Perfil dos atendimentos a acidentes de transporte terrestre por serviços de emergência em São Paulo, 2005

Abstract

OBJECTIVE:To analyze the characteristics of visits resulting from land transport injuries. METHODS:A total of 5,934 visits in four hospital emergency departments (ED) were analyzed, in the state of São Paulo, in 2005. A questionnaire based on the following three models was used to collect data: World Health Organization (WHO), Center for Disease Control and Prevention (CDC), and Pan American Health Organization (PAHO). Variables analyzed were as follows: type of road user (vehicle occupant, pedestrian, motorcyclist, and cyclist), sex, age group, and type of injury suffered. Logistic regression analysis was employed to test associations between variables. Odds ratios with their respective 95% confi dence intervals were calculated. RESULTS:The majority of victims were males (74.2%) in the 20-to-29-year age group (35.0%). Vulnerable road users totaled 72.4% of all cases (29.8% were motorcyclists, 24.1% pedestrians, and 18.5% cyclists). Victims aged between zero and 14 years who had suffered injuries were mostly pedestrians and cyclists; motorcyclists predominated among those aged between 15 and 39 years; and pedestrians among those aged over 50 years. About half of the cases suffered minor injuries (strains, dislocations, contusions and cuts), while the other half was comprised by fractures, traumatic brain injuries and internal injuries. Extremities were the most affected body parts, particularly among motorcyclists. The majority of victims were discharged at triage (87.6%). Compared to women, men were 1.5 times more likely to be admitted or transferred, or to die. Pedestrians, vehicle occupants and motorcyclists were, respectively, 2.7, 2.4 and 1.9 times more likely to be admitted or transferred, or to die than cyclists. CONCLUSIONS:Measures aimed to protect vulnerable road users should be among the priorities to reduce land transport-related injuries.

Characteristics of motorcyclists involved in accidents between motorcycles and automobiles

“…The prevalence of this group in research on traffic accidents is a common result. 4,5 It is noticed that accidents were not due to lack of knowledge of traffic laws, given that most were older than 20 years with a high school diploma and a motorcycle driver's license for longer than one year.…”

Perfil Epidemiológico Das Vítimas De Acidentes De Trânsito Atendidas Num Serviço Público De Emergência Da Região Metropolitana De Natal/Rn

“…Quanto à escolaridade, embora tenha sido identificado um significativo número de dados ignorados (68,2%), ainda se apresenta representativo o percentual de vítimas com ensino fundamental incompleto (15,3%). Estes resultados estão em consonância com outros estudos encontrados na literatura, que enfatizam a predominância de homens jovens adultos acidentados (Bastos, Andrade, & Soares, 2005;Caixeta, Minamisava, & Oliveira, 2010;Costa & Mangueira, 2014;Gawryszewski et al, 2009;Reichenheim et al, 2011). Assim, pode--se inferir através desses estudos epidemiológicos que acidente de trânsito tem característica de distribuição diferenciada para sexo, idade, grupos sociais e escolaridade, o que revela situações específicas de vulnerabilidade.…”

Acidentes de trânsito com adultos e suas consequências após a alta hospitalar

“…Muitos estudos atribuem o aumento dos acidentes de trânsito à criação de profissões como os mototaxistas e motoboys (7,9,12,19,72) .…”

“…Gawryszewski et al (7) afirmam que as políticas de proteção no trânsito ainda estão mais dirigidas aos ocupantes de automóveis.…”

“…Tais acidentes representam um custo bastante alto para toda a sociedade (7) , alcançando cerca de 1 a 2% do produto interno bruto (PIB) dos países, ou, ainda, um custo global de US$ 518 bilhões/ano (6) .…”