Head and Brain Trauma among Children and Adolescents at a Public Hospital in Recife, Brazil

Abstract

<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML /> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="margin-top: 0cm; margin-right: 3.7pt; margin-bottom: .0001pt; margin-left: 0cm; text-align: justify; text-justify: inter-ideograph; line-height: normal;"><span style="font-size: small;">Introduction: The Head and Brain Trauma (HBT) have a great potential to cause sequelae, therefore extremely important for the </span><span style="font-size: medium;">health professionals. Objective: The aim of this paper is to provide an epidemiological overview about HBT in a high complex </span><span style="font-size: medium;">health unit located in Recife, PE, Brazil. Methodology: Risk factors were divided in: Urban Violence (Road accidents, Running Over,</span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 3.7pt; margin-bottom: .0001pt; margin-left: 0cm; text-align: justify; text-justify: inter-ideograph; line-height: normal;"><span style="font-size: small;">Firearm, Physical aggression and Melee weapon) and Non-Urban Violence (Falls, Accidental Trauma, Sports and others). Statistical </span><span style="font-size: medium;">analysis was performed using descriptive and inferential techniques, such as: Fisher exact test, Chi-square test, and likelihood-ratio </span><span style="font-size: medium;">test. The statistical significance was set at 5%. Results: HBT was present in 5.5%, predominantly between ages ranging of 0 to 19 </span><span style="font-size: medium;">years old (17.6%). In this amount, the male gender had higher values than female, being the most affected the age ranging from </span><span style="font-size: medium;">15 to 19 years, presenting a ration of 2.4:1. Concerning etiological factors, Non-urban-violence was present in 87.8%, occurring</span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 3.7pt; margin-bottom: .0001pt; margin-left: 0cm; text-align: justify; text-justify: inter-ideograph; line-height: normal;"><span style="font-size: small;">predominance in age ranging from 0 to 1 year old (96.2%). Conclusion: It was found prevalence of accidents among the male </span><span style="font-size: medium;">gender, which is a constant observed also in several other studies, however, a more alarming factor is the high rate of accidents </span><span style="font-size: medium;">involving young children, being indispensable the parents necessity of work, they received only essential care, being under the</span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 3.7pt; margin-bottom: .0001pt; margin-left: 0cm; text-align: justify; text-justify: inter-ideograph; line-height: normal;"><span style="font-size: small;">tutelage of older brothers, neighbors, and even non-nuclear relatives.</span></p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> 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