Profile of Hospitalizations and Deaths from Craniofacial Fractures in Brazilian Children and Adolescents: An Ecological Study

Abstract

Objective: To characterize the profile of hospitalizations and deaths related to craniofacial fractures in Brazilian children and adolescents. Material and Methods: This is an ecological cross-sectional study with inductive approach with comparativedescriptive procedure and indirect documentation technique. Data were obtained from the DATASUS / SIH-SUS website for the years 2010-2014, considering information for each state of the five Brazilian regions. Admission rates were calculated per 100,000 inhabitants, and data were analyzed by population rates, averages and absolute and relative frequencies. Results: The Northeastern region of Brazil showed the highest hospitalization rate (81.72), followed by the Northern (56.84), Southern (50.94), Midwestern (44.25) and Southeastern regions (30.28). In all regions, the years with the highest hospitalization rates were: 2010 for the Northern (13.17) and Southeastern regions (6.61), 2013 for the Northeastern (20.07) and Midwestern regions (10.17) and 2014 for the Southerner region (10.52). The highest hospitalization rates in all regions of the country in the last five years were observed for male children and adolescent. In relation to age group, higher rates were recorded from 15 to 19 years. Of the total of 27,244 hospitalizations (3.8%), 1028 patients died and 35.5% of them occurred in the Northeastern region. Considering the years under study, the average length of stay and average daily hospitalization cost were respectively 4.0 days and US$ 82.7. Conclusion: The Northeast region of Brazil had the highest hospitalization rate of children and adolescents by craniofacial fractures, and male adolescents and those aged 15-19 years were the most affected in different regions of the country. Costs of hospital admissions due to this type of injury are significant, with more deaths as a result of these injuries in Brazil in the last 5 years evaluated with the highest prevalence in the Northeastern region of Brazil.

Facial dog bite injuries in children: A case report

“…With respect to pediatric patients, the craniofacial region is the most affected [3] , [8] , [15] , [16] , [17] , and the frontal region and cheeks are the most affected areas, followed by lips and nose [6] . Smaller children are especially vulnerable to injuries in the craniofacial region due their low stature, propensity to crawl/play on the ground and exploratory behavior [3] .…”

Head and Face Injuries in Automobile Accidents and Associated Factors in a city in Northeastern Brazil

“…Head and neck injuries after automobile accidents are the most common causes of mortality [16,22,27] and morbidity [21,29,30] in most developed and developing countries and may result in temporary or permanent disability [27]. Craniofacial trauma and injuries associated with the maxillofacial region are highlighted in the context of multiple fracture patients, especially for being an area related to the occurrence of many types of injuries whether isolated or associated with other organs [30].…”

“…The Human Development Index (HDI) could be an explanatory variable to understand the factors that influence the increased morbidity, since HDI is based on three pillars: education, income and longevity [30]. Successful experiences of other regions in reducing road accidents must be considered in the designing of interventions from government and different sectors of society, as well as the definition of public investments [10].…”

Injuries in the Maxillofacial Complex and Associated Factors in Brazilian Victims of Violence: A Cross-sectional Study

“…One of the difficulties of working with secondary data lies in the fact that, in many situations, the incomplete recording of information prevents the faithful transcription of findings. 26,37,38 This condition was observed in this study, since some records were not properly filled.…”