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Encaminhamento das vítimas de acidentes domésticos e de lazer em Portugal: resultados do sistema EVITA entre 2013 e 2015
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Advisor(s)
Abstract(s)
O sistema EVITA – Epidemiologia e Vigilância dos Traumatismos e Acidentes,
criado em 2000 pelo então Obser vatório Nacional de Saúde, atual
Departamento de Epidemiologia, recolhe dados relativos a acidentes domésticos
e de lazer (ADL) numa amostra de urgências hospitalares através
da plataforma informática SONHO. Foi realizado um estudo descritivo utilizando
os dados do sistema EVITA relativos ao período entre janeiro de
2013 e dezembro de 2015. Neste período foram registados pelo sistema
EVITA 26 681 ADL, tendo sido obtida informação sobre o encaminhamento
em 26 162 casos. Destes, 65,0%, após assistidos, foram encaminhados
para o “Exterior não referenciado”, 24,7% para “Referenciação para Consulta”,
5,4% tiveram necessidade de internamento hospitalar e 0,03%
foram óbitos. De um modo geral, independentemente do mecanismo da
lesão subjacente ao ADL, a maioria das vítimas teve alta para o exterior,
sem necessidade de referenciação para seguimento posterior ou continuidade
de qualquer tipologia de cuidados. De destacar os 40,6% casos de
ADL provocados por “Queimadura” com necessidade de referenciação
para avaliação clínica posterior. Em todos os grupos etários ocorreram
situações que levaram a internamento hospitalar, numa baixa proporção,
sendo que, a partir do grupo etário dos 45 aos 54 anos a percentagem
de internamentos aumenta, obser vando-se o valor mais elevado no grupo
com 75 e mais anos (16,5%).
The system Epidemiology and Sur veillance of Injury, Trauma and Accidents (EVITA, in acronym in Por tuguese), created in 2000 by the former National Health Obser vatory, currently Depar tment of Epidemiology, collects data on home and leisure accidents (HLA) in a sample of hospital emergency rooms via the informatic platform SONHO. We conducted a descriptive study using data collected by EVITA between January 2013 to December 2015. During this period 26 681 HLA were registered, and information on the referral af ter being assisted in emergency ser vices members comprising the network EVITA was available for 26 162 cases. Of these, 65,0% were referred to the "Unreferenced exterior, 24,7% to "Referral for consultation", 5,4% have had need of hospitalization and 0,03% were deaths. In general, regardless of the underlying lesion mechanism, most victims were discharged from hospital without the need for referral for follow-up or any type of care. Of notice are 40,6% HLA cases caused by "Burn" with need of referral for fur ther clinical evaluation. In all age groups a low propor tion of cases led to hospitalization but from the age group 45 to 54 years onwards the percentage of hospital admissions increases, with the highest value in the age-group with 75 and over (16,5%).
The system Epidemiology and Sur veillance of Injury, Trauma and Accidents (EVITA, in acronym in Por tuguese), created in 2000 by the former National Health Obser vatory, currently Depar tment of Epidemiology, collects data on home and leisure accidents (HLA) in a sample of hospital emergency rooms via the informatic platform SONHO. We conducted a descriptive study using data collected by EVITA between January 2013 to December 2015. During this period 26 681 HLA were registered, and information on the referral af ter being assisted in emergency ser vices members comprising the network EVITA was available for 26 162 cases. Of these, 65,0% were referred to the "Unreferenced exterior, 24,7% to "Referral for consultation", 5,4% have had need of hospitalization and 0,03% were deaths. In general, regardless of the underlying lesion mechanism, most victims were discharged from hospital without the need for referral for follow-up or any type of care. Of notice are 40,6% HLA cases caused by "Burn" with need of referral for fur ther clinical evaluation. In all age groups a low propor tion of cases led to hospitalization but from the age group 45 to 54 years onwards the percentage of hospital admissions increases, with the highest value in the age-group with 75 and over (16,5%).
Description
Keywords
Lesões e Acidentes Vigilância Epidemiológica Acidentes Domésticos e de Lazer Traumatismos e Acidentes EVITA Epidemiologia e Vigilância dos Traumatismos e Acidentes Saúde Pública Portugal
Pedagogical Context
Citation
Boletim Epidemiológico Observações. 2018 janeiro-abril;7(21):1-3933-38
Publisher
Instituto Nacional de Saúde Doutor Ricardo Jorge, IP