ABSTRACT
INTRODUCTION: Road traffic crashes (RTC) are an important public health problem, accounting for 1.2 million deaths per year worldwide. In Brazil, approximately 40,000 deaths caused by RTC occur every year, with different trends in the Federal Units. However, these figures may be even greater if health databases are linked to police records. In addition, the linkage procedure would make it possible to qualify information from the health and police databases, improving the quality of the data regarding underlying cause of death, cause of injury in hospital records, and injury severity. OBJECTIVE: This study linked different data sources to measure the numbers of deaths and serious injuries and to estimate the percentage of corrections regarding the underlying cause of death, cause of injury, and the severity injury in victims in matched pairs from record linkage in five representative state capitals of the five macro-regions of Brazil. METHODS: This cross-sectional, population-based study used data from the Hospital Information System (HIS), Mortality Information System (MIS), and Police Road Traffic database of Belo Horizonte, Campo Grande, Curitiba, Palmas, and Teresina, for the year 2013 for Teresina, and 2012 for the other capitals. RecLink III was used to perform probabilistic record linkage by identifying matched pairs to calculate the global correction percentage of the underlying cause of death, the circumstance that caused the road traffic injury, and the injury severity of the victims in the police database. RESULTS: There was a change in the cause of injury in the HIS, with an overall percentage of correction estimated at 24.4% for Belo Horizonte, 96.9% for Campo Grande, 100.0% for Palmas, and 33.2% for Teresina. The overall percentages of correction of the underlying cause of death in the MIS were 29.9%, 11.9%, 4.2%, and 33.5% for Belo Horizonte, Campo Grande, Curitiba, and Teresina, respectively. The correction of the classification of injury severity in police database were 100.0% for Belo Horizonte and Teresina, 48.0% for Campo Grande, and 51.4% for Palmas after linkage with hospital database. The linkage between mortality and police database found a percentage of correction of 29.5%, 52.3%, 4.4%, 74.3 and 72.9% for Belo Horizonte, Campo Grande, Palmas, Curitiba and Teresina, respectively in the police records. CONCLUSIONS: The results showed the importance of linking records of the health and police databases for estimating the quality of data on road traffic injuries and the victims in the five capital cities studied. The true causes of death and degrees of severity of the injuries caused by RTC are underestimated in the absence of integration of health and police databases. Thus, it is necessary to define national rules and standards of integration between health and traffic databases in national and state levels in Brazil.
Subject(s)
Accidents, Traffic/mortality , Wounds and Injuries/epidemiology , Brazil/epidemiology , Cause of Death , Cross-Sectional Studies , Databases, Factual , Female , Hospital Information Systems , Humans , Male , Police/statistics & numerical data , Population Surveillance , Urban PopulationABSTRACT
Accidents are a major issue in the public health agenda and accidents from external causes represent a current challenge for public policies. The scope of this article is to describe the characteristics of emergency care grouped in the "other accidents" category of the "VIVA" 2009 survey, in the public services of Teresina-Piauí. Data was collected from standard forms entered into Epi Info 3.5.1 and analyzed in Stata 11 (module svy). Characteristics relating to the victims, the occurrence and care were compared according to age group and the type of accident using the Pearson chi-square test. Of the total of 2,061 external cause accidents, 677 (32.9%) were due to "other accidents," of which 202 (29.8%) involved wounds from sharp cutting objects, 172 (25.4%) with objects falling on the person or the person hitting an object, 111 (16.4%) with unknown objects and 70 (10.3%) with accidents involving animals. Accidents in the household with injuries located on the torso leading to hospitalization were greater in patients <20 years (p<0,005). Important differences were identified in the pattern of the occurrence among the types of accidents. The magnitude of these events suggests the need for programs that reduce vulnerability to accidents, linking health promotion and prevention actions.
Subject(s)
Accidents/statistics & numerical data , Emergency Medical Services/statistics & numerical data , Adolescent , Adult , Aged , Brazil , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
The scope of this study was to describe reports of violence against the elderly (e" 60 years) reported in the Information System for Notifiable Diseases - net version (Sinan Net) in 2010. We conducted a descriptive, retrospective study with data analyzed by Stata version 11. We estimated proportion ratios (PR) of violence according to selected variables. Of the 3,593 reports of violence against the elderly, 52.3% were against females. Physical violence was significantly more frequent against males (PR=0.82) in the group aged 60 to 69 years, out of the home, committed by offenders who were not sons and were suspected of drinking alcohol. Psychological violence was more common among elderly people (PR=2.17), in the home, inflicted by sons, with suspected chronic alcohol abuse. Negligence was predominant among females (P R=1.24), in the group above 70 years of age, in the home, recurrently perpetrated by sons. Sexual violence was more common against females (PR=5.21), by offenders who were not children, but who consumed alcohol. The knowledge of the different manifestations of violence against the elderly supports actions to combat them, identifying characteristics of vulnerability in which support networks may intervene.
Subject(s)
Elder Abuse/statistics & numerical data , Violence/statistics & numerical data , Aged , Brazil/epidemiology , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
As causas externas representam atual desafio para as políticas públicas, destacando os acidentes na agenda pública de saúde. Este artigo objetiva descrever as características dos atendimentos de emergência agrupados na categoria "outros acidentes" do Inquérito VIVA 2009, em serviços públicos de Teresina, Piauí. Os dados foram coletados em formulário padronizado, digitados no Epi Info 3.5.1 e analisados no Stata 11 (módulo svy). Compararam-se as características relativas à vítima, ocorrência e atendimento, segundo faixa etária e tipo de acidente por meio do teste do qui-quadrado de Pearson. Do total de 2.061 atendimentos por causas externas, 677 (32,9%) foram devidos a "outros acidentes", dos quais 202 (29,8%) foram por ferimento com objeto perfurocortante, 172 (25,4%) por queda de objeto sobre pessoa/choque de pessoas contra objeto, 111 (16,4%) por corpo estranho e 70 (10,3%) de acidentes com animais. Acidentes no domicílio, com lesões localizadas no tronco e com evolução para internação foi mais frequentes em pacientes < 20 anos (p < 0,005). Identificaram-se diferenças significativas no padrão de ocorrência entre os tipos de acidentes. A magnitude desses eventos sugere a necessidade de programas que reduzam a vulnerabilidade aos acidentes, articulando ações de prevenção e promoção da saúde.
Accidents are a major issue in the public health agenda and accidents from external causes represent a current challenge for public policies. The scope of this article is to describe the characteristics of emergency care grouped in the "other accidents" category of the "VIVA" 2009 survey, in the public services of Teresina-Piauí. Data was collected from standard forms entered into Epi Info 3.5.1 and analyzed in Stata 11 (module svy). Characteristics relating to the victims, the occurrence and care were compared according to age group and the type of accident using the Pearson chi-square test. Of the total of 2,061 external cause accidents, 677 (32.9%) were due to "other accidents," of which 202 (29.8%) involved wounds from sharp cutting objects, 172 (25.4%) with objects falling on the person or the person hitting an object, 111 (16.4%) with unknown objects and 70 (10.3%) with accidents involving animals. Accidents in the household with injuries located on the torso leading to hospitalization were greater in patients <20 years (p<0,005). Important differences were identified in the pattern of the occurrence among the types of accidents. The magnitude of these events suggests the need for programs that reduce vulnerability to accidents, linking health promotion and prevention actions.
Subject(s)
Adolescent , Adult , Aged , Female , Humans , Middle Aged , Young Adult , Accidents/statistics & numerical data , Emergency Medical Services/statistics & numerical data , BrazilABSTRACT
O objetivo do estudo foi descrever notificações de violência contra os idosos (> 60 anos) captadas pelo Sistema de Informação de Agravos de Notificação - versão net (Sinan Net) em 2010. Realizou-se estudo descritivo, retrospectivo, com dados analisados no Stata versão 11. Estimaram-se razões de proporção (RP) de violência segundo variáveis selecionadas. Das 3.593 notificações de violência contra idosos, 52,3% eram referentes ao sexo feminino. A violência física foi significativamente mais frequente no sexo masculino (RP = 0,82), no grupo com 60 a 69 anos, fora do domicílio, praticada por agressores que não eram filhos, com suspeita de ingestão de bebida alcoólica. A violência psicológica foi mais frequente entre idosas (RP = 2,17), no domicílio, infligida pelos filhos, com suspeita de uso de bebida alcoólica e de maneira crônica. A negligência predominou no sexo feminino (RP = 1,24), no grupo a partir de 70 anos, no domicílio, perpetrada pelos filhos e recorrente. A violência sexual foi mais comum no sexo feminino (RP = 5,21), por agressores que não eram filhos, mas que consumiram bebida alcoólica. O conhecimento das diferentes manifestações da violência contra idosos subsidia ações para o seu enfrentamento, identificando características de vulnerabilidade onde as redes de apoio podem intervir.
The scope of this study was to describe reports of violence against the elderly (e" 60 years) reported in the Information System for Notifiable Diseases - net version (Sinan Net) in 2010. We conducted a descriptive, retrospective study with data analyzed by Stata version 11. We estimated proportion ratios (PR) of violence according to selected variables. Of the 3,593 reports of violence against the elderly, 52.3% were against females. Physical violence was significantly more frequent against males (PR=0.82) in the group aged 60 to 69 years, out of the home, committed by offenders who were not sons and were suspected of drinking alcohol. Psychological violence was more common among elderly people (PR=2.17), in the home, inflicted by sons, with suspected chronic alcohol abuse. Negligence was predominant among females (P R=1.24), in the group above 70 years of age, in the home, recurrently perpetrated by sons. Sexual violence was more common against females (PR=5.21), by offenders who were not children, but who consumed alcohol. The knowledge of the different manifestations of violence against the elderly supports actions to combat them, identifying characteristics of vulnerability in which support networks may intervene.
Subject(s)
Aged , Female , Humans , Middle Aged , Elder Abuse/statistics & numerical data , Violence/statistics & numerical data , Brazil/epidemiology , Retrospective StudiesABSTRACT
This article aimed to describe the features of emergency assistance to aggressions and identify factors associated to their occurrence. The study population was victims of violence assisted in ten public emergency services in Teresina, PI, Brazil. Out of the 343 cases, there was a majority of male patients (76%), young (40.9%), pardos (63.2%) and with low level of education (42.4%). The men were more likely to have drunk alcohol, suffered physical aggression by firearm and blunt object on the streets. The women were more likely to have suffered psychological aggression and negligence by relatives at home. The study shows the violence profile in Teresina and gives directions to the management of public policies of violence prevention and culture of peace.
Subject(s)
Emergency Medical Services , Violence/statistics & numerical data , Adolescent , Adult , Brazil , Child , Female , Humans , Male , Middle Aged , Public SectorABSTRACT
Este artigo objetivou descrever as características dos atendimentos de emergência por agressões e identificar fatores associados à sua ocorrência. A população de estudo incluiu vítimas de violência atendidas em dez serviços públicos de emergência de Teresina. Do total de atendimentos (n=343), predominaram pacientes do sexo masculino (76 por cento), jovens (40,9 por cento), pardos (63,2 por cento) e com baixo nível de escolaridade (42,4 por cento). Os homens apresentaram maior chance de ter ingerido bebida alcoólica, sofrer agressão física por arma de fogo e objeto contundente em via pública. As mulheres tiveram maior chance de sofrer agressão psicológica e negligência no domicílio por familiares. O estudo apresenta o perfil da violência em Teresina e direciona o planejamento de políticas públicas de prevenção da violência e cultura de paz.
This article aimed to describe the features of emergency assistance to aggressions and identify factors associated to their occurrence. The study population was victims of violence assisted in ten public emergency services in Teresina, PI, Brazil. Out of the 343 cases, there was a majority of male patients (76 percent), young (40.9 percent), pardos (63.2 percent) and with low level of education (42.4 percent). The men were more likely to have drunk alcohol, suffered physical aggression by firearm and blunt object on the streets. The women were more likely to have suffered psychological aggression and negligence by relatives at home. The study shows the violence profile in Teresina and gives directions to the management of public policies of violence prevention and culture of peace.
Este artículo buscó describir las características de los atendimientos de emergencia por agresiones y identificar factores asociados a su ocurrencia. La población de estudio incluyó victimas de violencia atendidas en diez servicios públicos de emergencia en Teresina, PI, Brasil. De un total de 343 atendimientos, predominaron pacientes del sexo masculino (76 por ciento), jóvenes (40,9 por ciento), pardos (63,2 por ciento) y con bajo nivel de escolaridad (42,4 por ciento). Los hombres presentaron mayor probabilidad de haber bebido alcohol, sufrido agresión física por arma de fuego y objeto contundente en vía pública. Las mujeres tuvieron mayor probabilidad de haber sufrido agresión psicológica y negligencia por parientes en casa. El estudio muestra el perfil de violencia en Teresina y da direcciones al planeamiento de políticas públicas de prevención de la violencia y cultura de paz.
Subject(s)
Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Emergency Medical Services , Violence/statistics & numerical data , Brazil , Public SectorABSTRACT
Analisa os relatórios da I, II e III Conferência Municipal de Saúde de Teresina (PI), realizadas a partir de 1991, evidenciando a temática Informação em Saúde, através da leitura analítica dos discursos explicitados nos documentos, identificando as concepções e a forma como se articulam aos temas centrais e subtemas propostos em cada conferência. Observa que a informação em saúde foi ganhando amplitude, ultrapassando sua configuração em sistemas de informação em saúde, alcançando a dimensão de instrumento para a participação-controle social e da integração serviço-programa-usuário
Subject(s)
Congress , Literature , Public Health , Democracy , Health Policy , Health Services Administration , Management Quality Circles , Community Participation , Public Policy , Quality of Health CareABSTRACT
O objetivo do programa é melhorar o estado de saúde da população, mediante ações integradas dirigidas ao indivíduos, à família, à comunidade e ao meio ambiente, voltadas para a promoção e a proteção da saúde, além da identificação e tratamento precoce das doenças. Ressalta como atividade do Programa de Agentes Comunitários de Saúde o acompanhamento a grupos específicos (gestantes, crianças, idosos, portadores de doenças crônico-degenerativas (diabetes e hipertensão) e doenças transmissíveis (tuberculose e hanseníase). Segundo dados do Sistema de Informações das Ações Básicas, foi registrada a média de 1,02 visitas/mês por família, para o período de maio a dezembro de 1998, cumprindo, a meta estabelecida pelas diretrizes do programa
Subject(s)
Health Programs and Plans , Outcome and Process Assessment, Health Care , Community Health Workers , Primary Health Care , Family HealthABSTRACT
O objetivo do programa é melhorar o estado de saúde da população, mediante ações integradas dirigidas ao indivíduos, à família, à comunidade e ao meio ambiente, voltadas para a promoção e a proteção da saúde, além da identificação e tratamento precoce das doenças. Ressalta como atividade do Programa de Agentes Comunitários de Saúde o acompanhamento a grupos específicos (gestantes, crianças, idosos, portadores de doenças crônico-degenerativas (diabetes e hipertensão) e doenças transmissíveis (tuberculose e hanseníase). Segundo dados do Sistema de Informações das Ações Básicas, foi registrada a média de 1,02 visitas/mês por família, para o período de maio a dezembro de 1998, cumprindo, a meta estabelecida pelas diretrizes do programa (AU)
