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Morbi-Mortalidade Juvenil por Acidentes de Transporte em Goiânia Goiás / Young morbi-mortality by transporte injury in Goiânia/GO

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Previous issue date: 2006-03-27 / Transport accidents are currently one of the world s main public health
problems. The aim of this investigation is to describe the profile of transport
injury victims attended at Hospital de Urgências de Goiânia (HUGO) and of
victims who deceased in these accidents, with age 15 to 24 years, residents in
Goiânia, Goiás - Brazil. It also describes the circumstances involved in these
accidents. This descriptive transversal study was carried out in the city of
Goiânia from August 2005 to August 2006 with systematic sampling,
considering the day of the week and the time of the day. At that period were
interviewed 301 victims attended at HUGO, the main Emergency Service
Center of the city, and the family of 62 cases of death occurred in the
municipality. The data were treated by descriptive statistics. Most victims
attended at HUGO and most of those who died were male, mean age 19.94 ±
2.73 years. The main transport used by the victims attended at HUGO was the
motorcycle (67.33%), followed by the bicycle (16.67%). The motorcycle was the
most used by fatal victims (66.67%) as well. The accidents usually occurred at
night, especially around 6 pm to 9 pm and at weekends (fridays and sundays).
The victims were generally on the way to do physical, sportive, school, leisure
or entertaining activities at that time. Those who were doing paid work had the
accident between 6 am and 9 am. Suspicion of alcohol use was confirmed in
15.16% of the cases attended at HUGO and by 26.31% of the family of fatal
victims. The victims attended at HUGO were the drivers in 77.11% of the
motorcycle accidents and 92.00% of bicycle accidents, as well as in 76.92% of
the fatal victims. There were victims under 18 years of age identified as drivers
of automobiles and motorcycles. In proportion (p<0.05), more motorcyclists
(66.48%) believed that there was imprudence/ negligence than the cyclists
(47.72%) attended at HUGO. Security equipment was not used by 8.58% of
motorcyclists, by 95.45% of cyclists attended at HUGO and by 12.5% of the
motorcyclists who died. The safety belt was not used by 50.00% of the attended
at HUGO and by 60.00% of who died. The results indicate a need for a
differentiated look at motorcyclists, which justifies a specific approach to this
group, as well as measures of inspection, giving priority to the periods of night
and weekends. The service of attending victims must be planned, adjusting the
amount of human, material and equipment resources, and the seasonality of
accidents. The epidemiologic profile of the victims provides important
information for administrators to implement politics of promoting health and
preventing injury transport, which takes intersectional and multiprofessional
actions to confront the problem.
Keywords: Transport accidents are currently one of the world s main public health
problems. The aim of this investigation is to describe the profile of transport
injury victims attended at Hospital de Urgências de Goiânia (HUGO) and of
victims who deceased in these accidents, with age 15 to 24 years, residents in
Goiânia, Goiás - Brazil. It also describes the circumstances involved in these
accidents. This descriptive transversal study was carried out in the city of
Goiânia from August 2005 to August 2006 with systematic sampling,
considering the day of the week and the time of the day. At that period were
interviewed 301 victims attended at HUGO, the main Emergency Service
Center of the city, and the family of 62 cases of death occurred in the
municipality. The data were treated by descriptive statistics. Most victims
attended at HUGO and most of those who died were male, mean age 19.94 ±
2.73 years. The main transport used by the victims attended at HUGO was the
motorcycle (67.33%), followed by the bicycle (16.67%). The motorcycle was the
most used by fatal victims (66.67%) as well. The accidents usually occurred at
night, especially around 6 pm to 9 pm and at weekends (fridays and sundays).
The victims were generally on the way to do physical, sportive, school, leisure
or entertaining activities at that time. Those who were doing paid work had the
accident between 6 am and 9 am. Suspicion of alcohol use was confirmed in
15.16% of the cases attended at HUGO and by 26.31% of the family of fatal
victims. The victims attended at HUGO were the drivers in 77.11% of the
motorcycle accidents and 92.00% of bicycle accidents, as well as in 76.92% of
the fatal victims. There were victims under 18 years of age identified as drivers
of automobiles and motorcycles. In proportion (p<0.05), more motorcyclists
(66.48%) believed that there was imprudence/ negligence than the cyclists
(47.72%) attended at HUGO. Security equipment was not used by 8.58% of
motorcyclists, by 95.45% of cyclists attended at HUGO and by 12.5% of the
motorcyclists who died. The safety belt was not used by 50.00% of the attended
at HUGO and by 60.00% of who died. The results indicate a need for a
differentiated look at motorcyclists, which justifies a specific approach to this
group, as well as measures of inspection, giving priority to the periods of night
and weekends. The service of attending victims must be planned, adjusting the
amount of human, material and equipment resources, and the seasonality of
accidents. The epidemiologic profile of the victims provides important
information for administrators to implement politics of promoting health and
preventing injury transport, which takes intersectional and multiprofessional
actions to confront the problem. / Os acidentes de transporte constituem na atualidade um dos principais
problemas de saúde pública em todo mundo, especialmente nos países em
desenvolvimento. Este estudo teve como objetivo descrever o perfil das vítimas
dos acidentes de transportes atendidos no Hospital de Urgências de Goiânia
(HUGO) e das vítimas que foram a óbito, na faixa etária de 15 a 24 anos e
residentes em Goiânia - Goiás, bem como descrever as circunstâncias
envolvendo esses acidentes. Trata-se de estudo descritivo, transversal,
conduzido em Goiânia de agosto/2005 a agosto/2006, com amostragem
sistemática considerando dia da semana e horários do dia. Foram
entrevistadas 301 vítimas atendidas no HUGO, principal Serviço de
Emergência da cidade, e familiares de 62 casos de óbitos ocorridos no
município naquele período. Os dados foram tratados por meio de estatística
descritiva. Dentre as vítimas atendidas no HUGO e das que foram a óbito a
maioria era do sexo masculino, com idade média de 19,94 ± 2,73 anos. O meio
de transporte mais utilizado pelas vítimas atendidas no HUGO foi a motocicleta
(67,33%), seguido da bicicleta (16,67%). A motocicleta também foi a mais
usada entre as vítimas fatais (76,36%). Os acidentes ocorreram mais no
período noturno, especialmente entre as 18h e 21h e aos finais de semana (6ª
feira e domingo). As vítimas estavam principalmente no trajeto para atividades
físicas, esportivas, escolares, lazer e entretenimento nesses horários. Aquelas
que realizavam trabalho pago acidentaram-se principalmente entre 06 e 09 h. A
suspeita do uso de álcool foi confirmada por 15,14% dos atendidos no HUGO e
por 26,31% dos familiares das vítimas fatais. Eram condutores 77,11% dos
motociclistas e 92% ciclistas atendidos no HUGO, bem como 76,92% das
vítimas fatais. Foram identificadas vítimas menores de 18 anos condutores dos
automóveis e motocicletas. Proporcionalmente mais motociclistas (66,48%)
julgaram que houve imprudência / negligência que os ciclistas (47,72%)
atendidos no HUGO (p<0,05). Os equipamentos de segurança não eram
usados por 8,58% dos motociclistas e 95,45% dos ciclistas atendidos no HUGO
e por 12,50% motociclistas que morreram. O cinto de segurança era não era
usado por 50,00% dos atendidos no HUGO e por 60,00% das vítimas fatais. Os
resultados indicam que um olhar diferenciado deve ser dirigido aos
motociclistas, justificando uma abordagem específica para este grupo, bem
como são necessárias medidas de fiscalização que priorizem o período noturno
e os finais de semana. Os serviços de atendimento às vítimas devem planejar o
atendimento adequando a quantidade de recursos humanos, materiais e
equipamentos, considerando a sazonalidade dos acidentes. O perfil
epidemiológico das vítimas fornece informações importantes aos gestores para
implementar políticas de promoção da saúde e de prevenção dos acidentes de
transporte.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.bc.ufg.br:tde/759
Date27 March 2006
CreatorsCAIXETA, Carlos Roberto
ContributorsBRASIL, Virginia Visconde
PublisherUniversidade Federal de Goiás, Mestrado em Enfermagem, UFG, BR, Cuidado em Enfermagem
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da UFG, instname:Universidade Federal de Goiás, instacron:UFG
Rightsinfo:eu-repo/semantics/openAccess

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