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- Infográfico - Envelhecimento e Saúde em Portugal: Quem Somos e Como EnvelhecemosPublication . Grupo de Trabalho do INSA sobre Envelhecimento e SaúdeTrata-se do primeiro infográfico de uma série que pretende contribuir para o conhecimento da dinâmica do envelhecimento da população portuguesa através da integração e síntese de informação sobre saúde. Portugal é um dos países mais envelhecidos da União Europeia dos 27 (UE27), contando, desde 2022, com mais de 2 milhões e 500 mil pessoas idosas (idade igual ou superior a 65 anos), correspondendo a cerca de um quarto da população residente em Portugal. A atualização do conhecimento demográfico e social da população idosa e do processo de envelhecimento em Portugal, bem como das respetivas necessidades de saúde e modelos de atuação adequados à sua satisfação, tendo em vista a integração da informação resultante e sua divulgação, são linhas de investigação em desenvolvimento pelo Grupo de Trabalho sobre Envelhecimento e Saúde do Departamento de Epidemiologia do INSA, com a finalidade de disponibilizar evidência de apoio à seleção e implementação de estratégias que promovam o envelhecimento saudável e sustentável.
- The epidemiology of burns at home in Portugal: 2023 data from the EVITA systemPublication . JORGE SILVA ALVES, TATIANA DANIELA; das Neves Pereira da Silva, Susana; Braz, Paula; Aniceto, Carlos; Papadakaki, Maria; Mexia, Ricardo; Matias-Dias, CarlosBackground/Objectives: Burns represent a relevant public health problem worldwide, occurring at all ages, particularly affecting children. The severity of the injury associated with burns can vary from mild to severe, requiring different levels of care, making it difficult to understand the magnitude of this phenomenon. The aim of the study is to describe the characteristics of burns that occurred at home using emergencies departments of the National Health Service in 2023, and to understand their associated factors. Methods: A cross-sectional study was carried out, with an analytical component of the data collected through the EVITA monitoring system, which is part of the European Injury Database. To assess the associations, we performed Pearson's Chi-square test in the bivariate analysis and logistic regression in the multivariate analysis, estimating odds ratios (OR). A significance level of 5% (p < .05) was considered. Results: In this study 1 206 episodes of admission to the Emergency Department due to burns at home were analyzed. The majority of burns were observed in children and young people up to 19 years of age (34.1%) and in females (56.5%). Burns did not occur uniformly throughout the day; in the population up to 64 years old, they were more frequent in the afternoon and evening (54.7%). The likelihood of children up to 4 years of age being treated in the emergency department due to a burn that occurred at home was 6.97 times that of the group aged 75 years or older (OR=6.97; 95% [4.77, 10.17]). The OR estimate point in the relationship between burns and sex was OR=1.74; 95% CI [1.45–2.08]. Burns at home occurring between 17:00-23:00H had the highest odds (OR=2.10; 95% CI: 1.53–2.88) compared to those observed during the early morning hours. Conclusions: Burns affect the population differently depending on age, sex, period of time in which they occur and the associated activity. These results show the need for prevention measures adapted to this reality.
- Injury Insights at a Glance: Exploring EU and WHO Healthcare Data Through an Interactive DashboardPublication . Giustini, M.; Alessio, P.; Carannante, Anna; Nijman, S.; Valkenberg, H.; JORGE SILVA ALVES, TATIANA DANIELA; Fian, Tabea; Kjærgaard, Kristian; IDB-FDS Reference GroupIssue. The dashboard satisfies the need to access the European Injury Database (EU-IDB) in an intuitive and easy way to provide standardized cross-national data on injury causes and circumstances from hospital emergency departments (ED) in Europe. This unique surveillance system supports evidence-based injury prevention through two complementary approaches: the comprehensive Full Data Set (IDB-FDS), which captures detailed external circumstances, and the streamlined Minimum Data Set (IDB-MDS), which provides population-based indicators. Description of the problem. An interactive dashboard has been developed by the Austrian Road Safety Board (KfV, Vienna) on behalf of EuroSafe to facilitate the analysis and visualization of data from the EU-IDB, specifically focusing on the aggregated MDS cases. The application is publicly accessible at https://wemospatrick-kfv-dashboard-main-bj1eya.streamlit.app/ site. The tool enables dynamic querying of the data, supporting the identification of patterns, temporal trends, and distributions by injury type, age group, sex, place of occurrence, and other relevant factors . Results. This dashboard provides injury and mortality rates per 100,000 inhabitants per year and the European Core Health Indicators (ECHI), both at the level of individual countries and for the EU27 as a whole. Additionally, it integrates injury-related mortality data from the WHO Mortality Database, enabling comparative analysis between fatal and non-fatal outcomes. Lessons. By combining these sources into a single interactive interface, the dashboard serves as a powerful resource for epidemiological surveillance, prevention planning, and evidence-based decision making. The system’s dual-tier methodology effectively balances detailed qualitative analysis with broader epidemiological monitoring, making it a valuable tool for policymakers, researchers, and safety promotion organizations involved in the development and evaluation of injury prevention strategies.
- The epidemiology of admitted home injuries during 2018-2022: data from the European Injury Data-basePublication . JORGE SILVA ALVES, TATIANA DANIELA; Pitidis, A.; Papadakaki, M.; Chaffard, M.; Paget, M.; Johan, L.; Giustini, M.Background/Objectives: Injuries are a major public health concern, particularly for vulnerable populations, affecting healthcare systems and victims' lives. Home injuries warrant special attention since homes, despite being considered safe, may require environmental modifications and safety awareness. This study aims to better understand circumstances leading to hospital admissions from home injuries. Methods: a cross-sectional study analyzed data collected through the national injury surveillance system from European countries registered in the European Injury Database, from 2018-2022. Associations were assessed using Pearson's chi-squared tests and logistic regression with odds ratios (OR), considering a 5% significance level (p<0.05). Results: The proportion of home injuries occurred was higher in the vulnerable groups, up to 14 years old (22.6%) and in the aged groups, > 65 years (30.1%), these differences were statistically significant (p<0,001). Home injuries in men accounted for 54.8%-61.8% of episodes across all age groups. Around 56.2% of injuries mechanism was due to fall. The probability of being admitted due to home injuries was higher in the older group (75+) [OR=5.6, 95% [5.5, 5,7], in men [OR=1.12, 95% [1.12, 1.13], due to poisoning [OR=8.1, 95% [7.5, 8,8] and during spring and winter seasons. Conclusions: These results show the need for prevention measures adapted to the home reality, and for raising awareness especially among the oldest and poisonings exposition. Therefore, continued study of this topic appears useful for designing prevention interventions as well as for preparing the response at different levels of care.
- Tabela da Composição de AlimentosPublication . Dias, Maria da GraçaApresentação sobre a Tabela da Composição de Alimentos, a Plataforma PortFIR e a importância das Bases de Dados da Composição de Alimentos.
- Determinação quantitativa de nitratos em géneros alimentícios por HPLCPublication . Vasco, ElsaAborda a determinação quantitativa de nitratos em géneros alimentícios por HPLC, no âmbito da Toxicologia e Saúde.