,3%). A maior parte dos óbitos foi em decorrência de acidentes envolvendo a respiração, cuja principal causa básica foi inalação do conteúdo gástrico (n = 47; 56,6%). Conclusão: A análise descritiva das características dos óbitos infantis por causa externa possibilita que ações de políticas públicas e efetivas sejam planejadas segundo a multiplicidade de fatores que determinam o risco de morte por causa externa entre os menores de um ano.

show abstract

“…We used the following criteria to define significant injury: GCS <15, need for airway intervention, hospitalization (ward or PICU), shock, need for CT scan, immediate surgery or death. 17…”

Section: Data Collection and Variablesmentioning

confidence: 99%

Pediatric trauma primary survey performance among surgical and non-surgical pediatric providers in a Brazilian trauma center

Botelho

Truché

Mooney

et al. 2020

Trauma Surg Acute Care Open

Self Cite

View full text Add to dashboard Cite

IntroductionTrauma is the leading cause of death and disability among Brazilian children and adolescents. Trauma protocols such as those developed by the Advanced Trauma Life Support course are widely taught, but few studies have assessed the degree to which the use of protocolized trauma assessment improves outcomes. This study aims to quantify the adherence of trauma assessment protocols among different types of frontline trauma providers.MethodsA prospective observational study of pediatric trauma care in one of the busiest Latin American trauma centers was conducted during 6 months. Trauma primary survey assessments were observed and adherence to each step of a standardized primary assessment protocol was recorded. Adherence to the assessment protocol was compared among different types of providers, the time of presentation and severity of injury. The relationship between protocol adherence and clinical outcomes including mortality, length of hospital stay, admission to pediatric intensive care unit, use of blood components, mechanical ventilation and number of imaging exams performed in the first 24 hours were also assessed.ResultsEmergency department evaluations of 64 patients out of 274 pediatric admissions were observed over a period of 6 months. 50% of the primary assessments were performed by general surgeons, 34.4% by residents in general surgery and 15.6% by pediatricians. There was an average adherence rate of 34.1% to the trauma protocol. Adherence among each specific step included airway: 17.2%; breathing: 59.4%; circulation: 95.3%; disability: 28.8%; exposure: 18.8%. No differences between specialties were observed. Patients with a more thorough primary assessment underwent fewer CT scans (receiver operating characteristic curve area: 0.661; p=0.027).ConclusionsOur study demonstrates that trauma assessment protocol adherence among trauma providers is low. Thorough initial assessment reduced the use of CT scans suggesting that standardized pediatric trauma assessments may be a way to reduce unnecessary radiological imaging among children.Level of evidenceIV.Study typePediatric and global trauma.

show abstract

Unintentional pediatric injuries in São Paulo. How often is it severe?

Cited by 14 publications

References 23 publications

Epidemiological profile of child victims of everyday life injuries versus road traffic accident

Epidemiological profile of child victims of everyday life injuries versus road traffic accident

[Id 57395] Internações E Mortes Por Causas Externas Entre Os Menores De Um Ano, Recife, Pernambuco

Pediatric trauma primary survey performance among surgical and non-surgical pediatric providers in a Brazilian trauma center

Contact Info

Product

Resources

About