Factors Associated With the Care of Children and Adolescents for External Causes in Emergency Service

Abstract

Objective to analyze the characteristics of children and adolescents treated for external causes in an emergency service. Method this is a retrospective, analytical study, developed in the emergency department of a sentinel hospital in southern Brazil. Seventy-nine children and adolescents, victims of external causes, participated in June to December 2018. Data were collected through access to medical records in May 2019. Descriptive analysis, frequency comparison and Odds Ratio were used to measure the association between the variables studied. Confidence Interval (CI) of 95% and P value of 5% were used. Results approximately 9.3% of pediatric emergency and emergency care were due to external causes; of these, 57% of the victims are under 12 years old and most of them are male (67%). Accidents are the most frequent events (71%), but violence is more frequent (61%) among women (p=0.002). The chance of violence is four times higher in women, especially self-inflicted violence/suicide attempts. Conclusion one out of ten pediatric emergency care is due to external causes, and emerging situations of violence and self-inflicted injuries stand out, a direct implication for public policies.

Line of care for the attention to morbimortality from external causes in adolescents and young people

“…There is a belief that it is essential to integrate services through assistance networks and the interdependence of stakeholders and organizations (4) . Thus, it is not enough to have information systems, flowcharts, protocols, and regulations if they are not implemented daily in the interaction between the various services and with the different subjects (managers, professionals, or users) (30) .…”

“…In Brazil, external causes, especially assaults, are the leading cause of death among adolescents, especially those aged between 15 and 19 years, due to the vulnerability of this population segment (4) . In that context, despite its limitations, the health sector has been standing out as a pioneer and strategic field in the care of victims.…”

Distribuição espacial e fatores associados em crianças e adolescentes vítimas de acidentes e violência atendidas pelo SAMU 192/ES

“…Para verificar, de forma minuciosa, os dados relacionados às crianças e adolescentes, foram elaboradas as tabelas 1, 2 e 3, as quais contém a análise inferencial das variáveis independentes. marcadas por uma diferença social entre os gêneros, permitem que meninos tenham mais liberdade, adotando um maior comportamento de risco e autonomia (Gross et al, 2021;Macedo et al, 2019, Filócomo et al, 2017.…”

“…questões físicas e psicológicas. Além disso, a queda foi predominante em crianças, sendo o principal tipo de acidente (Gross et al, 2021;Filócomo et al, 2017;Barcelos et al, 2017).…”