School of Dental Medicine, University of Zagreb, Croatian Dental Society - Croatian Medical Association
Abstract
Cilj: u ovom istraživanju je procijenjen mortalitet od vanjskih uzroka kod djece i adolescenata, te pojavnost maksilofacijalnih ozljeda u gradu Campini Grande, PB, Brazil, u 2003. godini. Metode: Pregledano je 837 forenzičnih medicinskih izvještaja, a od njih odabrano 115 žrtava (13.7%) od 0 do 18 godina. Uzroci su klasificirani u skladu s Poglavljem XX Međunarodne klasifikacije bolesti – CID 10. Podaci su obrađeni Epi-Info 3.4.1. programskim paketom. Asocijacija ispitivanih varijabli: tip uzroka i maksilofacijalne ozljede kao zavisne i spol i godine kao nezavisne varijable korištenjem Hi-kvadrat i Fisherova testa (p<0.05). Rezultati: Opažen je viši mortalitet kod dječaka (70.4%) te kod starosne grupe od 14 do 18 godina (50.3%), premda bez satatistički značajne razlike među starosnim skupinama i spolu (p=0.149). Prevladavale su prometne nesreće (32.2%), i dodatno kao pješak (37.8%). Ustanovljeno je da muški imaju 4.6 puta veću mogućnost da budu žrtva vatrenog oružja, nego ženska djeca. Žrtve su zadobile višestruke ozljede, uz prevladavanje abrazija (39.4%) i rana (24.5%). Prevalencija ozljeda glave je bila 22.5%, a lica 20.4%. Maksilofacijalne ozljede su identificirane kod 41.7% žrtava. Šest žrtava (12.5%) je imalo frakture, većinom mandibule (37.5%). Žrtve prometnih nesreća imale su 2.9 puta veću vjerojatnost za dobivanje ozljeda maksilofacijalnog područja. Zaključak: Dječaci od 14 do 18 godina su većinom bili žrtve vanjskih uzroka, većinom prometnih nesreća, i pojavnost višestrukih ozljeda glave i lica je bila učestala.Objective: In this study, mortality by external causes of children and adolescents and the occurrence of maxillofacial injuries was evaluated in the city of Campina Grande, PB, Brazil in 2003. Methods: 837 forensic medical reports were reviewed, 115 (13.7%) of them belonging to victims aged from 0 to 18 years. The causes were classified according to the Chapter XX of the International Classification of Diseases - CID 10. Data were organized using Epi-Info 3.4.1 software. The association of the variables: type of cause and maxillofacial injuries as dependent variables and sex and age as independent variable was performed by the chi-square and Fisher’s exact tests (p<0.05). Results: Higher mortality was observed among boys (70.4%) and in the 14-18-year-old age group (50.3%), although without statistically significant difference between the age groups and the genders (p=0.149). There was a predominance of traffic accidents (32.2%), most involving pedestrians (37.8%). Males had a 4.6 times greater chance of being victims of firearms than females. Most of the victims had multiple injuries, with predominance of abrasions (39.4%) and wounds (24.5%). The prevalence of injuries to the head and face was 22.5% and 20.4%, respectively. Maxillofacial injuries were identified in 41.7% of the victims. Six victims (12.5%) exhibited fractures, mainly in the mandible (37.5%). Victims of traffic accidents had a 2.9 times greater chance of suffering injuries to the maxillofacial region. Conclusion: Boys aged between 14 and 18 years were the main victims of fatalities due to external causes, mainly traffic accidents, and the occurrence of multiples injuries to the head and face was frequent
