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1.
Revista Digital de Postgrado ; 12(3): 376, dic. 2023. tab, graf, ilus
Article in Spanish | LILACS, LIVECS | ID: biblio-1531171

ABSTRACT

Los accidentes de tránsito son un problema de salud pública de gran magnitud y gravedad, en las Américas; Venezuela ocupa un lugar destacado por su alta incidencia. El objetivo de la investigación es establecer la relación entre las políticas públicas para la prevención de los accidentes de motocicletas, y las tasas de mortalidad. Metodología: Estudio documental retrospectivo de las políticas viales y las tasas de mortalidad específicas de lesionados por accidentes de motocicletas en Venezuela durante el período 1996-2018. Resultados: como causa de muerte en Venezuela (2000-2018), representa casi 7% del total, entre 6 a 50% del total de las muertes por accidentes de tránsito terrestre y se mantiene muy alta al final del período, con fallecidos por motocicletas sobre 25%. La elevación de la curva endémica de mortalidad ocurrió simultáneamente al aumento en la producción e importación de motocicletas, y cayó durante la crisis económica, en el año 2014. La legislación actualizada mas no acatada en esta materia, es notoria Conclusiones: Los accidentes de motocicleta son un problema de salud pública de primer orden en Venezuela asociadas al clima económico y social, las tasas de mortalidad tuvieron su máxima meseta de elevación durante la bonanza petrolera 2005-2013. Las políticas asociadas a la prevención de accidentes viales en moto están fragmentadas, son ineficientes y reactivas a situaciones complejas, deficientemente aplicadas por los organismos de tránsito responsables a escala nacional, regional y municipal.


Introduction. Traffic accidents are a public health problem of great magnitude and gravity in the Americas; Venezuela occupies a prominent place for its high incidence. The objective of the research is to establish the relationship between public policies for the prevention of motorcycle accidents, and mortality rates. Methodology: Retrospective documentary study of road policies and specific mortality rates of those injured by motorcycle accidents in Venezuela during the period 1996-2018. Descriptive statistical analysis with trend lines, frequency distributions and annual average rates. Results: cause of death in Venezuela (2000-2018), represents almost 7% of the total. The burden of motorcycle injury deaths represents between 6 to 50% of total road traffic fatalities and remains very high at the end of the period, with motorcycle fatalities over 25%. The elevation of the endemic mortality curve occurred simultaneously with the increase in the production and import of motorcycles, and fell concomitantly with the economic crisis in 2014. Conclusions: Motorcycle accidents are a public health problem of the first order in Venezuela associated with the economic and social climate, mortality rates had their maximum plateau of elevation during the oil economic boom 2005-2013. The policies associated with the prevention of road accidents by motorcycle are fragmented, inefficient and reactive to complex situations and poorly applied by the responsible traffic agencies at national, regional and municipal level.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Public Policy , Motorcycles/statistics & numerical data , Accidents/mortality , Accidents, Traffic/mortality , Accidents, Traffic/prevention & control , Accidents, Traffic/statistics & numerical data , Road Safety , Public Health , Retrospective Studies , Cause of Death , Accident Prevention
2.
Rev. méd. Urug ; 38(1): e38104, 2022.
Article in Spanish | LILACS, UY-BNMED, BNUY | ID: biblio-1389671

ABSTRACT

Resumen: Introducción: apuntando a la prevención y disminución de la siniestralidad vial, se promulgó la Ley 19360 "de alcohol cero" que modifica la tolerancia de alcohol en sangre para conductores, bajándola de 0,3 g/l a 0,0 g/l, con probados resultados de disminución de siniestros fatales en el corto plazo. Objetivo: analizar el impacto de dicha norma en la venta declarada de alcohol y sobre los usuarios de vías siniestrados por tipo de vehículo y región. Metodología: estudio inferencial, de impacto de intervención. Se analizaron series de tiempo de distintas fuentes, para medir si hubo cambios significativos en éstas mediante la modelización ARIMA, comparando antes y después de la sanción de la Ley 19360. Resultados: el consumo de alcohol declarado no sufrió modificaciones importantes a pesar de la ley cero, mientras que la cantidad de motociclistas fallecidos y heridos de gravedad caen de manera significativa a partir de la sanción de la Ley 19360. Conclusiones: los motociclistas son los más beneficiados con esta legislación, con numerosas vidas salvadas. Los datos sugieren un posible cambio de comportamiento de los conductores de vehículos respecto al consumo de alcohol antes y durante el manejo. La mejora continua de la información disponible para la ciudadanía es clave para comprender mejor estos fenómenos.


Summary: Introduction: law 19360 of "Zero blood alcohol concentration" was passed to prevent and reduce road accidents by modifying the tolerance to blood alcohol concentration for drivers. It lowered it from 0.3 g/l to 0.0 g/l and results proved the reduction of fatal crashes in the short term. Objective: to analyze the impact of the new law on the official alcohol sales and on drivers by type of vehicle and region. Method: inferential study, impact of intervention. Time-series analyses for different sources were performed to find out whether there were meaningful changes using the ARIMA model, comparing figures corresponding to the periods before and after Law 19360 was passed. Resultados: declared consumption of alcohol did not evidence important modifications despite the zero law, whereas the number of dead motorcyclists and severely wounded significantly dropped after Law 19360 was passed. Conclusions: motorcyclists are those who benefit the most with the law, since a great number of deaths were saved. Data suggest there might be a change in the behaviour of vehicle drivers in regards to alcohol consumption before and after driving. The steady improvement of information available for citizens is essential to better understand these phenomena.


Resumo: Introdução: visando a prevenção e redução dos acidentes de trânsito, foi promulgada a Lei 19360 "de tolerância zero ao álcool", que modifica a tolerância ao álcool no sangue para motoristas, baixando-a de 0,3 g/l para 0,0 g/l, com resultados comprovados de redução de sinistros fatais no curto prazo. Objetivo: analisar o impacto do referido regulamento na venda declarada de álcool e nos usuários das estradas afetados por tipo de veículo e região. Metodologia: estudo inferencial, de impacto da intervenção. Séries temporais de diferentes fontes foram analisadas para medir se houve mudanças significativas nestes por meio de modelagem ARIMA, comparando antes e depois da promulgação da Lei 19360. Resultados: o consumo declarado de álcool não sofreu modificações importantes apesar da lei de tolerância zero ao álcool, enquanto o número de motociclistas falecidos e gravemente feridos caiu significativamente após a promulgação da Lei 19.360. Conclusões: os motociclistas são os que mais se beneficiam com essa legislação, com muitas vidas salvas. Os dados sugerem uma possível mudança no comportamento dos condutores de veículos em relação ao consumo de álcool antes e durante a condução. O aprimoramento contínuo das informações disponibilizadas ao público é fundamental para um melhor entendimento desses fenômenos.


Subject(s)
Alcohol Drinking/legislation & jurisprudence , Accidents, Traffic/statistics & numerical data , Social Change
3.
Ciênc. cuid. saúde ; 21: e56830, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1384513

ABSTRACT

RESUMO Objetivo: Descrever o perfil epidemiológico dos atendimentos pré-hospitalares realizados por um serviço móvel de emergência no município de Picos, Piauí, Brasil. Métodos: Trata-se de um estudo transversal, documental e retrospectivo com abordagem quantitativa, realizado nos meses de abril e maio de 2020. Foram analisados 4.220 registros com base nos atendimentos realizados pelo Serviço de Atendimento Móvel de Urgência às ocorrências que aconteceram no período de janeiro de 2019 a março de 2020. Os dados foram coletados das fichas de atendimento individuais da instituição, organizados por meio de um formulário e analisados à luz da estatística descritiva. Resultados: Foi observada frequência de ocorrências ligeiramente maior em indivíduos do sexo masculino (50,3%), predominância das faixas etárias de 20 a 30 anos (30,7%) e maior de 60 anos (34,2%), atendimentos realizados pela Unidade de Suporte Básico (65,9%). As ocorrências traumáticas provenientes de acidentes de transporte (68,5%) e as clínicas cardiológicas (18%) se apresentaram em maior percentual em relação às demais. As ocorrências traumáticas foram mais frequentes no período de outubro a dezembro e as clínicas nos meses de fevereiro e março. Conclusão: O perfil epidemiológico dos atendimentos corresponde à população do gênero masculino e faixa etária maior ou igual a 60 anos. Predominaram as ocorrências de natureza clínica, principalmente cardiológicas.


RESUMEN Objetivo: describir el perfil epidemiológico de la atención prehospitalaria realizada por un servicio de atención móvil de urgencia en el municipio de Picos, Piauí, Brasil. Métodos: se trata de un estudio transversal, documental y retrospectivo con enfoque cuantitativo, realizado en los meses de abril y mayo de 2020. Se analizaron 4.220 registros con base en las atenciones realizadas por el Servicio de Atención Móvil de Urgencia a los casos que ocurrieron en el período de enero de 2019 a marzo de 2020. Los datos fueron recolectados de las fichas de atención individuales de la institución, organizados por medio de un formulario y analizados a la luz de la estadística descriptiva. Resultados: fue observada frecuencia de casos ligeramente mayor en individuos del sexo masculino (50,3%), predominancia de las franjas etarias de 20 a 30 años (30,7%) y mayor de 60 años (34,2%), atenciones realizadas por la Unidad de Soporte Básico (65,9%). Los incidentes traumáticos provenientes de accidentes de transporte (68,5%) y las clínicas cardiológicas (18%) se presentaron en mayor porcentaje con relación a los demás. Los incidentes traumáticos fueron más frecuentes en el período de octubre a diciembre y las clínicas en los meses de febrero y marzo. Conclusión: el perfil epidemiológico de las atenciones corresponde a la población del género masculino y franja etaria mayor o igual a 60 años. Predominaron los incidentes de naturaleza clínica, principalmente cardiológicas.


ABSTRACT Objective: To describe the epidemiological profile of pre-hospital care performed by a mobile emergency service in the municipality of Picos, Piauí, Brazil. Methods: This is a cross-sectional, documentary and retrospective study with a quantitative approach, conducted in April and May 2020. We analyzed 4,220 records based on the visits performed by the Mobile Emergency Care Service to the occurrences that occurred between January 2019 and March 2020. Data were collected from the institution's individual care forms, organized through a form and analyzed in the light of descriptive statistics. Results: A slightly higher frequency of occurrences was observed in males (50.3%), predominance of the age groups from 20 to 30 years (30.7%) and higher than 60 years (34.2%), attendances performed by the Basic Support Unit (65.9%). Traumatic occurrences resulting from traffic accidents (68.5%) and cardiologic clinics (18%) were higher in percentage in relation to the other ones. Traumatic occurrences were more frequent from October to December and clinics in February and March. Conclusion: The epidemiological profile of the visits corresponds to the male population and age group greater than or equal to 60 years. Occurrences of a clinical nature, especially cardiac, predominated.


Subject(s)
Humans , Male , Adult , Middle Aged , Health Profile , Emergency Medical Services/statistics & numerical data , Prehospital Care , Health Services Research/statistics & numerical data , Wounds and Injuries/epidemiology , Cardiovascular Diseases/epidemiology , Accidents, Traffic/statistics & numerical data , Health Centers , Medical Records/statistics & numerical data , Cross-Sectional Studies , Answering Services , Emergencies/epidemiology , Intensive Care Units/statistics & numerical data
4.
Article in English | LILACS | ID: biblio-1416017

ABSTRACT

Objective: Traffic crashes are a significant cause of health expenditure, mainly considering disability and death. Driving skills are key when it comes to traffic crashes, and older drivers may be unfit to drive. The statistics of traffic crashes involving older drivers can contribute to planning actions that reduce accidents. This study aimed to present statistical data on traffic crashes among older adults in a Brazilian state. Methods: This is an epidemiological study performed with data from the Traffic Accident Information System of the Federal District Traffic Department, Brazil, ranging from 2008 to 2017 and comparing the incidence of injury crashes between older drivers and adult drivers. Results: Although the system recorded 60 705 drivers involved in injury crashes, a 24% reduction was seen in the overall crash incidence during the studied period (2008 ­ 2017); within the older drivers group, this reduction was two times smaller (12%). Despite the smaller drop in incidence, older car drivers presented around three times less risk of crashes when compared to adult drivers, along with a lower risk of accidents on urban, low-speed streets, and were mostly involved in collisions during the day. Conclusion: We found that the risk of older drivers being involved in injury crashes was three times smaller than that of adult drivers. The behavior of older drivers can influence the occurrence of accidents.


Objetivo: Os acidentes de trânsito são causa significativa de gasto em saúde com incapacidades e mortes. Habilidades de condução veicular são elementos-chave para a ocorrência de acidentes de trânsito, e o motorista idoso pode ser incapaz para dirigir. As estatísticas de acidentes de trânsito com motoristas idosos podem contribuir para o planejamento de ações que reduzam os acidentes. Este estudo teve como objetivo apresentar dados estatísticos sobre acidentes de trânsito entre idosos em um estado brasileiro. Metodologia: Estudo epidemiológico com dados do Sistema de Informações de Acidentes de Trânsito do Departamento de Trânsito do Distrito Federal, Brasil, no período de 2008 a 2017, comparando a incidência de acidentes com vitima entre motoristas de automóveis idosos e não idosos. Resultados: De 2008 a 2017, apesar de o sistema contabilizar 60 705 motoristas envolvidos em acidentes de automóveis com vítimas, houve uma redução de 24% na incidência geral nos anos avaliados, sendo essa redução duas vezes menor no grupo de motoristas idosos (12%). A despeito da menor queda na incidência, os motoristas idosos condutores de automóveis tiveram cerca de três vezes menos risco de acidentes comparados a motoristas não idosos; menor risco para acidentes em vias urbanas, as de velocidade mais baixa; e maior predominância de acidentes tipo colisão no período diurno. Conclusões: Encontrou-se risco três vezes menor de motoristas idosos se envolverem em acidentes de automóveis com vitima quando comparados a não idosos. O comportamento dos motoristas idosos pode influenciar na ocorrência de acidentes.


Subject(s)
Humans , Adolescent , Adult , Middle Aged , Aged , Accidents, Traffic/statistics & numerical data , Brazil/epidemiology , Incidence , Age Factors
5.
Rev. Hosp. Ital. B. Aires (2004) ; 41(1): 9-14, mar. 2021. graf, tab
Article in Spanish | LILACS | ID: biblio-1177228

ABSTRACT

Introducción: los siniestros viales representan un significativo problema de salud pública y una de las principales causas de morbimortalidad evitables en la Argentina. La vigilancia epidemiológica permite valorar el alcance del problema y orientar respuestas. El objetivo de este estudio es describir las características demográficas, uso de la vía pública, mecanismo de producción, evaluación en Unidad de Emergencias y morbimortalidad de los casos ingresados en el sistema de vigilancia epidemiológica de siniestros viales en el Hospital Italiano de Buenos Aires durante durante el año 2018. Materiales y métodos: estudio observacional de corte transversal. Se analizaron las variables sexo, grupo etario, tiempo de internación, tipo de usuario, mecanismo de producción, gravedad del herido y del siniestro. Resultados: se registraron 404 consultas por siniestros viales. El sexo masculino fue el predominante en el 62,13% (251). El rango etario más frecuente abarcó los 25 a 44 años (187). La forma de traslado mayoritaria fue el automóvil en el 42,57% (172), seguido de motovehículos 29,21% (118). La gran mayoría fueron secundarios a colisiones entre dos vehículos. El 80,20% (324) ingresó deambulando por sus propios medios y el 83% (336) no requirió internación. El 90,6% (366) consultó por heridas leves. De los heridos graves, el 71,05% (27) fue de sexo masculino y el 26,32% (10) mayor de 75 años. La mayoría eran usuarios de automóvil. Ocurrieron 3 óbitos de mujeres mayores de 75 años. Conclusión: se observó una mayor cantidad de siniestros viales en adultos jóvenes, principalmente en varones. En general, usuarios de vehículos que consultaron tras una colisión con otro vehículo. Mayormente, ingresaron por sus propios medios, no requirieron internación de ningún tipo y presentaron heridas leves. Los casos graves correspondieron en su mayoría a varones con gran proporción de adultos mayores. Los casos fatales ocurrieron en mujeres adultas mayores. Contar con información del perfil epidemiológico de los siniestros viales permite la comprensión de esta compleja problemática en el ámbito local y el diseño de estrategias de intervención ajustadas a dicho perfil. (AU)


Introduction: road accidents represent a significant public health problem and one of the main causes of preventable morbidity and mortality in Argentina. Epidemiological surveillance makes it possible to assess the scope of the problem and guide responses. The objective of this study is to describe the demographic characteristics, use of the public highway, production mechanism, evaluation in the emergency center and morbidity and mortality of the cases admitted to the epidemiological surveillance system of road accidents at the Hospital Italiano de Buenos Aires during 2018. Materials and methods: observational cross-sectional study. The variables sex, age group, length of stay, type of user, production mechanism, severity of the injured and the accident were analyzed. Results: 404 consultations for road accidents were registered. Male sex was predominant in 62.13% (251). The most frequent age range was 25 to 44 years (187). The majority form of transportation was the automobile in 42.57% (172), followed by motorcycle vehicles 29.21% (118). The vast majority were secondary to collisions between two vehicles. 80.20% (324) were admitted wandering by their own means and 83% (336) did not require hospitalization. 90.6% (366) consulted for minor injuries. Of the seriously injured, 71.05% (27) were male and 26.32% (10) were older than 75 years. Most were car users. There were 3 deaths of women older than 75 years. Conclusion: there was a greater number of road accidents in young adults, mainly in men. In general, vehicle users consulted after a collision with another vehicle. Moreover, they entered by their own means, they did not require hospitalization of any kind and presentation of minor injuries. Severe cases correspond mostly to males with a large proportion of older adults. The fatal cases occurred in older adult women. Having information on the epidemiological profile of road accidents allows the understanding of this complex problem at the local level and the design of intervention strategies adjusted to this profile. (AU)


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Accidents, Traffic/statistics & numerical data , Epidemiological Monitoring , Argentina , Transportation/statistics & numerical data , Accidents, Traffic/mortality , Accidents, Traffic/prevention & control , Sex Factors , Indicators of Morbidity and Mortality , Public Health , Cross-Sectional Studies , Age Factors , Emergency Medical Services/statistics & numerical data , Age Groups
6.
Rev. bras. epidemiol ; 24: e210003, 2021. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1144142

ABSTRACT

ABSTRACT: Objective: To identify environmental factors present in areas with high density of road traffic accidents (RTA) in Leon, Nicaragua. Methods: The analysis included all accidents recorded by the Police Department in León City, from January to June 2017. All crashes were georeferenced, and data were collected from the environment elements within a perimeter of 20 meters from the site in which accidents occurred with a pre-tested data collection instrument. We specified a Poisson regression model to estimate incidence rate ratios (IRR) and 95% confidence intervals (CI) to determine environmental factors associated with the event incidence. For the identification areas with high, medium, and low occurrences of crashes, kernel density around points in which RTA occurred were estimated. Results: Out of 667 recorded crashes, 90% involved men aged 15-40, and motorcycle accidents represented 60% of injuries or deaths. Environmental factors that were positively associated with RTA included good road conditions (adjusted IRR = 1.36, 95%CI 1.13 - 1.63) and the existence of bicycle lanes (adjusted IRR = 1.64, 95%CI 1.29 - 2.10). Environmental characteristics associated with higher speeds and heavier accidents can increase their incidence. Conclusion: We found that high-foot-traffic commercial or touristic centers are three areas with high density of crashes. Local authorities can use these findings to promote road safety measures in high-incidence areas in León City.


RESUMO: Objetivo: Identificar os fatores ambientais presentes em áreas com alta densidade de acidentes de trânsito rodoviário (ATR) em León, Nicarágua. Métodos: Foram incluídos na análise todos os acidentes registrados pelo Departamento de Polícia da cidade de León de janeiro a junho de 2017. Georreferenciamos todos os acidentes e coletamos dados dos elementos ambientais em um perímetro de 20 metros do local até os acidentes ocorridos por meio de um instrumento de coleta de dados pré-testado. Foi especificado um modelo de regressão de Poisson para estimar as razões das taxas de incidência (TI) e intervalos de confiança de 95% (IC95%) para determinar os fatores ambientais associados à incidência do evento. Para identificar áreas com alta, média e baixa ocorrência de acidentes, estimamos a densidade do núcleo em torno dos pontos onde o ATR ocorreu. Resultados: Dos 667 acidentes registrados, 90% envolveram homens com idades entre 15 e 40 anos, e os acidentes de motocicleta representaram 60% dos ferimentos ou mortes. Os fatores ambientais que foram associados positivamente aos ATR incluíram boas condições da estrada (TI ajustada = 1,36; IC95% 1,13 - 1,63) e a existência de ciclovias (TI ajustada = 1,64; IC95% 1,29 - 2,10). Características ambientais associadas a velocidades mais altas e acidentes mais pesados podem aumentar a incidência deles. Conclusão: Constatamos que os centros comerciais ou turísticos com tráfego intenso são três áreas com alta densidade de acidentes. As autoridades locais podem usar essas descobertas para promover medidas de segurança no trânsito em áreas de alta incidência na cidade de León.


Subject(s)
Humans , Male , Adolescent , Adult , Young Adult , Accidents, Traffic/statistics & numerical data , Attention , Risk Factors , Geographic Information Systems , Environment , Nicaragua/epidemiology
7.
Article in Spanish | LILACS, BINACIS | ID: biblio-1353994

ABSTRACT

El aumento progresivo y constante de las muertes y la discapacidad por accidentes de tránsito es, en la actualidad, reconocida como un problema epidémico de salud pública nacional y global. La Organización Mundial de la Salud y múltiples organismos trabajan mancomunadamente para consolidar un registro sistemático de los siniestros viales y sus consecuencias en términos de morbimortalidad. Se busca generar información que contribuya a la toma de decisiones en la gestión y la coordinación de estrategias para el abordaje de esta problemática. La Asociación Argentina de Ortopedia y Traumatología, a través de la creación del Comité de Morbimortalidad hace ya una década, ha impulsado la generación de un registro nacional de lesiones traumatológicas. Este segundo informe sobre las encuestas acumuladas desde 2017 hasta julio de 2020 tiene como objetivo general presentar los datos recopilados sobre las lesiones traumatológicas provocadas por accidentes de tránsito. El objetivo específico es promover la incorporación de estas encuestas en nuestros Servicios como un instrumento de registro. Convocamos a renovar el compromiso de todas las instituciones del país, nucleadas en esta Asociación, en la tarea de recopilar datos epidemiológicos que finalmente nos permitan mejorar la validez científica de nuestra práctica y, por ende, de las publicaciones de nuestra especialidad. Nivel de Evidencia: II


The constant and progressive increase in mortality and disability caused by road traffic accidents is currently recognized as an endemic problem of Public Health in the national and global levels. WHO and multiple organizations work together to achieve a systematic record of road accidents and their consequences in terms of morbidity and mortality. The purpose is to generate information that contributes to decision-making in management and coordination of strategies to address this problem. Through the creation of the CMM (Morbidity and Mortality Committee) a decade ago, the Argentine Association of Orthopedics and Traumatology has promoted the generation of a national registry of trauma injuries. This second report (based on the surveys accumulated from 2017 to July 2020) has as a general objective to describe the data collected in relation to trauma injuries caused by traffic accidents. The specific objective is to promote the incorporation of these surveys in our services, as a registration instrument. We call to renew the commitment of all institutions nucleated in this Association at the national level in the task of collecting epidemiological data that finally will allow us to improve the scientific validity of our practice and, therefore, of the publications of our specialty.Key words: Injuries on traffic accidents; injuries in road accidents. Level of Evidence: II


Subject(s)
Orthopedics , Wounds and Injuries , Accidents, Traffic/statistics & numerical data , Epidemiology
8.
Rev. panam. salud pública ; 45: e31, 2021. tab
Article in English | LILACS | ID: biblio-1252043

ABSTRACT

ABSTRACT Objective. To report demographic and substance use characteristics and risk of road traffic injury (RTI) from alcohol use, cannabis use, and combined use in a sample of emergency department patients from two countries in Latin America and the Caribbean. Methods. A cross-sectional study in which patients 18 years and older admitted within six hours of suffering an RTI to one emergency department in Santa Domingo, Dominican Republic (n = 501) and in Lima, Peru (n = 431) were interviewed. Case-crossover analysis, based on self-reported use prior to the RTI, was used to analyze risk from alcohol, cannabis, and co-use. Results. Overall, 15.3% reported alcohol use prior to the event and 2.5% cannabis use. Drivers using alcohol only were over twice as likely to have an RTI (OR = 2.46, p < 0.001), and nearly eight times more likely if using both alcohol and cannabis (OR = 6.89, p < 0.01), but risk was not elevated for cannabis alone. Significant differences were not found for passengers or pedestrians. Conclusions. Risk of RTI for drivers in these two samples is significantly elevated from alcohol use, and more so for co-use with cannabis. Differences between the two countries underscore the need for similar data from the region to determine risk of RTI from substance use, including risk for passengers and pedestrians. Data suggest that alcohol contributes significantly to the burden of RTI, which calls for more stringent enforcement of alcohol control policy related to drink driving in the region.


RESUMEN Objetivo. Presentar las características demográficas y de consumo de sustancias psicoactivas y el riesgo de traumatismos causados por el tránsito debidos al consumo de alcohol, cannabis y su consumo combinado en una muestra de pacientes del departamento de urgencias de dos países de América Latina y el Caribe. Métodos. Se realizó un estudio transversal en que se entrevistaron pacientes de 18 años o más ingresados en las siguientes seis horas de haber recibido traumatismos causados por el tránsito en un departamento de urgencias en Lima (Perú) (n = 431) y en Santo Domingo (República Dominicana) (n = 501). Se empleó el análisis de cruce de casos, basado en el consumo autoinformado con anterioridad a los traumatismos causados por el tránsito, para evaluar el riesgo por consumo de alcohol, cannabis y consumo combinado. Resultados. En términos generales, 15,3% notificó consumo de alcohol con anterioridad al evento y 2,5%, consumo de cannabis. Los conductores que consumieron alcohol únicamente tuvieron más del doble de probabilidades de sufrir traumatismos causados por el tránsito (OR = 2,46, p < 0,001) y casi ocho veces más probabilidades si consumieron tanto alcohol como cannabis (OR = 6,89, p < 0,01), si bien el riesgo no fue tan elevado para el consumo único de cannabis. No se encontraron diferencias significativas en pasajeros o peatones. Conclusiones. El riesgo de sufrir traumatismos causados por el tránsito para los conductores en estas dos muestras es significativamente más elevado por el consumo de alcohol y más aún por el consumo combinado con cannabis. Las diferencias entre ambos países ponen de manifiesto la necesidad de obtener datos similares sobre la región para determinar el riesgo de sufrir traumatismos causados por el tránsito debidos al consumo de sustancias psicoactivas, así como el riesgo para pasajeros y peatones. Los datos indican que el alcohol agrava significativamente la carga de los traumatismos causados por el tránsito, lo que exige un cumplimiento más estricto de las políticas de control del alcohol relacionadas con la conducción bajo los efectos del alcohol en la región.


RESUMO Objetivo. Descrever as características demográficas e uso de substâncias químicas e o risco de lesões por acidentes de trânsito associados ao consumo de álcool, uso de cannabis (maconha) e uso combinado de álcool e cannabis em uma amostra de pacientes que deram entrada no setor de emergência em dois países da América Latina e no Caribe. Métodos. Estudo transversal em que foram entrevistados pacientes maiores de 18 anos que deram entrada no setor de emergência no espaço de seis horas após sofrerem lesões por acidentes de trânsito em Santo Domingo, na República Dominicana (n = 501), e em Lima, Peru (n = 431). Foi realizada uma análise cruzada de casos com dados obtidos do autorrelato do uso de substâncias químicas anterior ao acidente de trânsito para avaliar o risco associado ao consumo de álcool, uso de cannabis e uso combinado. Resultados. Dos pacientes entrevistados, 15,3% relataram consumo de álcool e 2,5% referiram uso de cannabis antes do acidente. Os condutores que fizeram uso de álcool tiveram uma chance duas vezes maior de ter lesões por acidente de trânsito (OR = 2,46, p < 0,001) e uma chance de cerca de oito vezes maior com o uso combinado de álcool e cannabis (OR = 6,89, p < 0,01). Porém, o risco não foi elevado com o uso somente de cannabis. Não foram observadas diferenças significativas no risco para passageiros ou pedestres. Conclusões. Verificou-se que o risco de lesões por acidentes de trânsito para os condutores nas duas amostras estudadas foi significativamente elevado com o consumo de álcool e foi ainda maior com o uso combinado de álcool e cannabis. As diferenças entre os dois países reforçam a necessidade de dados semelhantes da Região para determinar o risco de lesões por acidentes de trânsito com o uso de substâncias químicas, inclusive para determinar o risco para passageiros e pedestres. Os dados indicam que o álcool contribui significativamente à carga de lesões por acidentes de trânsito requerendo o cumprimento mais rigoroso da política de controle do consumo de álcool associado à condução de veículos na Região.


Subject(s)
Humans , Male , Female , Adult , Multiple Trauma/epidemiology , Accidents, Traffic/statistics & numerical data , Marijuana Abuse/complications , Alcohol-Related Disorders/epidemiology , Peru/epidemiology , Socioeconomic Factors , Marijuana Abuse/epidemiology , Cross-Sectional Studies , Risk Assessment , Dominican Republic/epidemiology
9.
Rev. bras. neurol ; 56(4): 5-10, out.-dez. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1140795

ABSTRACT

INTRODUÇÃO: O traumatismo cranioencefálico (TCE) é considerado uma epidemia silenciosa e um grande problema de saúde pública mundial. Dados epidemiológicos precisos podem ajudar na formulação de políticas públicas e em estratégias para reduzir a incidência do TCE. O objetivo deste estudo foi descrever a epidemiologia do TCE grave de pacientes admitidos na unidade de terapia intensiva (UTI). MÉTODOS: Trata-se de um estudo retrospectivo com coleta de dados em prontuário eletrônico na UTI de um hospital da rede SUS do Distrito Federal. Foram analisados o perfil epidemiológico e os principais desfechos clínicos e funcionais de pacientes com TCE internados entre janeiro e dezembro de 2015. Uma análise estatística descritiva foi conduzida e os dados foram expressos em médias, intervalo de confiança de 95% (IC95%) e taxas. RESULTADOS: 227 pacientes foram estudados com média de idade de 38 anos (IC95% 36 a 40), sendo 84% (191/227) do sexo masculino. O principal mecanismo de trauma foi o acidente motociclístico, 19% (43/227) seguido dos atropelamentos, 18% (40/227). O tempo médio de ventilação mecânica foi de 14 dias, (IC95% 12 a 15) e os tempos médios de internação na UTI e hospitalar foram de 16 dias, (IC95% 14 a 18) e 42 dias, (IC95% 36 a 47), respectivamente. Apenas 16% (36/227) dos pacientes conseguiu permanecer em ortostase na alta da UTI. A taxa de mortalidade na UTI foi de 25% (57/227). CONCLUSÃO: Os homens jovens são os mais acometidos por TCE grave sendo o principal mecanismo o acidente motociclístico. Estes pacientes apresentam internação hospitalar prolongada e altas taxas de mortalidade


INTRODUCTION: traumatic brain injury (TBI) has been considered a silent epidemic and a major worldwide public health problem. Accurate epidemiological data can assist in the formulation of public policies and strategies to reduce the incidence of TBI. The aim of this study was to describe the epidemiology of severe TBI in patients admitted to the intensive care unit (ICU). METHODS: this is a retrospective study with data collected from electronic medical records from the ICU of a SUS hospital in the Federal District. The epidemiological profile and the main clinical and functional outcomes of patients with TBI hospitalized between January and December 2015 were analyzed. A descriptive statistical analysis was conducted and data were expressed as averages, 95% confidence interval (95% CI) and rates. RESULTS: 227 patients were studied with a mean age of 38 (95% CI 36 to 40), 84% (191/227) being male. The main mechanism of trauma was motorcycle collision, 19% (43/227) followed by pedestrian collision, 18% (40/227). The mean time of mechanical ventilation was 14 days, (95% CI 12 to 15) and the average length of stay in the ICU and hospital was 16 days, (95% CI 14 to 18) and 42 days, (95% CI 36 to 47), respectively. Only 16% (36/227) of patients managed to remain in orthostasis upon discharge from the ICU. The mortality rate in the ICU was 25% (57/227). CONCLUSION: Young men are the most affected by severe TBI, and the main mechanism was motorcycle accidents. These patients have prolonged hospital stays and high mortality rates


Subject(s)
Humans , Male , Female , Adult , Young Adult , Unified Health System , Craniocerebral Trauma/mortality , Craniocerebral Trauma/epidemiology , Rehabilitation , Accidents, Traffic/statistics & numerical data , Prevalence , Retrospective Studies , Mortality , Hospitalization/statistics & numerical data , Intensive Care Units , Length of Stay
10.
Trends psychiatry psychother. (Impr.) ; 42(3): 230-238, July-Sept. 2020. tab
Article in English | LILACS | ID: biblio-1139830

ABSTRACT

Abstract Introduction Brazil is one of the countries with the highest rates of alcohol-related traffic infractions, but little is known about the profile of the drivers who commit them. Identifying the characteristics of impaired drivers is essential for planning preventive actions. Objective To compare drug use and driving behavior profiles of drivers with and without alcohol-related infractions. Methods 178 drivers stopped at routine roadblocks were assessed by traffic agents who conducted standard roadblock procedures (document verification; request of a breathalyzer test [BT]). Drug use and driving behavior data were collected through semi-structured interviews. Subjects were divided into three groups: drivers who refused the BT (RDs, n = 72), drivers who tested positive on the BT (PDs, n = 34), and drivers who had committed other infractions (ODs, n = 72). Results The proportion of alcohol use in the last year was higher among RDs (100%) than in the PD and OD groups (97.1% and 72.2% respectively, p < 0.001). Lifetime prevalence of cannabis and cocaine use for the overall sample was 44.3% and 18.2%, respectively. Fewer individuals in the OD group (31.5%) reported having been stopped at roadblocks in the previous year compared to the PDs (55.9%) and RDs (48.6%, p = 0.03). However, a higher proportion of RDs reported drunk driving in the same period (87.5%; PD 69.7%; OD 26.9%; p < 0.001). Conclusion Essential differences among groups were observed. RDs had a higher proportion of alcohol use and drunk driving in the previous year; drivers who fit into this particular group may be unresponsive or less responsive to social deterrence and enforcement actions.


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Automobile Driving/statistics & numerical data , Accidents, Traffic/statistics & numerical data , Substance-Related Disorders/epidemiology , Driving Under the Influence/physiology , Brazil/epidemiology , Cross-Sectional Studies , Police , Alcoholism/epidemiology
11.
Int. j. odontostomatol. (Print) ; 14(2): 257-267, June 2020. tab
Article in English | LILACS | ID: biblio-1090683

ABSTRACT

The etiology of facial fractures is directly related to the studied country, varying according to the socioeconomic, cultural condition of the population, besides the period of investigation. The objective of the present study is to evaluate the epidemiological characteristics of the prevalence, treatment modalities and complications rates of maxillofacial fractures in a hospital in the state of Espírito Santo, over a period of 5 years. A total of 428 patients presented a facial fracture, with a prevalence of males (436), with a mean age of 40 years. Regarding the number of fractures, 291 individuals suffered fractures only in the fixed skeleton, 97 only in the mandible, and 48 suffered fractures in both fixed and mandibular skeletons. The predominant anatomical site in fixed skeletal fractures was zygomatic complex (56.6 %), orbit (31.9 %) and nose (29.2 %); while in the mandible the condyle (33.8 %), body (17.9 %) and angle (13.1 %). The frequent etiology was falls, physical aggression, sports accidents. Regarding the type of treatment, in fixed skeleton 192 fractures were treated conservatively and 303 by surgery. Already in the mandible, the numbers were 43 and 143, respectively. In addition, 24 patients progressed with some type of complication in one or more operated sites. It is worth mentioning that epidemiological assessments provide important support in the creation of legislation in the attempt to reduce important for the establishment of clinical and research priorities, since risk factors and patterns of presentation can be identified. Accordingly in an attempt to reduce these rates.


La etiología de las fracturas faciales está directamente relacionada con el país estudiado, variando según la condición socioeconómica y cultural de la población, además del período de investigación. El objetivo del presente estudio fue evaluar las características epidemiológicas de la prevalencia, las modalidades de tratamiento y las tasas de complicaciones de las fracturas maxilofaciales en un hospital en el estado de Espírito Santo, durante un período de 5 años. Un total de 428 pacientes presentaron fractura facial, con una prevalencia de varones (436), con una edad media de 40 años. Con respecto al número de fracturas, 291 individuos sufrieron fracturas solo en el esqueleto fijo, 97 solo en la mandíbula y 48 sufrieron fracturas tanto en el esqueleto fijo como en el mandibular. El sitio anatómico predominante en las fracturas esqueléticas fijas fue el complejo cigomático (56,6 %), la órbita (31,9 %) y la nariz (29,2 %); mientras que en la mandíbula el cóndilo (33,8 %), el cuerpo (17,9 %) y el ángulo (13,1 %). La etiología frecuente fue caídas, agresión física, accidentes deportivos. En cuanto al tipo de tratamiento, en el esqueleto fijo se trataron 192 fracturas de forma conservadora y 303 mediante cirugía. Ya en la mandíbula, los números eran 43 y 143, respectivamente. Además, 24 pacientes progresaron con algún tipo de complicación en uno o más sitios operados. Cabe mencionar que las evaluaciones epidemiológicas brindan un apoyo importante en la creación de legislación en estos casos, para establecer prioridades clínicas y de investigación, debido a que se pueden identificar factores de riesgo y patrones de presentación. En consecuencia, en un intento de reducir estas tasas.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Facial Injuries/epidemiology , Accidental Falls , Brazil/epidemiology , Accidents, Traffic/statistics & numerical data , Prevalence , Retrospective Studies , Longitudinal Studies , Aggression , Age and Sex Distribution , Facial Injuries/complications , Facial Injuries/etiology , Facial Injuries/therapy , Mandibular Injuries/epidemiology
12.
Ciênc. Saúde Colet. (Impr.) ; 25(3): 943-955, mar. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1089465

ABSTRACT

Resumo O estudo teve por objetivo identificar fatores associados ao envolvimento em acidentes de trânsito (AT) entre condutores de veículos. Para isso, realizou-se inquérito domiciliar na cidade de Jequié, Bahia, em 2013, com 1.406 condutores. Elaborou-se um modelo conceitual hierarquizado composto por quatro blocos de fatores de exposição, considerando as relações proximais-distais entre estes e o desfecho. Foi empregado modelo de regressão logística multinível para as estimativas de Razão de Chances (RC) e Intervalos de Confiança a 95% (IC95%). Observou-se maior chance de AT entre condutores de 15 a 29 anos (RC=3,15; IC95% 1,24-8,02); de cor da pele preta ou parda (RC=1,56; IC95% 1,03-2,35); motociclistas (RC=1,73; IC95% 1,15-2,60); com antecedentes de multa no trânsito (RC=1,75; IC95% 1,04-2,94); que referiram beber e dirigir (RC=1,68; IC95% 1,12-2,53) e usar telefone celular durante a condução (RC=1,63; IC95% 1,09-2,43). Os fatores proximais modificaram as medidas de associação das exposições dos níveis superiores do modelo hierarquizado, principalmente da variável sexo. Os resultados enfatizam os fatores comportamentais e ratificam o potencial de prevenção dos AT, em virtude da ocorrência de condições evitáveis associadas ao desfecho.


Abstract This study aimed to identify associated factors with drivers' involvement in traffic accidents (TA). Thus, in 2013, a household survey was conducted with 1,406 drivers in Jequié, Bahia, Brazil. A hierarchical conceptual model was established and consisted of four blocks of exposure factors, considering the proximal-distal relationships between them and the outcome. Multilevel logistic regression was applied to estimate the Odds Ratio (OR) and 95% Confidence Intervals (95%CI). Higher TA probability was observed among drivers aged 15-29 years (OR=3.15; 95%CI 1.24-8.02), with black or brown skin color (OR=1.56; 95%CI 1.03-2.35), motorcyclists (OR=1.73; 95%CI 1.15-2.60), with a history of traffic tickets (OR=1.75; 95%CI 1.04-2.94), who reported drinking and driving (OR=1.68; 95%CI 1.12-2.53) and used cell phone while driving (OR=1.63; 95%CI 1.09-2.43). Proximal factors changed the exposure association measures concerning higher levels of determination of the hierarchical model, mainly regarding the gender variable. The results emphasize the behavioral factors and reaffirm the TAs' preventable potential due to the occurrence of avoidable conditions associated with the outcome.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Accidents, Traffic/statistics & numerical data , Brazil , Cross-Sectional Studies , Risk Factors , Middle Aged
13.
Ciênc. Saúde Colet. (Impr.) ; 25(2): 749-760, Feb. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1055818

ABSTRACT

Resumo Este artigo objetivou caracterizar os custos de produtividade de pessoas envolvidas em acidente de trânsito (AT) em um município de médio porte. Um estudo longitudinal de base domiciliar foi realizado entre 2013 e 2015. Neste período, foram entrevistados e acompanhados indivíduos com AT e calculados os custos de produtividade. Os valores mensurados e estimados foram considerados para cálculo dos valores brutos e per capita e ajudaram a constituir os custos de perda de produtividade (dias sem trabalhar) e custos de retorno à produtividade (profissionais de saúde, medicamentos, transporte, dispositivos auxiliares e reparo de veículos). Demonstrou-se que os custos de perda foram maiores em relação aos custos de retorno. Entre os itens que compõem os de retorno à produtividade, observaram-se maiores custos em homens, adultos jovens, condutores, usuários de veículos de duas rodas, pessoas com vínculo público, em faixas etárias intermediárias e lesões do tipo fratura. São necessárias a avaliação e o direcionamento nos estágios de recuperação dos envolvidos a fim de minimizar o ônus social gerado por estes eventos.


Abstract This paper aimed to characterize the productivity costs of people involved in traffic accidents (TA) in a medium-sized municipality. A longitudinal household-based study was conducted from 2013 to 2015. During this period, individuals with TA were interviewed, and followed-up and costs of productivity were calculated. The measured and estimated values were considered for the calculation of the gross and per capita values and facilitated the establishment of costs of lost productivity (days off work) and costs of return to productivity (health professionals, medication, transportation, auxiliary devices and vehicle repair). It was shown that the costs of loss were more significant against the costs of return. Among the items that underpin the return to productivity, higher costs were observed in men, young adults, drivers, users of two-wheeled vehicles, people with public employment relationships, intermediate age groups and fracture-type injuries. It is necessary to evaluate and target the stages of recovery of those involved to minimize the social burden generated by these events.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Accidents, Traffic/statistics & numerical data , Cost of Illness , Absenteeism , Efficiency , Brazil , Accidents, Traffic/economics , Interviews as Topic , Follow-Up Studies , Longitudinal Studies , Age Factors , Cities , Employment/statistics & numerical data , Middle Aged
14.
Ciênc. Saúde Colet. (Impr.) ; 25(2): 683-692, Feb. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1055820

ABSTRACT

Resumo A análise da distribuição da mortalidade de motociclistas nos municípios brasileiros é fundamental para o entender e tentar minimizar a ocorrência deste crescente fenômeno. O principal objetivo do presente trabalho é analisar a distribuição espacial das taxas de mortalidade de ocupantes de motocicletas nos municípios brasileiros, a partir de estimativas mais robustas e confiáveis. Adicionalmente, pretendeu-se identificar a presença de padrões espaciais na distribuição das mesmas. As taxas brutas foram construídas com base no número de óbitos de motociclistas considerando a média das ocorrências nos anos de 2014, 2015 e 2016. Estas taxas foram padronizadas diretamente e suavizadas utilizando o estimador bayesiano empírico local. A identificação da presença de padrões espaciais foi realizada a partir de um indicador local de autocorrelação espacial (LISA). As taxas de mortalidade mais elevadas foram observadas em municípios da região Nordeste e Centro-Oeste. Estas regiões concentraram, também, a maior parte aglomerados de municípios com padrão alto-alto na distribuição das taxas. A suavização bayesiana se mostrou eficiente para lidar com os valores extremos, ampliando a confiabilidade das estimativas e melhorando a visualização das mesmas no mapa.


Abstract Analysis of the distribution of motorcycle-related mortality rates in Brazilian municipalities is fundamental to understand and seek to minimize the occurrence of this growing phenomenon. The main objective of this work is to analyze the spatial distribution of motorcycle rider mortality rates in Brazil, based on more robust and reliable estimates. An attempt was also made to identify the presence of spatial clusters in the distribution of such mortality rates in given municipalities. The rates were estimated based on the average number of motorcyclist deaths recorded in the years 2014, 2015 and 2016. These rates were then directly standardized and graduated based on the local empirical Bayesian estimator. A Local Indicator of Spatial Autocorrelation (LISA) indicated the presence of spatial patterns. The Northeast and Mid-West regions concentrated most of the municipalities with high mortality rates as well and most of the clusters of municipalities with a high-high distribution pattern. Graduated Bayesian estimation was effective to deal with the occurrence of extreme values, thereby improving the reliability of the estimates and enhancing the visualization of the rates on the map.


Subject(s)
Humans , Male , Female , Motorcycles/statistics & numerical data , Accidents, Traffic/mortality , Brazil/epidemiology , Accidents, Traffic/statistics & numerical data , Reproducibility of Results , Bayes Theorem , Cities , Spatial Analysis
15.
Chinese Journal of Traumatology ; (6): 319-323, 2020.
Article in English | WPRIM | ID: wpr-879648

ABSTRACT

PURPOSE@#Traffic accidents are one of the major health problems in the world, being the first cause of burden of illness and the second leading cause of death in Iran. The Sistan-Baluchestan province is one of the most accidental provinces of Iran with the highest rate of accidents-caused deaths. This study was conducted to determine the risk factors associated with traffic accidents in Zahedan through 2013 to 2016.@*METHODS@#This analytical cross-sectional study was carried out on 223 drivers from Zahedan who were traumatized by traffic accident and sent to Zahedan hospitals. The data were obtained through interviews taken by the trained interviewers via refereeing to the medical records and collected in the researcher-made checklist. Census was obtained from the study subjects. For data analysis, independent t-test, one-way ANOVA, Chi-square and logistic regression were used with the Stata software version 11.0.@*RESULTS@#In this study, 223 male subjects with the mean age of (32.54 ± 12.95) years, 39.8% single and 60.2% married, entered for investigation. Most accidents (38.8%) occurred between 12:00 to 17:59. While driving, 47.1% of the study subjects were using cell phones, 89.1% had manual use of mobile phones, 21.9% had a habit of sending short message service (SMS) and 23.4% had sent SMS within 10 min before the accident. The one way analysis of variance showed that the mean age of individuals with marital status, driving experience, education and accident with motorcycle were significantly different (p < 0.05). Also, the multivariate logistic regression test indicated a significant relationship of smoking, ethnicity, insurance and SMS typing while driving with motorcycle accident (p < 0.05).@*CONCLUSION@#In this study, SMS and smoking while driving had the highest risk among the variables studied in the motorcycle accidents. Therefore, effective education attempting to enhance people's awareness about the consequences of using cell phone and smoking during driving to reduce traffic accidents seems necessary.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Young Adult , Accidents, Traffic/statistics & numerical data , Automobile Driving , Cause of Death , Cell Phone Use/adverse effects , Cross-Sectional Studies , Health Education , Iran/epidemiology , Marital Status , Risk , Smoking/adverse effects
16.
Epidemiol. serv. saúde ; 29(5): e2019558, 2020. tab, graf
Article in English, Portuguese | LILACS, ColecionaSUS, SES-SP | ID: biblio-1133813

ABSTRACT

Objetivo: Analisar a tendência temporal e a distribuição espacial da mortalidade por acidentes de trânsito (AT) no Piauí, de 2000 a 2017. Métodos: Estudo ecológico de séries temporais, com dados do Sistema de Informações sobre Mortalidade (SIM), referentes à mortalidade por AT em residentes do estado do Piauí, segundo sexo, faixa etária e município. Empregou-se regressão de Prais-Winsten. Resultados: Registraram-se 14.396 óbitos, com taxa de mortalidade por 100 mil habitantes de 13,9 em 2000 e 30,6 em 2017. Houve aumento significativo na taxa de mortalidade por AT (variação percentual anual [VPA] de 6,4% - IC95% 4,3;8,7), maior entre motociclistas (VPA=14,7% - IC95% 9,7;20,0) e entre ocupantes de veículos (VPA=15,2 - IC95% 10,5;20,2). Conclusão: Houve aumento significativo da mortalidade por AT no Piauí, principalmente de motociclistas e ocupantes de veículos. São necessárias ações para promover a segurança viária e prevenir mortes no trânsito.


Objetivo: Analizar la tendencia temporal y la Distribución espacial de la mortalidad por accidentes de Tránsito (AT) en Piauí, de 2000 a 2017. Métodos: Estudio ecológico de series temporales, con datos del Sistema de Información de Mortalidad (SIM), sobre mortalidad por AT en residentes de Piauí, según sexo, grupos de edad y municipio. Se empleó la regresión de Prais-Winsten. Resultados: Se registraron 14.396 muertes, con tasa de mortalidad por 100.000 habitantes de 13,9 em 2000 y 30,6 en 2017. Hubo un aumento significativo en la tasa de mortalidad de AT (cambio porcentual anual [CPA] de 6,4% − IC95% 4,3; 8,7), mayor entre los motociclistas (CPA=14,7% − IC95% 9,7; 20,0) y entre los ocupantes de vehículos (CPA=15,2% − IC95% 10,5; 20,2). Conclusión: Hubo un aumento significativo en la mortalidad por AT en Piauí, especialmente entre motociclistas y ocupantes de vehículos. Se necesitan acciones para promover la seguridad vial y prevenir muertes en el tránsito.


Objective: To analyze the time trend and spatial distribution of transport accident (TA) mortality in Piauí, from 2000 to 2017. Methods: An ecological time series study was conducted using Mortality Information System (SIM) data on TA mortality among people resident in the state of Piauí, according to sex, age group and municipality. Prais-Winsten regression was used. Results: 14,396 deaths were recorded. The mortality rate per 100,000 inhabitants was 13.9 in 2000 and 30.6 in 2017. There was a significant increase in the TA mortality rate (annual percent change [APC] of 6.4% - 95%CI 4.3;8.7), being higher among motorcyclists (APC=14.7% - 95%CI 9.7;20.0) and among vehicle occupants (APC=15.2 - 95%CI 10.5;20.2). Conclusion: There was significant increase in TA mortality in Piauí, especially among motorcyclists and vehicle occupants. Actions are needed to promote road safety and to prevent road traffic deaths.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Accidents, Traffic/mortality , Accidents, Traffic/statistics & numerical data , Time Series Studies , Brazil , Spatial Analysis , Health Information Systems
17.
Epidemiol. serv. saúde ; 29(5): e2020133, 2020. tab
Article in English, Portuguese | LILACS, ColecionaSUS, SES-SP | ID: biblio-1133815

ABSTRACT

Objetivo: Analisar fatores associados à mortalidade por lesões traumáticas entre motociclistas. Métodos: Coorte prospectiva, conduzida no Hospital Municipal de São José dos Campos, Brasil, 2015. Foram incluídos motociclistas com lesões traumáticas, ≥14 anos de idade, hospitalizados. Analisaram-se as variáveis sociodemográficas do acidente e da hospitalização, por modelo de regressão de Poisson, apresentando-se risco relativo (RR) e intervalos de confiança de 95% (IC95%). Resultados: Entre 190 motociclistas, 161 (84,7%), jovens do sexo masculino, revelaram 422 (41,8%) lesões em extremidades inferiores e superiores. A incidência de óbito foi maior na medida do aumento da gravidade do trauma, fisiológica (RR=9,67 [IC95% 1,46;64,26]; e RR=4,71 [IC95% 1,36;16,26]) e anatômica (RR=31,49 [IC95% 3,72;266,38]); e mostrou-se menor em até uma semana de internação (RR=0,39 [IC95% 0,15;0,98]). Conclusão: A gravidade do trauma e o tempo de internação associaram-se ao óbito de motociclistas, mas novos estudos devem ser conduzidos para confirmar esses achados e analisar essas relações mais detalhadamente.


Objetivo: Analizar los factores asociados con la mortalidad por lesiones traumáticas entre motociclistas. Métodos: Cohorte prospectiva realizada en el Hospital Municipal de São José dos Campos en 2015. Se incluyó a motociclistas con lesiones traumáticas, ≥14 años, hospitalizados. Se analizaron vVariables sociodemográficas, del accidente y de la hospitalización se analizaron utilizando la regresión de Poisson y y fueran presentarondos en riesgco relativo (RR) ey intervalos de confianza de 95% (IC95%). Resultados: Entre 190 motociclistas, 161 (84,7%) hombres jóvenes de sexo masculino revelaron 422 (41,8%) lesiones en extremidades inferiores y superiores. La incidencia de muerte fue mayor aumentando según lacon aumento en severidad del trauma fisiológico (RR=9,67 [IC95% 1,46; 64,26]; y RR=4,71 [IC95% 1,36; 16,26]) y anatómico (RR=31,49 [IC95% 3,72; 266,38]), pero fue menor con hasta hasta una semana de hospitalización (RR=0,39 [IC95% 0,15; 0,98]). Conclusión: La Ggravedad del trauma y la estadía hospitalaria se asociaron con la muerte de motociclistas. Otros estudios deben efectuarse para confirmar estos hallazgos y analizar las relaciones con mayor detalle.


Objective: To analyze factors associated with mortality from traumatic injuries among motorcyclists. Methods: This was a prospective cohort conducted at the Municipal Hospital of São José dos Campos, Brazil, in 2015. Motorcyclists with traumatic injuries, ≥14 years old and hospitalized were included. Sociodemographic, accident and hospitalization variables were analyzed by applying a Poisson regression model showing relative risk (RR) and 95% confidence intervals (95%CI). Results: Among 190 motorcyclists, 161 (84.7%) young men were found to have 422 (41.8%) injuries to the lower and upper extremities. Incidence of death increased as physiological injury severity (RR=9.67 [95%CI 1.46;64.26] and RR=4.71 [95%CI 1.36;16.26]), and anatomical injury severity (RR=31.49 [95%CI 3.72;266.38]) increased, but was lower within up to one week of hospitalization (RR=0.39 [95%CI 0.15;0.98]). Conclusion: Injury severity and length of hospital stay were associated with motorcyclist deaths. Further studies should be conducted to confirm these findings and to analyze the relationships in greater detail.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Wounds and Injuries/epidemiology , Accidents, Traffic/mortality , Accidents, Traffic/statistics & numerical data , Automobile Driving , Motorcycles , Brazil , Injury Severity Score , Mortality/trends
18.
Palmas; [S.n]; 2020. 15 p.
Non-conventional in Portuguese | LILACS, CONASS, ColecionaSUS, SES-TO | ID: biblio-1140431

ABSTRACT

Apresenta o informe epidemiológico do Tocantins dando alusão aos Número de Casos de Beribéri, Doenças Crônicas, Taxa de óbitos por acidente de transporte terrestre, Acidentes de Trânsito, Coberturas das Vacinas, casos confirmados de meningites por etiologia, Hanseníase, tuberculose, doenças diarreica aguda, Toxoplasmose Gestacional e Congênita, HIV/AIDS, hepatites virais no ano de 2020.


It presents the epidemiological report of Tocantins alluding to the Number of Beriberi Cases, Chronic Diseases, Death rate due to land transport accidents, Traffic Accidents, Vaccine Coverage, confirmed cases of meningitis by etiology, Hansen's disease, tuberculosis, acute diarrheal diseases, Gestational and Congenital Toxoplasmosis, HIV / AIDS, viral hepatitis in 2020.


Presenta el informe epidemiológico de Tocantins referido al Número de Casos de Beriberi, Enfermedades Crónicas, Tasa de mortalidad por accidentes de transporte terrestre, Accidentes de tráfico, Cobertura de vacunas, Casos confirmados de meningitis por etiología, Enfermedad de Hansen, Tuberculosis, Enfermedades diarreicas agudas Toxoplasmosis gestacional y congénita, VIH / SIDA, hepatitis viral en 2020.


Il présente le rapport épidémiologique de Tocantins faisant allusion au nombre de cas de béribéri, aux maladies chroniques, au taux de mortalité dû aux accidents de transport terrestre, aux accidents de la circulation, à la couverture vaccinale, aux cas confirmés de méningite par étiologie, à la maladie de Hansen, à la tuberculose, aux maladies diarrhéiques aiguës, Toxoplasmose gestationnelle et congénitale, VIH / SIDA, hépatite virale en 2020.


Subject(s)
Humans , Accidents, Traffic/statistics & numerical data , Annual Report , Tuberculosis , Toxoplasmosis , Chronic Disease/epidemiology , Acquired Immunodeficiency Syndrome , HIV , Dysentery , Vaccine-Preventable Diseases , Leprosy , Meningitis
19.
Medwave ; 20(5): e7923, 2020.
Article in English, Spanish | LILACS | ID: biblio-1116655

ABSTRACT

OBJETIVO: Determinar si las personas mayores tienen mayor tasa de sufrir siniestros de tránsito, de fallecer o de lesionarse en estos, en comparación con personas adultas en Chile entre los años 2008 y 2017. MÉTODO: Se utilizaron las bases de datos de la Comisión Nacional de Seguridad de Tránsito de los últimos 10 años y los datos de habitantes según las proyecciones realizadas por el Instituto Nacional de Estadística. Se calcularon las medidas de efecto e intervalos de confianza del 95%. RESULTADOS: Las personas mayores en Chile tuvieron 0,5 veces la tasa de sufrir un siniestro de tránsito; 0,6 veces la tasa de lesionar y 1,3 veces la tasa de fallecer en un siniestro de tránsito que presentan las personas adultas. Antofagasta y Arica fueron las regiones con menor y mayor ocurrencia de fallecimientos de personas mayores. Las principales causas de siniestro fueron la imprudencia del conductor y peatón, las que a su vez presentaron 1,6 y 2,6 veces la tasa de fallecimiento en personas adultas. De los principales tipos de siniestros, sólo en los atropellos las personas mayores tuvieron mayor ocurrencia de muerte (razón de tasas 2,4). CONCLUSIONES: Confirma la mayor vulnerabilidad a fallecer en un siniestro de tránsito de las personas mayores. Se aprecian grandes diferencias a través de las diversas regiones del país. Las futuras investigaciones deben abordar las características de los usuarios, las estrategias que podrían ayudar a estos a tener una mejor interacción y promover la salud con foco en la seguridad vial en las personas mayores.


OBJECTIVE: To determine if older adults in Chile have higher rates of traffic incidents, resulting in death or injury when compared to younger adults between 2008 and 2017. METHODS: The databases of the National Traffic Safety Commission of the last ten years and the data of inhabitants according to the projections made by the National Statistics Institute were used. Effect measures and 95% confidence intervals were calculated. RESULTS: The elderly in Chile had 0.5 times the rate of suffering a traffic accident, 0.6 times the rate of injury, and 1.3 times the rate of dying in a traffic accident when compared against non-elderly adults. Antofagasta and Arica were the regions with the lowest and highest occurrence of death for older adults, respectively. The leading causes of traffic accidents were the imprudence of the driver and pedestrian, which presented 1.6 and 2.6 times the death rate when compared against non-elderly adults. Of the main types of traffic accidents, only when the pedestrian was hit by a vehicle, the elderly had a higher occurrence of death (rate ratio 2.4). CONCLUSIONS: Older adults presented a greater vulnerability to death by traffic accidents. Substantial differences are seen across different regions. Future research should address the characteristics of the users, the strategies that could help them to have better interaction, and promote health with a focus on road safety for older people.


Subject(s)
Humans , Adolescent , Adult , Middle Aged , Aged , Young Adult , Automobile Driving/statistics & numerical data , Accidents, Traffic/statistics & numerical data , Pedestrians/statistics & numerical data , Chile/epidemiology , Registries , Databases, Factual , Age Factors
20.
Rev. bras. epidemiol ; 23: e200085, 2020. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1126055

ABSTRACT

RESUMO: Introdução: Falta de atenção ao conduzir (FAC) veículo é tida como fator de risco em ascensão para Acidentes de Transporte Terrestre (ATT). Objetivo: Os objetivos deste estudo foram identificar a tendência do número de vítimas em acidentes por FAC e do número de infrações por uso de aparelho telefônico celular nas rodovias federais brasileiras e problematizar a categoria FAC tal como vem sendo empregada no país. Método: Estudo de séries temporais, com dados de acidentes com vítimas disponibilizados pela Polícia Rodoviária Federal, cuja causa tenha sido FAC, no período de 2007 a 2016, e dados de infrações por dirigir utilizando celular. Resultados: Identificou-se tendência de aumento mensal do número de vítimas de acidentes por FAC no país até meados de 2011 (variação percentual mensal - VPM = 0,57%), seguida de diminuição significante (VPM = -0,45%). As macrorregiões apresentaram comportamento similar, com exceção do Sudeste. Houve tendência de aumento mensal do número de infrações pelo uso de celular pelo condutor de 2007 a 2013. Conclusão: A tendência é de aumento mensal do número de vítimas decorrentes de FAC no Brasil e na maioria das macrorregiões até 2011, com posterior tendência de declínio. A inexatidão da expressão "falta de atenção" compromete a qualidade dos dados e, por consequência, o adequado dimensionamento das vítimas atribuível a esse fator de risco. A díade celular-condução pode estar na origem de acidentes com vítimas por FAC no país.


ABSTRACT: Introduction: Distracted driving (DD) of a motor vehicle is considered an increasing risk factor for land transport accidents. Objective: To identify the tendency in the number of victims in DD accidents and in the number of offences due to cell phone use on Brazilian federal highways, as well as analyze the DD category in depth as it is being used in the country. Method: A time series study with data on accidents with victims, made available by the Federal Highway Police, whose cause was distracted driving, from 2007 to 2016 and data on offences for driving using a cell phone. Results: There was a tendency towards a monthly increase in the number of distracted driving accident victims in the country up to mid-2011 (percentage monthly variation - PMV = 0.57%), followed by a significant decrease (PMV = -0.45%). Macro-regions showed similar behavior, except in the Southeast. There was a monthly increase in the number of offences caused by drivers using cell phones from 2007 to 2013. Conclusion: There was a tendency towards monthly increases in the number of victims of distracted driving in Brazil and in most macro-regions up to 2011, followed by a subsequent downward tendency. The inaccurate nature of the expression "distraction" compromises the quality of the data and, consequently, the adequate estimation of victims attributable to this risk factor. The cell phone-driving dyad could be the root cause of accidents with victims caused by distracted driving in the country.


Subject(s)
Humans , Accidents, Traffic/statistics & numerical data , Distracted Driving/statistics & numerical data , Brazil
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