Análise das internações por causas externas em crianças e adolescentes no Estado do Espírito Santo

• Autor(a) principal: Bergami, Cristina Marinho Christ
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/5689
• topic: Hospitalization; External causes; Violence; Morbidity; Children and adolescents; Information systems; Causas externas; Hospitalização; Morbidade; Crianças e adolescentes; Sistemas de informação; Saúde Coletiva; Crianças - Assistência hospitalar; Sistema de Informações Hospitalares (Brasil); Adolescentes - Assistência hospitalar; Acidentes infantis; Violência; 614

This is a descriptive study about morbid state cases arising of external causes with purpose to describe the profile of hospitalizations resulting from external causes injuries in children and adolescents (from ages 0 to 19 years) in Espírito Santo state form 1998 the 2005; it also aims at identifying the counties with the highest hospitalization rates. As a source, the databank of the Hospital Information System of the Single Health System (SUS) was used, in which all entries are coded under the 10th review of the International Disease Classification Code. Such Hospitalizations decreased 10,3% over the period, ranking in 4th place among all the other hospitalization causes. There was a predominance of male hospitalizations (71,2%) and of age group ranging from 10 to 19 year sold (57,6%). The most frequent causes were: bad falls (50,5%, 39,1 cases per 100.000 inhabitants group), followed by transportation accidents (15,2%, 39,1 cases per 100.000 inhabitants group), burns (9,4%, 24,3/100.000 inhabitants) and accidental intoxications (5,4%, 13,7/100.000 inhabitants). In relationship to age groups, the bad falls stood out among those aged from 10 to 14 years old (29,1%), transportations accidents and intoxications prevailed among age from 15 to 19 years old (45,9% and 41,8%, respectively) and burns prevailed in age group from 1 to 4 years old (45,9%). The main injuries recorded were bone fractures, accounting for more than 70% of hospitalizations (170,8 per 100.000 inhabitants). Out of these, limb bone fractures were the most frequent (53,4%). As for transportation accidents, car run-over were predominant (54,3%). Hot oil, hot liquids and hot beverages were the main causes of burns (62,5%) and the contact whit poisonous animals and poisonous plants was the main cause of accidental intoxications (68,3%). The average hospitalization time was 5,7 days, however a higher average was recorded for treatment of neck, thorax and hipbone fractures (13,4 days), followed by burns (12,3 days). The in hospital death rate was 1,4% being higher in case of almost-drowning and accidental submersions (4,0%); sequels of external causes resulted in 3,7% of the cases and in 3,5% of traffic accidents cases. The average cost of hospitalizations arising of external causes (R$ 487,29) surpassed the costs of other causes (R$ 381,87) in 27,6%. The highest cost causes were burns (R$ 1.015,91) and lesions (injuries) (R$ 1.033,08). In the period surveyed, it was not found any development or seasonal tendency for a higher or lower incidence in specific months. Serra County was the one that concentrated the greatest number of cases, but Vitória County was the one that performed more hospitalizations. The highest morbid states rate was recorded in Afonso Cláudio (492,3/100.000 inhabitants), followed by Alegre (475,9/100,000 inhabitants) and Itapemirim (435,4/100,000 inhabitants). Alegre and Vila Velha counties were the one with sharpest increase in case figures (50,0%) and in hospitalizations (136,9% increase). The counties that decreased the most in the incidence of hospitalizations were Guaçuí (44,2%), Itapemirim (43,5%) and Santa Maria de Jetibá (42,4%). The highest morbidity rates for transportation accidents were registered in Marataízes, the highest rates for bad falls were in Alegre, for burns in São Gabriel da Palha and for accidental intoxications in Afonso Cláudio. The knowledge of hospitalizations rates resulting of external causes is relevant as subsidy to elaborate public policies to prevent theses events, to improve rescue and transportation of the injured, to improve emergency units and to restructure public health care.