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1.
Arch Dis Child ; 106(11): 1111-1117, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33727239

RESUMO

OBJECTIVE: To demonstrate how the mechanism and agent of injury can influence the anatomical location of a scald. DESIGN: Prospective multicentre cross-sectional study. SETTING: 20 hospital sites across England and Wales including emergency departments, minor injury units and regional burns units. PATIENTS: Children aged 5 years and younger who attended hospital with a scald. MAIN OUTCOME MEASURES: Primary outcome: a descriptive analysis of the mechanism, agent and anatomical location of accidental scalds. Secondary outcome: a comparison of these factors between children with and without child protection (CP) referral. RESULTS: Of 1041 cases of accidental scalds, the most common narrative leading to this injury was a cup or mug of hot beverage being pulled down and scalding the head or trunk (132/1041; 32.9% of cases). Accidental scalds in baths/showers were rare (1.4% of cases). Accidental immersion injuries were mainly distributed on hands and feet (76.7%). There were differences in the presentation between children with accidental scalds and the 103 who were referred for CP assessment; children with scalds caused by hot water in baths/showers were more likely to get referred for CP assessment (p<0.0001), as were those with symmetrically distributed (p<0.0001) and unwitnessed (p=0.007) scalds. CONCLUSIONS: An understanding of the distributions of scalds and its relationship to different mechanisms of injury and causative agents will help clinicians assess scalds in young children, particularly those new to the emergency department who may be unfamiliar with expected scald patterns or with the importance of using appropriate terminology when describing scalds.


Assuntos
Lesões Acidentais/etiologia , Acidentes Domésticos/estatística & dados numéricos , Queimaduras/etiologia , Temperatura Alta/efeitos adversos , Lesões Acidentais/epidemiologia , Acidentes Domésticos/tendências , Banhos/estatística & dados numéricos , Bebidas/estatística & dados numéricos , Superfície Corporal , Unidades de Queimados/organização & administração , Queimaduras/epidemiologia , Serviços de Proteção Infantil , Pré-Escolar , Estudos Transversais , Serviço Hospitalar de Emergência/estatística & dados numéricos , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Estudos Prospectivos , País de Gales/epidemiologia
4.
Surgeon ; 19(2): e49-e52, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32893129

RESUMO

BACKGROUND: The current pandemic has impacted heavily on health systems, making unprecedented demands on resources, and forcing reconfiguration of services. Trauma and orthopaedic units have cancelled elective surgery, moved to virtual based clinics and have been forced to reconsider the provision of trauma. Our national elective orthopaedic centre has been re-designated as a trauma centre to allow tertiary centres re-direct triaged trauma. Many governments, as part of their COVID-19 management, have significantly restricted activity of the general population. We proposed that trauma patterns would change alongside these changes and maintaining existing standards of treatment would require dedicated planning and structures. METHODS: Referrals over a six-week period (March 15th to April 30th) were retrospectively reviewed. Data was collected directly from our referral database and a database populated. Analysis was performed to assess trauma volume, aetiology, and changes in trends. RESULTS: There were one hundred and fifty-nine referrals from three individual hospitals within the timeframe. Mean age of patient's referred was 55 (range17-92). Males accounted for 45% of cases. F&A injuries were the most common (32%), followed by H&W (28%), UL (17%), H&F (16%) and K&T (7%). In comparison to the corresponding time-period in 2019, trauma theatre activity reduced by almost one half (45.3%) CONCLUSION: The majority of trauma referred to our Dublin based centre during COVID-19 related population restrictions appears to be home based and trauma volumes have decreased. Significant reductions are apparent in work and sport related injuries suggestive of compliance with COVID-19 activity guidelines. Maintaining existing standards of treatment requires dedicated planning.


Assuntos
Acidentes Domésticos/tendências , COVID-19 , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , COVID-19/prevenção & controle , Feminino , Humanos , Irlanda/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Encaminhamento e Consulta , Estudos Retrospectivos , Centros de Traumatologia/tendências , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/etiologia , Adulto Jovem
6.
JAMA Pediatr ; 173(7): 657-662, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31081861

RESUMO

Importance: Firearm injury is the second leading cause of death in the United States for children and young adults. The risk of unintentional and self-inflicted firearm injury is lower when all household firearms are stored locked. Objective: To estimate the reduction in youth firearm suicide and unintentional firearm mortality that would result if more adults in households with youth stored household guns locked. Design, Setting, and Participants: A modeling study using Monte Carlo simulation of youth firearm suicide and unintentional firearm mortality in 2015. A simulated US national sample of firearm-owning households where youth reside was derived using nationally representative rates of firearm ownership and storage and population data from the US Census to test a hypothetical intervention, safe storage of firearms in the home, on youth accidental death and suicide. Data analyses were performed from August 3, 2017, to January 9, 2018. Exposures: Observed and counterfactual household-level safe firearm storage (ie, storing all firearms locked), the latter estimated by varying the probability that a hypothetical intervention increased safe firearm storage beyond that observed in 2015. Main Outcomes and Measures: Observed and counterfactual counts of firearm suicide and unintentional firearm mortality among youth aged 0 to 19 years, the latter estimated by incorporating an empirically based estimate of the mortality benefit expected from additional safe storage (beyond that observed in 2015). Results: A hypothetical intervention among firearm owners residing with children with a 20% probability of motivating these owners to lock all household firearms was significantly associated with a projected reduction in youth firearm mortality (median incidence rate ratio = 0.90; interquartile range, 0.87-0.93). In the overall model, 6% to 32% of deaths were estimated to be preventable depending on the probability of motivating safer storage. Conclusions and Relevance: Results of this modeling study suggest that a relatively modest uptake of a straightforward safe storage recommendation-lock all household firearms-could result in meaningful reductions in firearm suicide and unintentional firearm fatalities among youth. Approaches that will motivate additional parents to store firearms safely are needed.


Assuntos
Acidentes Domésticos/prevenção & controle , Características da Família , Armas de Fogo , Prevenção ao Suicídio , Ferimentos por Arma de Fogo/epidemiologia , Acidentes Domésticos/tendências , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Massachusetts/epidemiologia , Método de Monte Carlo , Estudos Retrospectivos , Suicídio/tendências , Taxa de Sobrevida/tendências , Ferimentos por Arma de Fogo/prevenção & controle , Adulto Jovem
7.
Turk Neurosurg ; 29(3): 349-354, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30649784

RESUMO

AIM: To identify, report, and raise awareness of the risk factors for television (TV) tip-over. MATERIAL AND METHODS: In total, 86 children who were brought to the emergency service and hospitalized at the neurosurgery clinic because of TV tip-over-related head trauma between August 2011 and August 2016 were included in the study. RESULTS: The 86 patients consisted of 47 males and 39 females. The mean age was 38.8 ± 19.5 (9â€"102) months. Low education level of the mother was a risk factor for this type of accident (p=0.009). In all the patients, injuries were caused by the tip-over of a cathode ray tube (CRT) TV. In 66 patients (77%), only the TV tipped over onto the child, whereas in 20 cases (23%), the TV tipped over with the TV stand. The TVs were not fixed to the stand or the wall in any of the homes. According to computerized tomography findings, 12 patients (13.9%) had intracranial hemorrhage and 19 patients (22%) had skull fractures. Five patients underwent neurosurgical intervention. Eighty-four patients (97.6%) were discharged with a GCS level of 15. One patient was discharged with a GCS level of 9/15 with a tracheostomy and nasogastric tube. One patient died. CONCLUSION: TV tip-over causes physical injury that may result in serious neurological damage and even death. It is becoming more common and may be prevented by taking simple precautions.


Assuntos
Acidentes Domésticos/tendências , Maus-Tratos Infantis/tendências , Traumatismos Craniocerebrais/epidemiologia , Fraturas Cranianas/epidemiologia , Televisão , Acidentes Domésticos/prevenção & controle , Criança , Maus-Tratos Infantis/prevenção & controle , Pré-Escolar , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Craniocerebrais/cirurgia , Feminino , Humanos , Lactente , Masculino , Procedimentos Neurocirúrgicos/métodos , Procedimentos Neurocirúrgicos/tendências , Alta do Paciente/tendências , Fatores de Risco , Fraturas Cranianas/diagnóstico , Fraturas Cranianas/cirurgia , Tomografia Computadorizada por Raios X/métodos , Tomografia Computadorizada por Raios X/tendências
8.
Arch Dis Child ; 104(3): 256-261, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30279158

RESUMO

OBJECTIVE: To investigate causes, characteristics and temporal trends of paediatric major trauma. DESIGN: A retrospective review of paediatric major trauma (<16 years of age) was conducted using data from the population-based Victorian State Trauma Registry from 2006 to 2016. Temporal trends in population-based incidence rates were evaluated using Poisson regression. SETTING: Victoria, Australia. RESULTS: Of the 1511 paediatric major trauma patients, most were male (68%), had sustained blunt trauma (87%) and had injuries resulting from unintentional events (91%). Motor vehicle collisions (15%), struck by/collisions with an object or person (14%) and low falls (13%) were the leading mechanisms of injury. Compared with those aged 1-15 years, a greater proportion of non-accidental injury events were observed in infants (<1 year) (32%). For all patients, isolated head injury (29%), other/multitrauma (27%) and head and other injuries (24%) were the most prevalent injury groups. The incidence of paediatric major trauma did not change over the study period (incidence rate ratio (IRR)=0.97; 95% CI 0.92 to 1.02; p=0.27), which was consistent in all age groups. There was a 3% per year decline in the incidence of transport events (IRR=0.97; 95% CI 0.94 to 0.99; p=0.005), but no change in the incidence of falls of any type (IRR=1.01; 95% CI 0.97 to 1.04; p=0.70) or other events (IRR=1.00; 95% CI 0.97 to 1.02; p=0.79). The overall in-hospital mortality rate was 7.2%. CONCLUSIONS: This study demonstrated no change in the incidence of paediatric major trauma over an 11-year period. Given the potential lifelong impacts of serious injury in children, additional investment and coordination of injury prevention activities are required.


Assuntos
Ferimentos e Lesões/epidemiologia , Acidentes por Quedas/estatística & dados numéricos , Acidentes Domésticos/estatística & dados numéricos , Acidentes Domésticos/tendências , Acidentes de Trânsito/estatística & dados numéricos , Acidentes de Trânsito/tendências , Adolescente , Distribuição por Idade , Queimaduras/epidemiologia , Queimaduras/etiologia , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Sistema de Registros , Estudos Retrospectivos , Distribuição por Sexo , Fatores de Tempo , Vitória/epidemiologia , Ferimentos e Lesões/etiologia
9.
Rio de Janeiro; Fundação Oswaldo Cruz; 2017. 2 p.
Monografia em Português | PIE | ID: biblio-1023152

RESUMO

Para prevenção de quedas, lesões, queimaduras e envenenamento entre crianças e adolescentes é possível realizar atividades educativas e campanhas que orientem adultos/cuidadores a respeito de medidas preventivas a serem adotadas. Essas orientações tendem a ser mais efetivas se acompanhadas de inspeções domiciliares para identificação de fatores de risco e distribuição de equipamentos de segurança, tais como termômetros, válvulas de mistura termostáticas, detectores de fumaça, trancas para armários, gavetas e janelas, grades de proteção para escadas, entre outros. Realizada por um profissional treinado, é uma intervenção efetiva para redução do risco e do número de quedas em idosos e em crianças, de acidentes com produtos químicos, como envenenamentos, queimaduras, afogamentos e acidentes domésticos com armas de fogo. As alterações comuns incluem a instalação de fechaduras nos armários, a instalação de portões de escadas, a melhoria da iluminação em corredores e escadas e a remoção de riscos de tropeções, além de ofertas de alarmes e termômetros para prevenção e incêndios e queimaduras.


Assuntos
Humanos , Masculino , Feminino , Idoso , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Acidentes Domésticos/estatística & dados numéricos
10.
Enferm. nefrol ; 19(3): 274-280, jul.-sept. 2016. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-156666

RESUMO

Introducción: Los enfermos con enfermedad renal crónica avanzada en hemodiálisis son cada vez mayores. Además de la edad, presentan una alta comorbilidad asociada que, unido a una serie de alteraciones en el metabolismo óseo-mineral propios de la enfermedad, condiciona que sean una población especialmente frágil ante las caídas. Objetivos: Analizar la incidencia y características de las caídas de los pacientes con enfermedad renal crónica avanzada en hemodiálisis fuera de la unidad de diálisis. Pacientes y Métodos: Se estudiaron 60 pacientes con una edad media de 66.6±14.2 años (70% hombres, 30% mujeres).Del total de la muestra, 27 pacientes (45%) tuvieron alguna caída en el último año. Se encontraron diferencias significativas entre los pacientes que tuvieron caídas frente a los que no (p=0.017) en el tiempo en diálisis. Un 37% de los hombres habían sufrido caídas mientras que las mujeres que se habían caído fueron el 61%. Un 59% de las caídas tuvieron lugar en el propio domicilio, el 22% en la calle, el 8% en el hospital. Respecto al día de la caída el 41% de las caídas se produjeron el día de descanso, el 22% antes o después de la sesión y el 15% no lo recuerdan. Conclusiones: Nuestros resultados indican que las caídas de los pacientes en hemodiálisis tienen una incidencia alta. Estas caídas están relacionadas con ser mujer, llevar más tiempo en diálisis, tener mayor grado de dependencia o realizar menor actividad física; y se producen mayoritariamente en el domicilio del paciente el día de descanso de diálisis (AU)


Introduction: Patients with advanced chronic kidney disease on hemodialysis are increasing. Apart from age, they have a high comorbidity that together with a series of alterations in bone-mineral metabolism associated with the disease cause a greater propensity to fall. Objectives: To analyze the incidence and characteristics of falls in patients with advanced chronic kidney disease on hemodialysis outside the dialysis unit. Patients and Methods: We studied 60 patients with a mean age of 66.6 ± 14.2 years (70% men, 30% women). From the total sample, 27 patients (45%) had a fall in the last year. Significant differences between patients who had fallen versus those who had not fallen (p = 0.017) on the dialysis time were found. 37% of men had suffered falls while women who had fallen were 61%. 59% of falls occurred in the home, 22% in the street and 8% in the hospital. Regarding the day of the fall, 41% of falls occurred the day of rest, 22% before or after the session and 15% did not remember. Conclusions: Our results indicate that falls in hemodialysis patients have a high incidence. These falls are related to being a woman, staying longer on dialysis, have a greater degree of dependence or perform less physical activity. Falls occur mainly in the patient’s home and the rest day (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Acidentes/tendências , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Diálise Renal/métodos , Diálise Renal/enfermagem , Prevenção de Acidentes/normas , Idoso Fragilizado/estatística & dados numéricos , Estudos Transversais/instrumentação , Estudos Transversais/métodos , Estudos Transversais , 28599
11.
Pediatr. catalan ; 75(3): 122-124, jul.-sept. 2015. ilus
Artigo em Catalão | IBECS | ID: ibc-146426

RESUMO

Introducció: la ingestió de cossos estranys en l'infant és un fet accidental i freqüent. La majoria de cossos estranys ingerits són petits, roms, amb un baix percen-tatge de complicacions. Cas clínic: es descriu el cas d'un nen de 3 anys que va presentar un quadre de perforació gàstrica poc comú, secundari a la ingestió d'un pal de caramel 16 mesos abans i que inicialment va ser infravalorat. La tomografia computada abdominal va demostrar la presència d'un cos estrany suggestiu d'un pal de caramel en l'estómac, causant de perforació gàstrica amb reacció inflamatòria local. La cirurgia va confirmar el diagnòstic, i l'evolució va ser favorable. Comentaris: l'actitud que cal seguir davant la ingesta d'un cos estrany depèn de diversos factors, com ara l'edat del pacient i l'estat clínic: la mida, forma i composició de l'objecte, i la localització al moment del diagnòstic. El judici dels riscos d'aspiració, obstrucció o perforació determina la indicació, l'oportunitat i la forma de l'extracció


Introducción. La ingestión de cuerpos extraños en el niño es un hecho accidental y frecuente. La mayoría de los cuerpos extraños ingeridos son pequeños, romos, con un bajo porcentaje de complicaciones. Caso clínico. Se describe el caso de un niño de 3 años que presentó un cuadro de perforación gástrica poco común secundario a la ingestión de un palo de caramelo 16 meses antes y que inicialmente fue infravalorado. La tomografía computadorizada abdominal demostró la presencia de un cuerpo extraño sugestivo de un palo de caramelo en estómago, causante de perforación gástrica con reacción inflamatoria local. La cirugía confirmó el diagnóstico, y la evolución fue favorable. Comentarios. La actitud a seguir ante la ingestión de un cuerpo extraño depende de diversos factores, como: edad del paciente y estado clínico; tamaño, forma y composición del objeto, así como su localización en el momento del diagnóstico. El juicio de los riesgos de aspiración, obstrucción o perforación determina la indicación, oportunidad y forma de su extracción (AU)


Introduction. Accidental foreign body ingestion is frequent in children. Most of the ingested foreign bodies are small and blunt, and complications are rare. Case report. We describe the case of a 3-year-old boy who presented with gastric perforation 16 months after the ingestion of a candy stick, which was underestimated at the time of ingestion. The abdominal computed tomography disclosed the presence of the candy stick in the stomach, causing gastric perforation with an inflammatory local reaction. The patient underwent surgery, which confirmed the findings, and recovered uneventfully. Comments. The management after ingestion of foreign bodies depends on several factors, including the patient’s age and clinical condition, the size, shape, and composition of the object, and its location at the time of diagnosis. The assessment of the risks of aspiration, obstruction, or perforation determines the indication, timing, and form of extraction (AU)


Assuntos
Criança , Humanos , Masculino , Corpos Estranhos/cirurgia , Corpos Estranhos , Trato Gastrointestinal/lesões , Trato Gastrointestinal/cirurgia , Trato Gastrointestinal , Tomografia Computadorizada de Emissão/instrumentação , Tomografia Computadorizada de Emissão/métodos , Antibacterianos/uso terapêutico , Nutrição Parenteral , Acidentes Domésticos/tendências
12.
Hong Kong Med J ; 21(3): 237-42, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25953929

RESUMO

OBJECTIVES: To determine the mechanism and epidemiology of paediatric finger injuries in Hong Kong during 2003-2005 and 2010-2012. DESIGN: Comparison of two case series. SETTING: University-affiliated teaching hospital, Hong Kong. PATIENTS: This was a retrospective study of two cohorts of children (age, 0 to 16 years) admitted to Prince of Wales Hospital with finger injuries during two 3-year periods. Comparisons were made between the two groups for age, involved finger(s), mechanism of injury, treatment, and outcome. Telephone interviews were conducted for parents of children who sustained a crushing injury of finger(s) by door. RESULTS: A total of 137 children (group A) were admitted from 1 January 2003 to 31 December 2005, and 109 children (group B) were admitted from 1 January 2010 to 31 December 2012. Overall, the mechanisms and epidemiology of paediatric finger injuries were similar between groups A and B. Most finger injuries occurred in children younger than 5 years (group A, 56%; group B, 76%) and in their home (group A, 67%; group B, 69%). The most common mechanism was crushing injury of finger by door (group A, 33%; group B, 41%) on the hinge side (group A, 63%; group B, 64%). The right hand was most commonly involved. The door was often closed by another child (group A, 37%; group B, 23%) and the injury often occurred in the presence of adults (group A, 60%; group B, 56%). Nailbed injury was the commonest type of injury (group A, 31%; group B, 39%). Fractures occurred in 24% and 23% in groups A and B, respectively. Traumatic finger amputation requiring replantation or revascularisation occurred in 12% and 10% in groups A and B, respectively. CONCLUSIONS: Crushing injury of finger by door is the most common mechanism of injury among younger children and accounts for a large number of hospital admissions. Serious injuries, such as amputations leading to considerable morbidity, can result. Crushing injury of finger by door occurs even in the presence of adults. There has been no significant decrease in the number of crushing injuries of finger by door in the 5 years between the two studies despite easily available and affordable preventive measures. It is the authors' view that measures aimed at promoting public awareness and education, and safety precautions are needed.


Assuntos
Acidentes Domésticos/tendências , Traumatismos dos Dedos/epidemiologia , Traumatismos dos Dedos/etiologia , Falanges dos Dedos da Mão/lesões , Fraturas Ósseas/epidemiologia , Adolescente , Amputação Traumática/epidemiologia , Amputação Traumática/cirurgia , Criança , Pré-Escolar , Fraturas Ósseas/etiologia , Hong Kong/epidemiologia , Humanos , Lactente , Recém-Nascido , Lacerações/epidemiologia , Lacerações/etiologia , Unhas/lesões , Reimplante , Estudos Retrospectivos
14.
Int J Environ Res Public Health ; 10(3): 1113-24, 2013 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-23502323

RESUMO

BACKGROUND: Most childhood unintentional injuries occur in the home; however, very little home injury prevention information is tailored to developing countries. Utilizing our previously developed information dissemination tools and a hazard assessment checklist tailored to a low-income neighborhood in Pakistan, we pilot tested and compared the effectiveness of two dissemination tools. METHODS: Two low-income neighborhoods were mapped, identifying families with a child aged between 12 and 59 months. In June and July 2010, all enrolled households underwent a home hazard assessment at the same time hazard reduction education was being given using an in-home tutorial or a pamphlet. A follow up assessment was conducted 4-5 months later. RESULTS: 503 households were enrolled; 256 received a tutorial and 247 a pamphlet. The two groups differed significantly (p < 0.01) in level of maternal education and relationship of the child to the primary caregiver. However, when controlling for these variables, those receiving an in-home tutorial had a higher odds of hazard reduction than the pamphlet group for uncovered vats of water (OR 2.14, 95% CI: 1.28, 3.58), an open fire within reach of the child (OR 3.55, 95% CI: 1.80, 7.00), and inappropriately labeled cooking fuel containers (OR 1.86, 95% CI: 1.07, 3.25). CONCLUSIONS: This pilot project demonstrates the potential utility of using home-visit tutorials to decrease home hazards in a low-income neighborhood in Pakistan. A longer-term randomized study is needed to assess actual effectiveness of the use of allied health workers for home-based injury education and whether this results in decreased home injuries.


Assuntos
Acidentes Domésticos/prevenção & controle , Educação em Saúde/estatística & dados numéricos , Acidentes Domésticos/tendências , Adulto , Pré-Escolar , Feminino , Visita Domiciliar , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Paquistão , Projetos Piloto , Pobreza , Comportamento de Redução do Risco , Adulto Jovem
15.
Rev Electron ; 37(10)oct. 2012. tab
Artigo em Espanhol | CUMED | ID: cum-51679

RESUMO

Se realizó un estudio descriptivo, con el objetivo de determinar el comportamiento clínico-epidemiológico de las intoxicaciones accidentales en el Hospital Pediátrico Mártires de las Tunas durante el período de un año, comprendido desde el primero de enero al 31 de diciembre de 2011. Se estudió el total de pacientes que fueron hospitalizados por esta causa, quedando constituida la muestra por 71 pacientes. Se determinó que las intoxicaciones accidentales predominaron en el sexo masculino y en los niños menores de cuatro años. La vía de intoxicación más frecuente fue por ingestión de tóxicos como fármacos y cáusticos. En el mayor por ciento de los casos el evento ocurrió en su domicilio (AU)


A descriptive study was carried out in order to determine the clinic- epidemiological behavior of accidental intoxications at Mártires de Las Tunas Pediatric Hospital during a year period understood from January 1srt to December 31srt, 2011. All the patients hospitalized due to this cause were studied and the sample was formed by 71 patients. It was determined that accidental intoxications prevailed in the masculine sex and in the children under 4 years old. The most frequent route of intoxication was the consumption of toxic substances like medicines and caustic products. In the most of the cases the intoxication occurred at home(AU)


Assuntos
Humanos , Substâncias Tóxicas , Acidentes Domésticos/tendências , Intoxicação/epidemiologia , Criança
16.
Paediatr Int Child Health ; 32(3): 158-60, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22824664

RESUMO

BACKGROUND: In 2010, there was a sudden increase in the number of children admitted to Okomfo Anokye Teaching Hospital, Kumasi with caustic soda poisoning. AIM: To quantify the increase and identify possible causes. METHODS: Detailed review of case-notes of all children admitted with poisoning from January 2009 to June 2010 was undertaken using a standardised proforma. RESULTS: From January to June 2010, there was a six-fold increase in the number of children admitted with caustic soda poisoning compared with January to June 2009 (13 vs 2). Owing to the increase in caustic soda ingestion, there were almost twice the number of cases of chemically-induced poisoning in January-June 2010 (34) as in January-June 2009 (19 cases). In the entire period (January 2009 to June 2010), the majority of admissions for chemical poisoning were children ≤3 years of age and 50 of the 72 (69.4%) cases were boys. In six of the 13 cases in the January-June 2010 period, caustic soda was drunk directly from a plastic water bottle. All children with caustic soda poisoning had been given palm oil to drink by their guardians. CONCLUSION: It is suggested that the recent introduction of bottled water is an important element in the increase of caustic soda poisoning. Previously, water was sold in plastic bags. The plastic water bottles are re-used to store caustic soda which children then drink, mistaking it for water.


Assuntos
Intoxicação/epidemiologia , Hidróxido de Sódio/toxicidade , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Criança , Pré-Escolar , Feminino , Gana/epidemiologia , Humanos , Lactente , Masculino
17.
Pediatrics ; 129(6): 1111-7, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22585763

RESUMO

OBJECTIVE: To investigate the epidemiology of battery-related emergency department (ED) visits among children <18 years of age in the United States. METHODS: Using a nationally representative sample from the National Electronic Injury Surveillance System, battery-related ED visits in the United States from 1990 to 2009 were analyzed. Four battery exposure routes for patients were determined from diagnosis codes and case narratives: ingestion, mouth exposure, ear canal insertion, and nasal cavity insertion. RESULTS: An estimated 65788 (95% confidence interval: 54498-77078) patients <18 years of age presented to US EDs due to a battery-related exposure during the 20-year study period, averaging 3289 battery-related ED visits annually. The average annual battery-related ED visit rate was 4.6 visits per 100000 children. The number (P < .001) and rate (P = .002) of visits increased significantly during the study period, with substantial increases during the last 8 study years. The mean age was 3.9 years (95% confidence interval: 3.5-4.2), and 60.2% of patients were boys. Battery ingestion accounted for 76.6% of ED visits, followed by nasal cavity insertion (10.2%), mouth exposure (7.5%), and ear canal insertion (5.7%). Button batteries were implicated in 83.8% of patient visits caused by a known battery type. Most children (91.8%) were treated and released from the ED. CONCLUSIONS: This study evaluated battery-related ED visits among US children using a nationally representative sample. Batteries pose an important hazard to children, especially those ≤ 5 years of age. The increasing number and rate of battery-related ED visits among children underscore the need for increased prevention efforts.


Assuntos
Acidentes Domésticos/tendências , Fontes de Energia Elétrica/efeitos adversos , Serviço Hospitalar de Emergência/tendências , Corpos Estranhos/epidemiologia , Corpos Estranhos/terapia , Adolescente , Criança , Pré-Escolar , Fontes de Energia Elétrica/tendências , Emergências/epidemiologia , Feminino , Corpos Estranhos/diagnóstico , Humanos , Masculino , Estados Unidos/epidemiologia
18.
Pediatr Emerg Care ; 28(1): 52-4, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22217887

RESUMO

BACKGROUND: Craniofacial injuries caused by television (TV) sets falling on small children are becoming a frequent event seen in emergency departments. Injuries occur primarily to the head and neck regions and range from contusions to intracerebral hemorrhage, which at times can be fatal. OBJECTIVES: Epidemiology and potential complications from TV tip-over injuries are presented. CASE: Three cases of craniofacial injuries are described from blunt trauma incurred from TV tip-over events. CONCLUSIONS: It is important to teach parents about the dangers of the new large slim TV sets and the occurrence of injuries when these are not secured properly or placed away from the reach of the child.


Assuntos
Acidentes Domésticos , Traumatismos Craniocerebrais/etiologia , Hematoma Subdural Intracraniano/etiologia , Televisão/instrumentação , Ferimentos não Penetrantes/etiologia , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Pré-Escolar , Contusões/etiologia , Desenho de Equipamento , Testa/lesões , Hematoma Subdural Intracraniano/diagnóstico por imagem , Hematoma Subdural Intracraniano/cirurgia , Humanos , Lactente , Lacerações/etiologia , Lacerações/cirurgia , Masculino , Lobo Parietal/lesões , Radiografia , Suturas , Lobo Temporal/lesões
19.
Artigo em Espanhol | IBECS | ID: ibc-84919

RESUMO

Objetivo. Estudiar los accidentes geriátricos en el hogar. Material y método. Se realizó una investigación descriptiva de corte transversal para describir el comportamiento de los accidentes del hogar en la tercera edad, en cinco Consultorios Médicos del policlínico “Cuba-Angola”, municipio Boyeros, entre enero-junio de 2008. Resultados. Los resultados de la investigación fueron que los accidentes son más frecuentes en el sexo femenino y entre los 60-64 años; los antecedentes patológicos personales más comunes encontrados son los oftalmológicos, seguidos por los cardiovasculares, y los osteomioarticulares; la mayor parte de los accidentes ocurrieron en horario diurno; los lugares mayormente frecuentados por los ancianos donde ocurrieron los accidentes fueron el baño y la cocina; y se encontraban acompañado en el momento del accidente; de los accidentes, la caída es el más frecuente seguido por las quemaduras y las heridas perforocortantes. Las secuelas del accidente más importantes fueron en la esfera psíquica y menos de la mitad recibió atención médica inmediata, siendo el resto llevado tardíamente (AU)


Objective. To study geriatric accidents in the home. Material and method. A cross-sectional descriptive study was conducted to study the behaviour of domestic accidents in the elderly, in five Medical Clinics in the “Cuba-Angola”, Polyclinic of Boyeros, January-June 2008. Results. The results of the study showed that accidents were more common in women and between 60-64 years. The most common pathologies found were ophthalmological, followed by cardiovascular and osteo-myo-articular. The majority of accidents occurred during the day. The most frequent location where accidents occurred was in the bathroom and in the kitchen, and they were mainly accompanied at the time of the accident. Fall accidents were the most common followed by burns and puncture or cutting wounds. The most important after effects of the accident was psychic. At least half received immediate medical care, with the remainder being treated later (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Acidentes por Quedas/estatística & dados numéricos , Propensão a Acidentes , Conhecimentos, Atitudes e Prática em Saúde , Acidentes Domésticos/estatística & dados numéricos , Estudos Transversais , Acidentes por Quedas/prevenção & controle , Acidentes/classificação , Acidentes Domésticos/classificação , Bioética/tendências
20.
Rev. Rol enferm ; 33(9): 589-597, sept. 2010. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-81781

RESUMO

Durante dos meses se recogieron datos de los pacientes que acudieron por una intoxicación aguda con productos domésticos, comparando los cuidados que precisaban con el resto de intoxicados. Las variables se introdujeron y analizaron a través del paquete estadístico SPSS 15.0. Se atendieron 281 intoxicados, de los cuales 22 (7,8%) habían tomado productos. Como conclusiones destacan que los pacientes intoxicados con productos domésticos son predominantemente mujeres. Están implicados con mayor frecuencia los productos cáusticos ingeridos de forma accidental, los que han salpicado los ojos y los gases irritantes inhalados. La cantidad de cuidados que precisan resulta inferior a los de otro tipo de intoxicaciones. El pronóstico es bueno(AU)


During a two month period, the authors gathered data from patients who visited an emergency ward due to acute intoxication by a household product, and they compared the care which those patients required with the other patients suffering from different intoxications. The variables were introduced and analyzed using a SPSS 15.0 statistics package. The emergency ward registered 281 intoxication incidents of which 22 or 8.7% were related to household products. Among the conclusions drawn from this study, the authors emphasize that the majority of patients intoxicated by household products were women. Caustic products are involved in the greatest number of incidences, either accidentally swallowed, splashed into eyes or inhaled as gas. The amount of treatment those patients require is less than the treatment required for other intoxications. Their prognostic is good(AU)


Assuntos
Humanos , Masculino , Feminino , Acidentes Domésticos/prevenção & controle , Acidentes Domésticos/tendências , Assistência Domiciliar/métodos , Educação em Saúde/métodos , Assistência Domiciliar/normas , Assistência Domiciliar/tendências , Assistência Domiciliar , Educação em Saúde/normas , Educação em Saúde/tendências , Estudos Retrospectivos , Sinais e Sintomas , Cáusticos/efeitos adversos , Cáusticos/toxicidade , Monóxido de Carbono/toxicidade
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