TY - JOUR
PY - 2017//
TI - Unintentional pediatric injuries in São Paulo. How often is it severe?
JO - Acta cirúrgica Brasileira
A1 - Abib, Simone de Campos Vieira
A1 - Françóia, Alessandra Mara
A1 - Waksman, Renata
A1 - Dolci, Maria Inês
A1 - Guimarães, Hélio Penna
A1 - Moreira, Frederico
A1 - BoarettoCezillo, Marcus Vinícius
A1 - Góes, Adenauer Marinho
SP - 587
EP - 598
VL - 32
IS - 7
N2 - PURPOSE:: To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity.
METHODS:: Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil.
RESULTS:: 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007).
CONCLUSIONS:: Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
Language: en
LA - en SN - 0102-8650 UR - http://dx.doi.org/10.1590/s0102-865020170070000010 ID - ref1 ER -