Cintia Leci Rodrigues

Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo

Objective to describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo. Methods this was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed. Results among the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes. Conclusion transport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over.

Birth weight distribution of Hospital Geral do Grajaú population compared to São Paulo city population.

OBJECTIVE To compare the growth curves from a population from a large city suburban hospital with those of the city of São Paulo, São Paulo State, Brazil. METHODS At Hospital Geral do Grajaú, that serves the high pregnancy risk population lacking health facilities, of low education level and smaller number of prenatal visits and great morbidity, a growth curve was built for the newborns, as the Hospital is provided with updated equipment and personnel. The curve was built from the database available containing information on live births during the 2003 to 2007 period and totaling 9,952 newborns, as their weight at birth and gestational age were taken as parameters. The distribution curves of 3%, 10%, 50% and 90% of the Grajaú were compared to those of the city of São Paulo curve. RESULTS The curves did not significantly differ from those of the São Paulo curve percentiles, as shown by the mean deviation (Z score) calculation, notwithstanding the higher rates for prematurity, low weight, teenager mothers and lack of prenatal visits among the Grajaú population as compared to those of São Paulo. CONCLUSIONS The São Paulo city curve showed to be appropriate for the suburban population despite the existing differences.

Analysis of hospitalization occurred due to motorcycles accidents in São Paulo city

OBJECTIVE: To characterize the motorcycle accidents occurred in the city of São Paulo, SP, Brazil in the year 2013, with emphasis on information about hospital admissions from SIH/SUS. METHODS: This is a retrospective cross-sectional study. The study covered 5,597 motorcyclists traumatized in traffic accident during the year 2013 occurred in the city of São Paulo. A survey was conducted using secondary data from the Information System of Hospitalization Health System (SIH/SUS). RESULTS: In 2013, in the city of São Paulo there were 5,597 admissions of motorcyclists traumatized in traffic accidents, of which 89.8% were male. The admission diagnosis were: leg fracture, femur fracture, and intracranial injury. CONCLUSION: This study confirms other preliminary studies on several points, among which stands out the highest prevalence of male young adults. Level of Evidence II, Retrospective Study.

Accidents involving motorcyclists and cyclists in the municipality of São Paulo: characterization and trends.

Objective To describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo. Method This was a descriptive epidemiological study. It covered all accidents (12,924) that occurred involving motorcycles (11,366) and bicycles (1558) between January 2011 and October 2013. Data in the Health Departments information system for surveillance of violence and accidents (SIVVA) was surveyed. Results Motorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accidents: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accidents occurred during the daytime (7:00–18:00 h): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% and it was not possible to identify whether this had occurred in 67%. Conclusions Public policies prioritizing financial and human resources applied toward reducing these types of accidents need to be brought in.

Distribuição do peso ao nascer da população do Hospital Geral do Grajaú comparada à da população da cidade de São Paulo

RESUMOObjetivo:Comparar a curva de crescimento intrauterino de uma populacao que se serve de um hospital da regiao periferica com a curva de crescimento intrauterino da cidade de Sao Paulo, Brasil.Metodos:O Hospital Estadual do Grajau serve a uma populacao com gestacao de alto risco, com falta de recursos de saude, baixo nivel de escolaridade, poucas consultas de pre-natal e grande morbidade. O hospital que atende a essa populacao tem recursos e pessoal especializado, o hospital escola de medicina. A curva foi [...]

INCIDENCE OF PEDESTRIAN TRAFFIC INJURY IN SÃO PAULO, BRAZIL, IN 2016

ABSTRACT Objective: Globally, more than 1.2 million people die from traffic accidents each year. In order to reduce the rate of traffic accidents and their subsequent social consequences in Sao Paulo, Brazil, the aim of this study was to characterize pedestrian victims of traffic accidents and occurrences. Methods: This is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2723 pedestrians injured in traffic accidents during 2016 in Sao Paulo. Results: Of the total sample, 37.3% participants were female and 62.7% male; incidence was highest in the 10-19 year old age group (19.9%) and lower limb injuries were most frequent (28.6%). Of the cases attended in urgent health care units, 75.6% progressed to hospital discharge. Accidents were more frequent in the afternoon (44.6%), and most commonly involved cars (47.2%). Conclusions: This study showed the importance of making detailed records of traffic accidents to guide the government in intensive education efforts to develop a healthy society and respect for traffic regulations, to promote urban improvements involving signage and pavement, and to maintain pre-hospital and hospital care teams in strategic locations to minimize the time elapsed between the accident and care provided to the victim. Level of Evidence II; Retrospective study.

Self-injury and suicide attempt among the elderly population in the city of São Paulo

Objetivo Nesta perspectiva, a presente pesquisa tem como objetivo descrever os casos de autoagressao e tentativa de suicidio entre a populacao idosa residente na cidade de Sao Paulo. Metodos Esta e uma abordagem descritiva e quantitativa baseada no Sistema de Informacao para Vigilância de Violencias e Acidentes (SIVVA) da cidade de Sao Paulo. Na selecao das notificacoes, foram incluidos os relacionados a autoagressao e a tentativa de suicidio contra homens e mulheres, com faixa etaria entre 60 e mais, de janeiro a dezembro de 2014 na cidade de Sao Paulo, Regiao Sudeste do Brasil. Resultados Durante o ano de 2014, 93 casos de autolesao e tentativa de suicidio foram notificados em pessoas idosas residentes na cidade de Sao Paulo. Os principais instrumentos utilizados pela populacao idosa no periodo analisado foram envenenamentos (41,9%), outros meios (34,4%), arma branca (15,1%), locais de alta precipitacao (4,3%), suspensao ou sufocacao (3,2%) e arma de fogo (1,1%). Conclusao Com os resultados deste estudo, foi possivel caracterizar alguns aspectos especificos relacionados a autoagressao e tentativa de suicidio entre os idosos na populacao estudada. Portanto, faz-se necessario desenvolver uma estrategia para promover acoes de prevencao eficazes e oferecer servicos especializados para a maioria dos grupos de risco (raca parda, pessoas com niveis mais baixos de educacao e homens).

Physical and sexual aggression against elderly persons reported in the city of São Paulo

Objectives : To characterize the population of elderly people who have suffered physical and sexual violence, and describe the features of this aggression based on the Information System for Violence and Injury Surveillance (ISVIS) of the Municipal Health Department of the city of Sao Paulo. Method : A cross-sectional, retrospective study was performed of all cases of elderly victims of physical and sexual violence reported in Sao Paulo in 2013. Results : A total of 602 cases of elderly victims of physical abuse were reported, of which 52.3% were male. In the same period there were ten reported cases of elderly victims of sexual assault, 90% of whom were female. The main diagnosis of injury was head trauma (33.2%) and 65.0% of victims were discharged from hospital immediately. Conclusion : Physical abuse with the use of physical force was higher among male elderly persons, and sexual assault was higher among women. Most of the attacks took place at the residence of the elderly person, and were committed by family members.

Fatores associados à queda em idosos atendidos em hospital da região sul da cidade de São Paulo

Introducao: Atualmente, o aumento da expectativa de vida da populacao, este fenomeno necessita de uma reorganizacao do Sistema de Saude, devido a fragilidade dos idosos pelo seu declinio fisiologico poderem apresentar o risco de sofrer queda. Objetivo: Analisar por meio do prontuario hospitalar, mulheres e homens com idade de 60 anos ou mais, que tenham sido atendidos por queda, no ano 2010, no hospital situado na regiao sul de Sao Paulo. Metodo: Trata-se de um estudo individuado-observacional de serie de casos, com pacientes com 60 anos e mais de idade, que foram atendidos por queda em hospital situado na regiao sul da cidade de Sao Paulo. Resultados: A queda do mesmo nivel foi mais frequente entre os idosos do sexo feminino. Entre os idosos que foram atendidos por queda, a idade foi predominante entre os 75 anos e mais de idade. Conclusao: O tipo de trauma, tanto na queda do mesmo nivel quanto de um nivel ao outro, houve uma frequencia maior trauma superficial da cabeca.