Accidents involving motorcyclists and cyclists in the municipality of São Paulo: characterization and trends,

Objective:To describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo.Method:This was a descriptive epidemiological study. It covered all accidents (12,924) that occurred involving motorcycles (11,366) and bicycles (1558) between January 2011 and October 2013. Data in the Health Department's information system for surveillance of violence and accidents (SIVVA) was surveyed.Results:Motorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accidents: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accidents occurred during the daytime (7:00-18:00 h): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% and it was not possible to identify whether this had occurred in 67%.Conclusions:Public policies prioritizing financial and human resources applied toward reducing these types of accidents need to be brought in

Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo

ObjectiveTo describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo.MethodsThis was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed.ResultsAmong the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes.ConclusionTransport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over

INCIDENCE OF PEDESTRIAN TRAFFIC INJURY IN SÃO PAULO, BRAZIL, IN 2016

<div><p>ABSTRACT Objective: Globally, more than 1.2 million people die from traffic accidents each year. In order to reduce the rate of traffic accidents and their subsequent social consequences in Sao Paulo, Brazil, the aim of this study was to characterize pedestrian victims of traffic accidents and occurrences. Methods: This is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2723 pedestrians injured in traffic accidents during 2016 in Sao Paulo. Results: Of the total sample, 37.3% participants were female and 62.7% male; incidence was highest in the 10-19 year old age group (19.9%) and lower limb injuries were most frequent (28.6%). Of the cases attended in urgent health care units, 75.6% progressed to hospital discharge. Accidents were more frequent in the afternoon (44.6%), and most commonly involved cars (47.2%). Conclusions: This study showed the importance of making detailed records of traffic accidents to guide the government in intensive education efforts to develop a healthy society and respect for traffic regulations, to promote urban improvements involving signage and pavement, and to maintain pre-hospital and hospital care teams in strategic locations to minimize the time elapsed between the accident and care provided to the victim. Level of Evidence II; Retrospective study.</p></div

Epidemiological profile of elderly included in the elderly people accompanying program (programa acompanhante de idosos - pai)

OBJECTIVE: The following study aimed to characterize the epidemiological profile of elderly people included in the Elderly People Accompanying Program (Programa Acompanhante de Idosos - PAI) of the Health Department of the city of Sao Paulo. METHOD: We conducted a cross-sectional survey. The sample consisted of 100 elderly people of both sexes, aged 60 years or older, living in S&atilde;o Paulo, assisted by the PAI Program at a Basic Health Unit in S&atilde;o Paulo city. A formulary was filled with socio-demographic, health and leisure data in order to delineate the epidemiological profile of the population studied. This paper was submitted to the Research Ethics Committee of the Department of Health of the city of Sao Paulo, obtaining its assent. RESULTS: Regarding socio-demographic data, we found a prevalence of elderly octogenarians (52%), women (74%), widows (47%), Catholic (81%), elementary level of education (37%), with no caregivers (78%) and who did not live alone (76%). Leisure activities were carried out by 86% of the population. Regarding health data, 72% were not hospitalized during the previous year, and the prevalence of chronic degenerative diseases was of 100%. Mild functional dependency was present in 42%; those with total autonomy were 56%, and 95% had a simple care plan. CONCLUSIONS: We concluded that the elderly studied were octogenarians, mostly female, with low level of education, with total autonomy, although 42% had mild functional dependence characterizing a profile of active aging.</p

Characterization of elderly patients hospitalized for an accidental fall in São Paulo city, 2013

OBJECTIVE: Description of the characteristics of hospitalizations due to falls in elderly people in S&atilde;o Paulo city. METHODS: This was a cross-sectional, retrospective study. Secondary data from the National Health System (SUS) of seniors aged 60 or older who were hospitalized for an accidental fall during the year 2013 in the city of S&atilde;o Paulo were studied. RESULTS: 8,234 admissions were recorded by an accidental fall, elderly, in 2013. Femoral fracture (32.9%); intracranial injury (15.8%). CONCLUSION: In the present study, a higher frequency of hospitalizations for accidental fall in females and hospitalizations for accidental fall was greater was found in the group of those aged 80 years and over. The primary diagnosis for hospitalization was fractures of the femur as a result of surgical treatment femur fracture and arthroplasty.</p

Birth weight distribution of Hospital Geral do Grajaú population compared to São Paulo city population

Objective: To compare the growth curves from a population from a large city suburban hospital with those of the city of São Paulo, São Paulo State, Brazil. Methods: At Hospital Geral do Grajaú, that serves the high pregnancy risk population lacking health facilities, of low education level and smaller number of prenatal visits and great morbidity, a growth curve was built for the newborns, as the Hospital is provided with updated equipment and personnel. The curve was built from the database available containing information on live births during the 2003 to 2007 period and totaling 9,952 newborns, as their weight at birth and gestational age were taken as parameters. The distribution curves of 3%, 10%, 50% and 90% of the Grajaú were compared to those of the city of São Paulo curve. Results: The curves did not significantly differ from those of the São Paulo curve percentiles, as shown by the mean deviation (Z score) calculation, notwithstanding the higher rates for prematurity, low weight, teenager mothers and lack of prenatal visits among the Grajaú population as compared to those of São Paulo. Conclusions: The São Paulo city curve showed to be appropriate for the suburban population despite the existing differences