Características e fatores associados às quedas atendidas em serviços de emergência
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2012
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OBJECTIVE: To analyze the characteristics of visits to the emergency services
that result from falls and to identify the factors associated with these visits.
METHOD: A cross-sectional study of 12,617 visits that resulted from falls,
recorded in the National Injury Surveillance System, was carried out. The
data were collected in 23 Brazilian capitals and the Federal District between
September and November 2009 using cluster sampling. Correspondence
analysis was used, which allowed for the joint observation of a large number
of qualitative variables.
RESULTS: Most of the victims were male (56.5%), aged 0 to 19 years
(45.7%), and identifi ed as non-white skin color (62.2%). The majority of
the falls occurred at home (54.6%) and in the street (17.4%); 14.3% were
work-related. The predominant types were “falls on the same level” (57.0%)
and “falls from a ladder/step” (15.6%). Most of the injuries were classifi ed
as sprains, dislocations, bruises, cuts, or lacerations (68.3%). Falls among
children occurred mostly at home; among adolescents at school; and among
young people at sports facilities. Falls among adults were associated with the
work place, including falls from scaffolding, roofs, stairs/steps, and holes and
were linked to alcohol use. Falls on the same level resulted in less serious
injuries, mostly on the upper and lower limbs, and falls from scaffolding and
roofs were associated with more severe injuries and hospitalization.
CONCLUSIONS: The results show that strategies to prevent falls should
target residences, schools, and work environments.
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Estudos transversais, Causas externas, Acidentes por quedas, Serviços médicos de emergência, Fatores de risco, Cross-sectional studies, External causes, Accidental falls, Emergency medical services, Risk factors
Citação
MALTA, Deborah Carvalho et al. Características e fatores associados às quedas atendidas em serviços de emergência. Revista de Saúde Pública, São Paulo, v. 46, n. 1, p. 128-137, 2012.