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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Morbimortalidade em crianças e adolescentes vítimas de acidentes automotivos / Morbity and Mortality of children and adolescents injured by traffic casualties

Lino, Thiago Henrique de Araujo 24 September 2014 (has links)
Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2018-06-26T10:25:32Z No. of bitstreams: 1 PDF - Thiago Henrique de Araújo Lino.pdf: 19892182 bytes, checksum: 8f722c1b44f7af0860fbd2fe4e6739e4 (MD5) / Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2018-07-03T17:48:26Z (GMT) No. of bitstreams: 1 PDF - Thiago Henrique de Araújo Lino.pdf: 19892182 bytes, checksum: 8f722c1b44f7af0860fbd2fe4e6739e4 (MD5) / Made available in DSpace on 2018-07-03T17:48:26Z (GMT). No. of bitstreams: 1 PDF - Thiago Henrique de Araújo Lino.pdf: 19892182 bytes, checksum: 8f722c1b44f7af0860fbd2fe4e6739e4 (MD5) Previous issue date: 2014-09-24 / Objective: The aim of this work was to study the morbidity and mortality related to automotive accidents involving children and adolescents. Methods: The first study consisted of a systematic review in four databases (SciELO, MEDLINE, Scopus and Web of Science) involving related association between socioeconomic and environmental conditions and automobile accidents involving children and adolescents articles. A second study with cross- sectional design was carried out in the Forensic Institute of Campina Grande-PB, collecting information from children and adolescents, their injuries and accidents from January 2008 to December 2011. Descriptive and inferential statistics were applied (α=5%). Results: In systematic review of 748 articles identified, 28 were considered eligible, but six studies met the inclusion criteria. Despite methodological weakness identified, it was observed evidence on the association socioeconomic factors and automotive accidents. In sectional study, of 1613 reports analyzed, 232 (14.4%) were related to children and adolescents victims of automobile accidents. Head injuries occurred more frequently in children aged 0-4 years (53.8%, PR = 5.065) and pedestrians (30.4%, PR = 2.039), while face and maxillofacial injuries occurred in higher proportion among females (31.1%, PR = 0.489). Conclusions. There is evidence of a positive association between low socioeconomic status individual (income, education, unemployment) or the context (social deprivation, child mortality, income inequality, violence) and the morbidity and mortality resulting from automobile accidents involving children and adolescents. Accidents involving motorcyclists are more prevalent, affecting male adolescents 15-19 years, with higher frequency of lesions in the head and face. / Objetivo: Estudar a morbimortalidade decorrente de acidentes automotivos em crianças e adolescentes. Material e métodos: Um primeiro estudo consistiu de uma revisão sistemática da literatura em quatro bases de dados (Scielo, Medline, Scopus e Web of Science) envolvendo artigos relacionados à associação entre condições socioeconômicas e ambientais e acidentes automotivos envolvendo crianças e adolescentes. Também foi desenvolvido um estudo seccional no Instituto Médico Legal de Campina Grande-PB, coletando informações de crianças e adolescentes, de suas lesões e dos acidentes no período de janeiro de 2008 a dezembro de 2011. Aplicou-se estatística descritiva e inferencial (α=5%). Resultados: Na revisão sistemática, dos 748 artigos identificados, 28 foram considerados elegíveis inicialmente e, desses, 6 atenderam aos critérios de inclusão. Apesar das fragilidades metodológicas identificadas, verificou-se associação entre fatores socioeconômicos individuais e/ou contextuais e acidentes automotivos. No estudo seccional, dos 1613 prontuários analisados, 232 (14,4%) eram referentes a crianças e adolescentes vítimas de acidentes automotivos. As lesões na cabeça ocorreram com maior frequência em crianças com idade entre 0 e 4 anos (53,8%, RP = 5,065) e pedestres (30,4%, RP = 2,039), enquanto as lesões faciais e maxilofaciais foram identificadas em maior proporção entre as vítimas do sexo feminino (31,1%, RP = 0,489). Conclusões. Existe evidência de associação positiva entre baixa condição socioeconômica individual (renda, educação, desemprego) ou do contexto (privação social, mortalidade infantil, iniquidade de renda, violência) e a morbimortalidade decorrente dos acidentes automotivos. Os acidentes envolvendo motociclistas são mais prevalentes, afetando adolescentes masculinos de 15 a 19 anos, com maior frequência das lesões localizadas na cabeça e na face.

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