Author/Authors :
Abib, Simone de Campos Vieira Department of Surgery - Universidade Federal de São Paulo (UNIFESP), Brazil , Françóia, Alessandra Mara ONG Criança Segura, São Paulo-SP, Brazil , Waksman, Renata Department of Childhood Safety - Sociedade Brasileira de Pediatria, São Paulo-SP, Brazil , Dolci, Maria Inês Associação Brasileira de Defesa do Consumidor (PROTESTE), São Paulo-SP, Brazil , Guimarães, Hélio Penna Teaching and Simulation Center of HCor (CETES-HCor), São Paulo-SP, Brazil , Moreira, Frederico Teaching and Simulation Center of HCor (CETES-HCor), São Paulo-SP, Brazil , BoarettoCezillo, Marcus Vinícius Department of Surgery - Universidade Federal de São Paulo (UNIFESP), Brazil , Góes, Adenauer Marinho Department of Surgery - UNIFESP - Universidade Federal do Pará (UFPA), Brazil
Abstract :
Purpose:
To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity.
Methods:
Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil.
Results:
916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007).
Conclusions:
Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
