Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015

Detalhes bibliográficos
Autor(a) principal: Picapedra, Alicia
Data de Publicação: 2023
Outros Autores: Frichembruder, Karla, Sassi, Carlos, Álvarez-Vaz, Ramón, Hugo, Fernando
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/6712
Resumo: The aim of this study was to estimate the incidence and temporal trends of head and face trauma, in Brazil, between 2000 and 2015. This is a retrospective epidemiological study based on secondary data obtained from the Hospital Information System of the Brazilian National Health System, we analyzed the total number of hospitalizations and deaths, those resulting from injuries and head and face trauma in Brazil and its five macro-regions, the 26 states and the Federal District, through multivariate statistical techniques, cluster methodology on trajectory analysis for longitudinal data, using the R package kml. We observed that the overall hospitalization rate decreased over the period studied, while the mortality rate gradually increased, with both rates varying in 2008. Hospitalizations for head and face trauma and deaths by sex were 4:1 and 6:1 for males, respectively. The largest number of hospitalizations occurred in the Southeast macro-region, 40.3% (183,727). The most compromised age group was 20 to 29 years old. Mandible fractures accounted for 33.5% of hospitalizations, followed by malar and maxillary fractures (26%) and nasal bone fractures (19.2%), but vault fractures were responsible for the highest number of deaths (37%). The lethality rate decreased for both sexes in all macroregions, except for the North where there was an increase. It is expected that this study may have repercussions on epidemiological indices and on prevention actions, due to injuries mortality and head and face trauma.
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spelling Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015Letalidad por Traumatismos Craneales y Faciales en Brasil, entre 2000 y 2015Letalidade por Traumas Cranianos e Faciais no Brasil, entre 2000 e 2015TraumatismocraniofacialmorbidademortalidadetraumacraniofacialmorbiditymortalityThe aim of this study was to estimate the incidence and temporal trends of head and face trauma, in Brazil, between 2000 and 2015. This is a retrospective epidemiological study based on secondary data obtained from the Hospital Information System of the Brazilian National Health System, we analyzed the total number of hospitalizations and deaths, those resulting from injuries and head and face trauma in Brazil and its five macro-regions, the 26 states and the Federal District, through multivariate statistical techniques, cluster methodology on trajectory analysis for longitudinal data, using the R package kml. We observed that the overall hospitalization rate decreased over the period studied, while the mortality rate gradually increased, with both rates varying in 2008. Hospitalizations for head and face trauma and deaths by sex were 4:1 and 6:1 for males, respectively. The largest number of hospitalizations occurred in the Southeast macro-region, 40.3% (183,727). The most compromised age group was 20 to 29 years old. Mandible fractures accounted for 33.5% of hospitalizations, followed by malar and maxillary fractures (26%) and nasal bone fractures (19.2%), but vault fractures were responsible for the highest number of deaths (37%). The lethality rate decreased for both sexes in all macroregions, except for the North where there was an increase. It is expected that this study may have repercussions on epidemiological indices and on prevention actions, due to injuries mortality and head and face trauma.El objetivo de este estudio fue estimar la incidencia y las tendencias temporales de los traumatismos craneofaciales en Brasil entre 2000 y 2015. cabeza y cara, en Brasil, entre 2000 y 2015. Se trata de un estudio epidemiológico retrospectivo basado en datos secundarios obtenidos del Sistema Sistema de Información Hospitalaria del Sistema Nacional de Salud de Brasil. número total de hospitalizaciones y muertes, las resultantes de lesiones y traumatismos craneoencefálicos y faciales en Brasil y sus cinco macrorregiones, los 26 estados y el Distrito Federal, mediante técnicas estadísticas multivariantes, metodología de conglomerados sobre análisis de trayectorias para datos longitudinales, utilizando el paquete kml de R. Nosotros observamos que la tasa global de hospitalización disminuyó a lo largo del período estudiado mientras que la tasa de mortalidad aumentó gradualmente, variando ambas tasas en 2008. Las hospitalizaciones por traumatismos craneoencefálicos y las muertes por sexo fueron 4:1 y 6:1 para los varones, respectivamente. El mayor número de hospitalizaciones ocurrió en la macrorregión Sudeste, 40,3% (183.727). El grupo de edad más comprometido fue el de 20 a 29 años. Las fracturas de mandíbula representaron el 33,5% de las hospitalizaciones, seguidas de las fracturas malares y maxilares (26%) y las fracturas del hueso nasal (19,2%), pero las fracturas de la bóveda fueron responsables del mayor número de muertes (37%). La tasa de letalidad disminuyó para ambos sexos en todas las macrorregiones, excepto en el Norte, donde se produjo un aumento. Se espera que este estudio pueda tener repercusiones en los índices epidemiológicos y en acciones de prevención, debido a la mortalidad por lesiones y traumatismos craneales y faciales.O objetivo deste estudo foi estimar a incidência e a tendência temporal dos traumatismos de crânio e face, no Brasil, entre 2000 e 2015. Trata-se de um estudo epidemiológico retrospectivo baseado em dados secundários, obtidos no Sistema de Informações Hospitalares, do Sistema Único de Saúde, foi analisado o total das internações e óbitos, decorrentes das lesões e as dos traumatismos de crânio e face, no Brasil e suas cinco macrorregiões, nos 26 estados e Distrito Federal, mediante estatística descritiva multivariante, metodologia de clusters sobre análise de trajetória para dados longitudinais, usando o pacote kml do R. Observou-se que a taxa de internação global diminuiu ao logo dos anos, ao tempo que, a de mortalidade aumentou gradualmente, verificando-se em ambas uma variação em 2008. As relações homem: mulher de internações e óbitos por traumatismos de crânio e face foram de 4:1 e 6:1, respetivamente. O maior número de internações ocorreu na macrorregião Sudeste, 40,3 % (183.727). A faixa etária mais afetada foi de 20 a 29 anos. As fraturas de mandíbula representaram 33,5% das internações, seguidas pelas de malar e maxilar (26%) e pelas de ossos nasais (19,2%), porém as fraturas da abóbada foram as responsáveis pelo maior número de óbitos (37%). A taxa de letalidade diminuiu ao longo do período estudado para ambos os sexos em todas as macrorregiões, com exceção da Norte, onde houve um aumento. Espera-se que este estudo possa repercutir nos índices epidemiológicos e em ações de prevenção, de mortalidade por lesões e traumatismos de crânio e face.SciELO PreprintsSciELO PreprintsSciELO Preprints2023-09-01info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/671210.1590/SciELOPreprints.6712porhttps://preprints.scielo.org/index.php/scielo/article/view/6712/12729Copyright (c) 2023 Alicia Picapedra, Karla Frichembruder, Carlos Sassi, Ramón Álvarez-Vaz, Fernando Hugohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Picapedra, AliciaFrichembruder, KarlaSassi, CarlosÁlvarez-Vaz, Ramón Hugo, Fernandoreponame:SciELO Preprintsinstname:Scientific Electronic Library Online (SCIELO)instacron:SCI2023-08-30T23:53:42Zoai:ops.preprints.scielo.org:preprint/6712Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2023-08-30T23:53:42SciELO Preprints - Scientific Electronic Library Online (SCIELO)false
dc.title.none.fl_str_mv Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
Letalidad por Traumatismos Craneales y Faciales en Brasil, entre 2000 y 2015
Letalidade por Traumas Cranianos e Faciais no Brasil, entre 2000 e 2015
title Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
spellingShingle Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
Picapedra, Alicia
Traumatismo
craniofacial
morbidade
mortalidade
trauma
craniofacial
morbidity
mortality
title_short Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
title_full Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
title_fullStr Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
title_full_unstemmed Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
title_sort Lethality for Cranial and Face Traumas in Brazil, between 2000 and 2015
author Picapedra, Alicia
author_facet Picapedra, Alicia
Frichembruder, Karla
Sassi, Carlos
Álvarez-Vaz, Ramón
Hugo, Fernando
author_role author
author2 Frichembruder, Karla
Sassi, Carlos
Álvarez-Vaz, Ramón
Hugo, Fernando
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Picapedra, Alicia
Frichembruder, Karla
Sassi, Carlos
Álvarez-Vaz, Ramón
Hugo, Fernando
dc.subject.por.fl_str_mv Traumatismo
craniofacial
morbidade
mortalidade
trauma
craniofacial
morbidity
mortality
topic Traumatismo
craniofacial
morbidade
mortalidade
trauma
craniofacial
morbidity
mortality
description The aim of this study was to estimate the incidence and temporal trends of head and face trauma, in Brazil, between 2000 and 2015. This is a retrospective epidemiological study based on secondary data obtained from the Hospital Information System of the Brazilian National Health System, we analyzed the total number of hospitalizations and deaths, those resulting from injuries and head and face trauma in Brazil and its five macro-regions, the 26 states and the Federal District, through multivariate statistical techniques, cluster methodology on trajectory analysis for longitudinal data, using the R package kml. We observed that the overall hospitalization rate decreased over the period studied, while the mortality rate gradually increased, with both rates varying in 2008. Hospitalizations for head and face trauma and deaths by sex were 4:1 and 6:1 for males, respectively. The largest number of hospitalizations occurred in the Southeast macro-region, 40.3% (183,727). The most compromised age group was 20 to 29 years old. Mandible fractures accounted for 33.5% of hospitalizations, followed by malar and maxillary fractures (26%) and nasal bone fractures (19.2%), but vault fractures were responsible for the highest number of deaths (37%). The lethality rate decreased for both sexes in all macroregions, except for the North where there was an increase. It is expected that this study may have repercussions on epidemiological indices and on prevention actions, due to injuries mortality and head and face trauma.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-01
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