Epidemiological and clinical characteristics of injuries among adolescents attended at an emergency service in the city of Ribeirão Preto, São Paulo

Authors

  • Luiz Antonio Del Ciampo Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Ivan Savioli Ferraz Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Maria Tazima Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Letícia Graziela Bachette Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Karla Ishikawa Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Rodrigo Paixão Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Keywords:

Accidents, Adolescent, Morbidity, Epidemiology, Adolescent health services

Abstract

CONTEXT AND OBJECTIVE: Injuries are an important cause of morbidity during adolescence, but can be avoided through learning about some of their characteristics. This study aimed to identify the most frequent injuries among adolescents attended at an emergency service. DESIGN AND SETTING: Retrospective descriptive study on adolescents attended at the emergency service of the Teaching Health Center, Faculdade de Medicina de Ribeirão Preto (FMRP), between January 1, 2009, and September 30, 2009. METHODS: Age, sex, type of injury, site, day and time of occurrence, part of body involved, care received, whether the adolescent was accompanied at the time of injury and whether any type of counseling regarding injury prevention had been given were analyzed. RESULTS: Among 180 adolescents attended, 106 (58.8%) were boys and 74 (41.1%) were girls. Their ages were: 10 to 12 (66/36.6%), 12 to 14 (60/33.3%) and 14 to 16 years (54/30%). The injuries had occurred in public places (47.7%) and at home (21.1%). The main types were bruises (45.1%) and falls (39.2%), involving upper limbs (46.1%), lower limbs (31%) and head/neck (13.1%). The injuries occurred in the afternoon (44.4%) and morning (30%), on Mondays (17.7%) and Thursdays (16.6%). Radiological examinations were performed on 53.8%. At the time of injury, 76.1% of the adolescents were accompanied. Some type of counseling about injury prevention had been received by 39.4%. CONCLUSIONS: Although the injuries were of low severity, preventive attitudes need to be incorporated in order to reduce the risks and provide greater safety for adolescents

Downloads

Download data is not yet available.

Author Biographies

Luiz Antonio Del Ciampo, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD, PhD. Professor, Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Ivan Savioli Ferraz, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD, PhD. Professor, Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Maria Tazima, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD, PhD. General Surgeon and Professor, Division of Pediatric Surgery, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Letícia Graziela Bachette, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Student, Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Karla Ishikawa, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Student, Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Rodrigo Paixão, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Student, Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

References

Patton GC, Coffey C, Sawyer SM, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009;374(9693):881-92.

Sleet DA, Ballesteros MF, Borse NN. A review of unintentional injuries in adolescents. An Rev Pub Health. 2010;31:195-212 4 p following 212.

Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.

Grossman DC. The history of injury control and the epidemiology of child and adolescent injuries. Future Child. 2000;10(1):23-52.

Carvalho MFPP, Puccini RF, Silva EMK. Acidentes não fatais em adolescentes escolares em Belém, Pará [Nonfatal accidents among adolescent students in the city of Belém, Pará, Brazil]. Rev Paul Pediatr. 2007;25(4):324-30.

Danseco ER, Miller TR, Spicer RS. Incidence and costs of 1987- 1994 childhood injuries: demographic breakdowns. Pediatrics. 2000;105(2):E27.

Santos JLG, Garlet ER, Figueira RB, Lima SBS, Prochnow AG. Acidentes e violências: caracterização dos atendimentos no pronto-socorro de um hospital universitário [Accidents and violence: characteristics of the medical cares in the emergency room’s university hospital]. Saúde Soc. 2008;17(3):211-8.

Caixera CR, Minamisawa R, Oliveira LMC, Brasil VV. Morbidade por acidentes de transporte entre jovens de Goiânia, Goiás [Traffic injuries among youth in Goiânia, Goiás State]. Ciên Saúde Coletiva. 2010;15(4):2075-84.

Blanck D. Prevenção e controle de injúrias físicas: saímos ou não do século 20? [Injury prevention and control: will we or will we not step out of the twentieth century?] J Pediatr (Rio J). 2002;78(2):84-6.

Mesquita Filho M, Mello Jorge MHP. Características da morbidade por causas externas em serviço de urgência [Features of morbidity due to external causes at emergency services]. Rev Bras Epidemiol. 2007;10(4):579-91.

Irwin CE Jr, Cataldo MF, Matheny AP Jr, Petrson L. Health consequences of behaviors: injury as a model. Pediatrics. 1992;90(5 Pt 2):798-807.

Irwin CE Jr, Burg SJ, Uhler Cart C. America’s adolescents: where have we been, where are we going? J Adolesc Health. 2002;31(6 Suppl):91-121.

Barbosa HSC, Bezerra SMMS, Lyra DM, Acioli EE, Oliveira LS. Perfil e fatores associados à morbi-mortalidade por causas externas de adolescentes atendidos em um serviço de emergência em Recife entre 2004 e 2005 [Profile and factors associates to morbi-mortality for external causes of adolescents attended at a health emergency service at Recife from 2004 to 2005]. Revista de Enfermagem UFPE On Line. 2007;1(2):173-80. Available from: http://www.journaldatabase.org/ articles/perfil_fatores_associados.html. Accessed in 2011 (Sep 27).

Gaspar VL, Lamounier JA, Cunha FM, Gaspar JC. Fatores relacionados a hospitalizações por injúrias em crianças e adolescentes [Factors related to hospitalization due to injuries in children and adolescents]. J Pediatr (Rio J). 2004;80(6):447-52.

Martins CBG, Andrade SM. Causas externas entre menores de 15 anos em cidade do sul do Brasil: atendimentos em pronto-socorros, internações e óbitos [External causes among individuals under 15 years of age in a city in south Brazil: emergency care, hospitalizations and deaths]. Rev Bras Epidemiol. 2005;8(2):194-204.

Ballesteros MF, Schieber RA, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal versus non-fatal injuries among US children. Inj Prev. 2003;9(2):173-6.

Franciozi CES, Tamaoki MJS, Araújo EFA, et al. Trauma na infância e adolescência: epidemiologia, tratamento e aspectos econômicos em um hospital público [Epidemiology, treatment and economical aspects of multiple trauma in children and adolescents in a public hospital]. Acta Ortop Bras. 2008;16(5):261-5.

Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents. Acta Orthop. 2010;81(1):148-53.

Krug EG. Injury surveillance is the key to preventing injuries. Lancet. 2004;364(9445):1563-6.

Pinheiro Dantas MM, Cavalcante e Silva A, Almeida PC, Albuquerque Gurgel L. Caracterização dos acidentes de trânsito envolvendo crianças e adolescentes internados em um hospital público terciário [The characterization of traffic accidents involving children and adolescents admitted to a public tertiary hospital]. Revista Brasileira em Promoção da Saúde 2009;22(2):100-6. Available from: http:// redalyc.uaemex.mx/redalyc/pdf/408/40811734007.pdf. Accessed in 2011 (Sep 27).

D’Ippolito A, Collins CL, Comstock RD. Epidemiology of pediatric holiday-related injuries presenting to US emergency departments. Pediatrics. 2010;125(5):931-7.

Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med. 2003;13(4):256-68.

Scheidt PC, Harel Y, Trumble AC, et al. The epidemiology of nonfatal injuries among US children and youth. Am J Pub Health. 1995;85(7):932-8.

Carver A, Timperio A, Hesketh K, Crawford D. Are children and adolescents less active if parents restrict their physical activity and active transport due to perceived risk? Soc Sci Med. 2010;70(11):1799-805.

Downloads

Published

2012-01-01

How to Cite

1.
Ciampo LAD, Ferraz IS, Tazima M, Bachette LG, Ishikawa K, Paixão R. Epidemiological and clinical characteristics of injuries among adolescents attended at an emergency service in the city of Ribeirão Preto, São Paulo. Sao Paulo Med J [Internet]. 2012 Jan. 1 [cited 2025 Mar. 12];130(1):27-31. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1405

Issue

Section

Original Article