RESUMEN
OBJECTIVES: to analyze the epidemiological profile of aggression victims admitted at the emergency room on a trauma hospital during the COVID-19 pandemic, to compare these data in different restriction periods and with prepandemic data from the same service. METHODS: cross-sectional study with probabilistic sampling using medical records of patients who were victims of aggression admitted at the hospital between June 2020 and May 2021. In addition to the epidemiological variables, other variables collected were the current restriction level, mechanism of aggression, resulting injuries and the Revised Trauma Score (RTS). The data was compared between the three restriction levels and the proportion of attendances during the study period was compared with the pre-pandemic study (December 2016 to February 2018). RESULTS: the average age was 35.5 years, 86.1% of the patients were male and 61.6% of the attendances were due to blunt injury. The highest average of attendances per day occurred during the "yellow" restriction level (2.9), however there was no significant difference when comparing the restriction periods two by two. There was also no significant difference either in the analysis of the standardized residuals of the proportions of aggressions or the mechanism of aggression in the pre-pandemic and pandemic periods. CONCLUSIONS: there was a predominance of attendances due to blunt trauma and in young male patients. There was no significant difference between the average daily attendance for aggression during the three restriction levels and between the proportion of attendances in the pre-pandemic and pandemic period.
Asunto(s)
COVID-19 , Heridas no Penetrantes , Humanos , Masculino , Adulto , Femenino , Pandemias , Estudios Transversales , COVID-19/epidemiología , Violencia , Servicio de Urgencia en Hospital , Atención Primaria de Salud , Estudios RetrospectivosRESUMEN
ABSTRACT Objectives: to analyze the epidemiological profile of aggression victims admitted at the emergency room on a trauma hospital during the COVID-19 pandemic, to compare these data in different restriction periods and with prepandemic data from the same service. Methods: cross-sectional study with probabilistic sampling using medical records of patients who were victims of aggression admitted at the hospital between June 2020 and May 2021. In addition to the epidemiological variables, other variables collected were the current restriction level, mechanism of aggression, resulting injuries and the Revised Trauma Score (RTS). The data was compared between the three restriction levels and the proportion of attendances during the study period was compared with the pre-pandemic study (December 2016 to February 2018). Results: the average age was 35.5 years, 86.1% of the patients were male and 61.6% of the attendances were due to blunt injury. The highest average of attendances per day occurred during the "yellow" restriction level (2.9), however there was no significant difference when comparing the restriction periods two by two. There was also no significant difference either in the analysis of the standardized residuals of the proportions of aggressions or the mechanism of aggression in the pre-pandemic and pandemic periods. Conclusions: there was a predominance of attendances due to blunt trauma and in young male patients. There was no significant difference between the average daily attendance for aggression during the three restriction levels and between the proportion of attendances in the pre-pandemic and pandemic period.
RESUMO Objetivo: analisar o perfil epidemiológico dos pacientes vítimas de agressão admitidos na sala de emergência de um hospital de trauma durante a pandemia da COVID-19, comparar tais dados entre os diferentes períodos de restrição e com os dados de um estudo pré-pandêmico do mesmo hospital. Métodos: estudo transversal com amostragem probabilística utilizando prontuários de pacientes vítimas de agressão admitidos no referido hospital entre junho de 2020 e maio de 2021. Além das variáveis epidemiológicas, coletou-se o nível de restrição vigente, o mecanismo de agressão, as lesões resultantes e o Revised Trauma Score (RTS). Os dados foram comparados entre os três níveis e a proporção de atendimentos no período do estudo foi comparada com a do estudo pré-pandêmico (dezembro de 2016 a fevereiro de 2018). Resultados: a média etária foi de 35,5 anos, 86,1% dos pacientes eram do sexo masculino. e 61,6% dos atendimentos corresponderam a agressão física por ferimento contuso. A maior média de atendimentos por dia ocorreu durante o nível amarelo (2,9), contudo não houve diferença significativa nos atendimentos quando comparados os períodos de restrição dois a dois. Também não houve diferença significativa tanto na análise dos resíduos padronizados das proporções de agressões quanto em cada mecanismo de agressão nos períodos pré-pandêmico e pandêmico. Conclusões: houve predominância de atendimentos por agressão por trauma contuso e em pacientes jovens do sexo masculino. Não houve diferença significativa entre a média diária de atendimentos por agressão durante os três níveis de restrição implementados e entre a proporção de atendimentos do período pré-pandemico e pandêmico.
RESUMEN
Introduction: The pre-exposure prophylaxis (PrEP) is a globally recognized pharmacological approach, consisting of a daily dose of antiretroviral drugs used to reduce the contamination rate by the human immunodeficiency virus (HIV). This combined prevention program was first offered by the Brazilian public health system in 2017 and was provided by Testing and Counseling Centers. Objective: To analyze the profile of pre-exposure prophylaxis users seen at Testing and Counseling Centers in Curitiba (state of Paraná, Brazil) and the presence of HIV and other sexually transmitted infections, such as syphilis, hepatitis B and C, in these users. Methods: This is an analytical, cross-sectional study, using database provided by the information system of the Testing and Counseling Center. Results: Users of HIV pre-exposure prophylaxis are mostly young, white, single men, and who are part of the group of men who have sex with other men. It was verified that, even though the HIV pre-exposure prophylaxis plays a major role in HIV prevention, it is paramount to encourage combined prevention, considering there is a significant relationship between the lack of barrier methods and positive results for syphilis. Conclusion: No connection between the use of HIV pre-exposure prophylaxis and increased incidence of sexually transmitted infections was established in the present study.
Introdução: A profilaxia preÌ-exposiçaÌo eÌ uma abordagem farmacoloÌgica global, que consiste no uso diaÌrio de antirretrovirais, utilizada para reduzir a contaminaçaÌo pelo viÌrus da imunodeficieÌncia humana. EÌ uma estrateÌgia de prevençaÌo combinada que começou a ser ofertada no Brasil pelo Sistema UÌnico de SauÌde em 2017, por meio dos Centros de Testagem e Aconselhamento. Objetivo: Analisar o perfil dos usuaÌrios da profilaxia preÌ-exposiçaÌo atendidos pelo Centro de Orientação e Aconselhamento de Curitiba, bem como analisar a presença do viÌrus da imunodeficieÌncia humana e outras infecçoÌes sexualmente transmissiÌveis (siÌfilis, hepatite B e hepatite C) nesses usuaÌrios. Métodos: É um estudo analiÌtico transversal, utilizando dados do Sistema de InformaçaÌo do Centro de Testagem e Aconselhamento fornecidos pelo Centro de Orientação e Aconselhamento. Resultados: Foi observado que os usuaÌrios da profilaxia no estudo saÌo majoritariamente jovens do sexo masculino, brancos e solteiros, que se enquadram no grupo homens que fazem sexo com homens. Verificou-se tambeÌm que ainda que a profilaxia preÌ-exposiçaÌo desempenhe um papel importante na prevençaÌo do HIV, eÌ fundamental o incentivo aÌ prevençaÌo combinada, pois haÌ uma relaçaÌo do naÌo uso de meÌtodos de barreira com os resultados positivos para siÌfilis nesses pacientes. Conclusão: NaÌo foi possiÌvel, neste estudo, estabelecer uma relaçaÌo do uso de profilaxia preÌ-exposiçaÌo com o aumento da incideÌncia de infecçoÌes sexualmente transmissiÌveis.