The characteristics and factors of emergency service visits for falls
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/33085 |
Resumo: | OBJECTIVE: To analyze the characteristics of visits to the emergency services that result from falls and to identify the factors associated with these visits. METHOD: A cross-sectional study of 12,617 visits that resulted from falls, recorded in the National Injury Surveillance System, was carried out. The data were collected in 23 Brazilian capitals and the Federal District between September and November 2009 using cluster sampling. Correspondence analysis was used, which allowed for the joint observation of a large number of qualitative variables. RESULTS: Most of the victims were male (56.5%), aged 0 to 19 years (45.7%), and identified as non-white skin color (62.2%). The majority of the falls occurred at home (54.6%) and in the street (17.4%); 14.3% were work-related. The predominant types were "falls on the same level" (57.0%) and "falls from a ladder/step" (15.6%). Most of the injuries were classified as sprains, dislocations, bruises, cuts, or lacerations (68.3%). Falls among children occurred mostly at home; among adolescents at school; and among young people at sports facilities. Falls among adults were associated with the work place, including falls from scaffolding, roofs, stairs/steps, and holes and were linked to alcohol use. Falls on the same level resulted in less serious injuries, mostly on the upper and lower limbs, and falls from scaffolding and roofs were associated with more severe injuries and hospitalization. CONCLUSIONS: The results show that strategies to prevent falls should target residences, schools, and work environments. |
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The characteristics and factors of emergency service visits for falls Características y factores asociados con caídas atendidas en servicios de emergencia Características e fatores associados às quedas atendidas em serviços de emergência Causas externasAcidentes por QuedasServiços Médicos de EmergênciaFatores de RiscoEstudos TransversaisCausas ExternasAccidentes por CaídasServicios Médicos de UrgenciaFactores de RiesgoEstudios TransversalesExternal CausesAccidental FallsEmergency Medical ServicesRisk FactorsCross-Sectional Studies OBJECTIVE: To analyze the characteristics of visits to the emergency services that result from falls and to identify the factors associated with these visits. METHOD: A cross-sectional study of 12,617 visits that resulted from falls, recorded in the National Injury Surveillance System, was carried out. The data were collected in 23 Brazilian capitals and the Federal District between September and November 2009 using cluster sampling. Correspondence analysis was used, which allowed for the joint observation of a large number of qualitative variables. RESULTS: Most of the victims were male (56.5%), aged 0 to 19 years (45.7%), and identified as non-white skin color (62.2%). The majority of the falls occurred at home (54.6%) and in the street (17.4%); 14.3% were work-related. The predominant types were "falls on the same level" (57.0%) and "falls from a ladder/step" (15.6%). Most of the injuries were classified as sprains, dislocations, bruises, cuts, or lacerations (68.3%). Falls among children occurred mostly at home; among adolescents at school; and among young people at sports facilities. Falls among adults were associated with the work place, including falls from scaffolding, roofs, stairs/steps, and holes and were linked to alcohol use. Falls on the same level resulted in less serious injuries, mostly on the upper and lower limbs, and falls from scaffolding and roofs were associated with more severe injuries and hospitalization. CONCLUSIONS: The results show that strategies to prevent falls should target residences, schools, and work environments. OBJETIVO: Objetivo: Analizar las características de las atenciones realizadas por caídas en servicios de urgencia y emergencia e identificar factores asociados. MÉTODOS: Estudio transversal con 12.617 atenciones realizadas por caídas registradas en el Sistema de Vigilancia de Violencias y Accidentes, colectadas en 23 Capitales y Distrito Federal de Brasil, de septiembre a noviembre de 2009 por medio de una muestra por conglomerado. Se utilizó la técnica de análisis de correspondencia, por permitir un análisis conjunto de un gran número de variables cualitativas. RESULTADOS: La mayor parte de las víctimas fue del sexo masculino (56,5%), grupo de 0 a 19 años (45,7%) y declarados no blancos (62,2%). La mayoría de las caídas ocurrió en la residencia (54,6%) y vía pública (17,4%); 14,3% fueron relacionadas con el trabajo. Los tipos predominantes fueron "caída en el mismo nivel" (57,0%) y "caída de escalera/escalón" (15,6%). La mayoría de las lesiones fue clasificada como esguince, luxación, contusión, corte y laceración (68,3%). Caídas entre los niños se asociaron con la residencia, en los adolescentes con la escuela, y en jóvenes con la práctica deportiva. Caídas en adultos estuvieron asociadas con el lugar de trabajo, caída de andamios, tejados, escalera/escalón y huecos y uso de alcohol. Las caídas en el mismo nivel resultaron en lesiones de menor gravedad, en miembros inferiores y superiores y las caídas de andamio y tejado se asociaron con lesiones de mayor gravedad e internaciones. CONCLUSIONES: Los resultados muestran que estrategias para la prevención de las caídas deben ser implantadas particularmente en residencias, escuelas y ambientes de trabajo. OBJETIVO: Analisar as características dos atendimentos decorrentes de quedas em serviços de urgência e emergência e identificar fatores associados. MÉTODOS: Estudo transversal com 12.617 atendimentos decorrentes de quedas registrados no Sistema de Vigilância de Violências e Acidentes, coletados em 23 capitais e Distrito Federal, de setembro a novembro de 2009, por meio de uma amostra por conglomerado. Foi utilizada a técnica de análise de correspondência, por permitir a observação conjunta de um grande número de variáveis qualitativas. RESULTADOS: A maior parte das vítimas foi do sexo masculino (56,5%), faixa etária de 0 a 19 anos (45,7%) e declarados não brancos (62,2%). A maioria das quedas ocorreu na residência (54,6%) e via pública (17,4%); 14,3% foram relacionadas ao trabalho. Os tipos predominantes foram "queda no mesmo nível" (57,0%) e "queda de escada/degrau" (15,6%). A maioria das lesões foi classificada como entorse, luxação, contusão, corte e laceração (68,3%). Quedas dentre as crianças associaram-se à ocorrência na residência; com os adolescentes na escola; e jovens na prática esportiva. Quedas em adultos estiveram associadas ao local de trabalho, queda de andaimes, telhados, escada/degrau e buracos e uso de álcool. As quedas no mesmo nível resultaram em lesões de menor gravidade, em membros inferiores e superiores, e as quedas de andaime e telhado se associaram com lesões de maior gravidade e internações. CONCLUSÕES: Os resultados mostram que estratégias para a prevenção das quedas devem ser implantadas particularmente em residências, escolas e ambientes de trabalho. Universidade de São Paulo. Faculdade de Saúde Pública2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3308510.1590/S0034-89102012000100016Revista de Saúde Pública; Vol. 46 No. 1 (2012); 128-137 Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 128-137 Revista de Saúde Pública; v. 46 n. 1 (2012); 128-137 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33085/35788https://www.revistas.usp.br/rsp/article/view/33085/35789Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMalta, Deborah CarvalhoSilva, Marta Maria Alves daMascarenhas, Márcio Dênis MedeirosSá, Naíza Nayla Bandeira deMorais Neto, Otaliba Libânio deBernal, Regina Tomie IvataMonteiro, Rosane AparecidaAndrade, Silvânia Suely Caribé de AraújoGawryszewski, Vilma Pinheiro2012-07-11T23:08:17Zoai:revistas.usp.br:article/33085Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T23:08:17Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
The characteristics and factors of emergency service visits for falls Características y factores asociados con caídas atendidas en servicios de emergencia Características e fatores associados às quedas atendidas em serviços de emergência |
title |
The characteristics and factors of emergency service visits for falls |
spellingShingle |
The characteristics and factors of emergency service visits for falls Malta, Deborah Carvalho Causas externas Acidentes por Quedas Serviços Médicos de Emergência Fatores de Risco Estudos Transversais Causas Externas Accidentes por Caídas Servicios Médicos de Urgencia Factores de Riesgo Estudios Transversales External Causes Accidental Falls Emergency Medical Services Risk Factors Cross-Sectional Studies |
title_short |
The characteristics and factors of emergency service visits for falls |
title_full |
The characteristics and factors of emergency service visits for falls |
title_fullStr |
The characteristics and factors of emergency service visits for falls |
title_full_unstemmed |
The characteristics and factors of emergency service visits for falls |
title_sort |
The characteristics and factors of emergency service visits for falls |
author |
Malta, Deborah Carvalho |
author_facet |
Malta, Deborah Carvalho Silva, Marta Maria Alves da Mascarenhas, Márcio Dênis Medeiros Sá, Naíza Nayla Bandeira de Morais Neto, Otaliba Libânio de Bernal, Regina Tomie Ivata Monteiro, Rosane Aparecida Andrade, Silvânia Suely Caribé de Araújo Gawryszewski, Vilma Pinheiro |
author_role |
author |
author2 |
Silva, Marta Maria Alves da Mascarenhas, Márcio Dênis Medeiros Sá, Naíza Nayla Bandeira de Morais Neto, Otaliba Libânio de Bernal, Regina Tomie Ivata Monteiro, Rosane Aparecida Andrade, Silvânia Suely Caribé de Araújo Gawryszewski, Vilma Pinheiro |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Malta, Deborah Carvalho Silva, Marta Maria Alves da Mascarenhas, Márcio Dênis Medeiros Sá, Naíza Nayla Bandeira de Morais Neto, Otaliba Libânio de Bernal, Regina Tomie Ivata Monteiro, Rosane Aparecida Andrade, Silvânia Suely Caribé de Araújo Gawryszewski, Vilma Pinheiro |
dc.subject.por.fl_str_mv |
Causas externas Acidentes por Quedas Serviços Médicos de Emergência Fatores de Risco Estudos Transversais Causas Externas Accidentes por Caídas Servicios Médicos de Urgencia Factores de Riesgo Estudios Transversales External Causes Accidental Falls Emergency Medical Services Risk Factors Cross-Sectional Studies |
topic |
Causas externas Acidentes por Quedas Serviços Médicos de Emergência Fatores de Risco Estudos Transversais Causas Externas Accidentes por Caídas Servicios Médicos de Urgencia Factores de Riesgo Estudios Transversales External Causes Accidental Falls Emergency Medical Services Risk Factors Cross-Sectional Studies |
description |
OBJECTIVE: To analyze the characteristics of visits to the emergency services that result from falls and to identify the factors associated with these visits. METHOD: A cross-sectional study of 12,617 visits that resulted from falls, recorded in the National Injury Surveillance System, was carried out. The data were collected in 23 Brazilian capitals and the Federal District between September and November 2009 using cluster sampling. Correspondence analysis was used, which allowed for the joint observation of a large number of qualitative variables. RESULTS: Most of the victims were male (56.5%), aged 0 to 19 years (45.7%), and identified as non-white skin color (62.2%). The majority of the falls occurred at home (54.6%) and in the street (17.4%); 14.3% were work-related. The predominant types were "falls on the same level" (57.0%) and "falls from a ladder/step" (15.6%). Most of the injuries were classified as sprains, dislocations, bruises, cuts, or lacerations (68.3%). Falls among children occurred mostly at home; among adolescents at school; and among young people at sports facilities. Falls among adults were associated with the work place, including falls from scaffolding, roofs, stairs/steps, and holes and were linked to alcohol use. Falls on the same level resulted in less serious injuries, mostly on the upper and lower limbs, and falls from scaffolding and roofs were associated with more severe injuries and hospitalization. CONCLUSIONS: The results show that strategies to prevent falls should target residences, schools, and work environments. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33085 10.1590/S0034-89102012000100016 |
url |
https://www.revistas.usp.br/rsp/article/view/33085 |
identifier_str_mv |
10.1590/S0034-89102012000100016 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33085/35788 https://www.revistas.usp.br/rsp/article/view/33085/35789 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 46 No. 1 (2012); 128-137 Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 128-137 Revista de Saúde Pública; v. 46 n. 1 (2012); 128-137 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221792730611712 |