Trauma em idosos socorridos pelo Serviço de Atendimento Móvel de Urgência

Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2016-03-16T13:51:51Z No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5)Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2016-07-21T20:50:00Z (GMT) No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5)Made available in DSpace on 2016-07-21T20:50:11Z (GMT). No. of bitstreams: 1 PDF - Kennia Sibelly Marques de Abrantes.pdf: 709000 bytes, checksum: 01b29af6095c581f2574fa5a5a28e7de (MD5) Previous issue date: 2013-02-22The aim of this study was to analyze the incidence of trauma among elderly victims rescued by the Mobile First-Aid Service (MFAS). MATERIAL AND METHODS: Cross-sectional study conducted in the city of Sousa / PB using data from 190 records of elderly victims of trauma rescued by MFAS in the period from January 1 to December 31, 2011. The survey instrument included a specific form containing demographic variables (gender and age group) and data related to the trauma (time, location, day of week, month, trauma mechanism, existing lesions, presence of ethylic breath and patient referral). From those who had suffered falls, information about socio-demographic characteristics and consequences of the fall were collected. Data were analyzed using the SPSS software (Statistical Package for the Social Sciences) 17.0 for Windows. Associations were verified by using the Chi-square test or Fisher's exact test with Freeman-Halton extension, whenever appropriate, adopting significance level of < 5%. RESULTS: Data were collected from records of 190 elderly victims of diverse trauma (51.1% male). Their ages ranged from 60 to 104 years, with mean age of 75.3 years (SD 10.44 years) and median of 74.0 years. According to the characteristics of the occurrence of traumas, significant association was observed between presence of ethylic breath and sex (p <0.001) and age group (p = 0.004) and trauma mechanism with sex (p <0.001). From the total traumatized elderly, 124 (65 3%) suffered falls. However, due to losses and / or refusals, 93 elderly patients who suffered falls were evaluated, whose interview was conducted at their homes. Their ages ranged from 60 to 104 years, with mean age of 79.0 years (SD = 10.5 years) and median of 78.0 years. Among those who suffered falls, 62.4% were female, 47.3% had 80 years or more, 65.6% lived without a partner, 51.6% had incomplete primary education or above and 66.7% had no income or earned up to one minimum wage. Data regarding elderly who suffered falls showed association between sex and age group (p = 0.004), marital status (p = 0.002), hospitalization (p = 0.047) and place of fall (p = 0.006). CONCLUSION: Among the traumas occurred, most were due to falls, followed by traffic accidents. Among those who suffered falls, the majority reported that the fall was due to the height, to have occurred at home and mainly due to dizziness / imbalance and environmental factors.OBJETIVO: Analisar a ocorrência dos traumas entre as vítimas idosas socorridas pelo Serviço de Atendimento Móvel de Urgência (SAMU). MATERIAL E MÉTODOS: Estudo transversal realizado no município de Sousa/PB, utilizando as fichas de ocorrência de atendimento a idosos vítimas de traumas diversos socorridos pelo SAMU no período de 01 de janeiro a 31 de dezembro de 2011. O instrumento de pesquisa compreendeu um formulário específico sendo analisadas as variáveis demográficas (sexo e grupo etário) e referentes ao trauma (horário, local, dia da semana, mês, mecanismo do trauma, lesões existentes, presença de hálito etílico e o encaminhamento do paciente). Daqueles indivíduos que sofreram queda, foram coletadas, ainda, informações sócio-demográficas, características e consequências da queda. Os dados foram analisados por meio do aplicativo estatístico SPSS (Statistical Package for the Social Sciences) versão 17.0 for Windows. As associações foram verificadas por meio do teste Qui-quadrado de Pearson, ou Teste Exato de Fisher com extensão de Freeman-Halton, quando apropriado, sendo adotado o nível de significância <5%. RESULTADOS: Foram estudados 190 idosos vítimas de traumas (51,1% do sexo masculino), com idade variando de 60 a 104 anos, média etária de 75,3 anos (DP= 10,44 anos) e mediana de 74,0 anos. De acordo com as características das ocorrências dos traumas, foi observada associação significativa da presença de hálito etílico com o sexo (p<0,001) e grupo etário (p=0,004) e do mecanismo de trauma com o sexo (p