Accidents involving Brazilian indigenous treated at urgent and emergency services of the Unified Health System

Souza, Edinilsa Ramos de; Njaine, Kathie; Mascarenhas, Márcio Dênis Medeiros; Oliveira, Maria Conceição de

doi:10.1590/1413-812320152112.26582016

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Article • Ciênc. saúde colet. 21 (12) • Dec 2016 • https://doi.org/10.1590/1413-812320152112.26582016 copy

Accidents involving Brazilian indigenous treated at urgent and emergency services of the Unified Health System

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Abstract We analyzed the accidents with Brazilian indigenous treated at urgent and emergency services of the Unified Health System (SUS). Data were obtained from the 2014 Viva Survey, which included 86 services from 24 capitals and the Federal District. The demographic profile of the indigenous, the event and the attendance were characterized. Most of the attended people were male in the 20-39 years age group. Falls and traffic accidents were the main reasons for attendance. Alcohol use was informed by 5.6% of the attended people, a figure that increases to 19.1% in traffic accidents, 26.1% among drivers and 22.8% among motorcyclists. There was a statistical difference between genders in relation to age, disability, place of occurrence of the event, work-related event and victim's condition in the traffic accident. We emphasize the importance of providing visibility to accidents with indigenous and engage them in the prevention of such events. Data reliability depends on the adequate completion in indigenous health information systems.

Key words
Accidents; Traffic accidents; Falls; Indigenous; Use of alcohol

Sociodemographic characteristics		Gender^a a The number of attendances for some variables diverged due to missing data (ignored / blank).						p^ Chi-square association test (Rao-Scott).
		Male (n = 235)		Female (n = 140)		Total (n = 375)
		N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.
Age group (years)								0.000
	0 to 9	33	9.7	38	25.9	71	15.5
	10 to 19	58	21.4	32	23.2	90	22.1
	20 to 39	98	53.3	29	16.2	127	39.9
	40 to 59	37	14.1	29	25.8	66	18.3
	60 and over	7	1.5	12	8.9	19	4.2
Schooling (years of study)								0.452
	0 to 5	83	33.0	62	42.1	145	36.2
	6 to 9	58	28.9	31	22.8	89	26.8
	10 and over	69	38.2	34	35.1	103	37.1
Has some kind of disability^b b Includes physical, mental, visual, hearing impairments and other disabilities /syndromes.								0.039
	Yes	6	1.6	7	6.5	13	3.4
	No	227	98.4	132	93.5	359	96.6
Has health insurance plan								0.279
	Yes	14	9.7	9	5.6	23	8.2
	No	212	90.3	126	94.4	338	91.8

Types of accidents characteristics		Gender^a a The number of attendances for some variables diverged due to missing data (ignored / blank).						p^ Chi-square association test (Rao-Scott).
		Male (n = 235)		Female (n = 140)		Total (n = 375)
		N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.
Type of accident								NA
	Traffic accident	76	23.9	40	21.3	116	23.0
	Fall	51	23.7	51	48.2	102	32.4
	Cutting injury	25	10.5	6	3.6	31	8.0
	Foreign body	16	7.3	9	4.0	25	6.2
	Collision with object/person	16	8.5	8	2.7	24	6.4
	Accidents with animals	13	2.5	9	3.3	22	2.8
	Object falling on people	10	8.9	5	6.0	15	7.8
	Sprain	12	8.4	3	3.9	15	6.8
	Other accidents^b b Includes choking / suffocation, foreign body, drowning, poisoning / intoxication, crushing, injury by firearms, others.	16	6.3	9	7.0	25	6.6
Traffic accident: type of victim								0.007
	Pedestrian	6	17.5	5	10.6	11	15.2
	Driver	55	64.0	16	33.2	71	53.8
	Passenger	15	18.5	19	56.2	34	31.0
Traffic accident: means of victim's transport								NA
	Walking	6	17.5	5	10.6	11	15.2
	Car	4	7.7	5	15.9	9	10.4
	Motorbike	55	65.1	20	55.5	75	62.0
	Bicycle	8	6.1	7	13.2	15	8.4
	Bus/minibus/other	3	3.6	3	4.8	6	4.0
Traffic accident: other party involved								NA
	Car	26	41.4	10	23.1	36	35.9
	Motorbike	12	10.7	3	8.1	15	10.0
	Bus/minibus	3	9.9	1	1.7	4	7.5
	Bicycle	3	5.3	1	1.7	4	4.3
	Fixed object	7	9.6	5	10.4	12	9.8
	Animal	7	7.1	1	2.4	8	5.7
	Other	16	16.0	15	52.6	31	26.8
Type of fall								NA
	Same level	24	42.4	31	64.7	55	54.3
	Bed/furniture	6	6.8	8	6.7	14	6.7
	Ladder/step	8	34.8	3	3.2	11	18.0
	Tree/roof/scaffold/slab	5	6.0	4	11.2	9	8.8
	Hole/other levels	8	10.0	5	14.2	13	12.2

Characteristics of accidental events		Gender^a a The number of attendances for some variables diverged due to missing data (ignored / blank).						p^ Chi-square association test (Rao-Scott).
		Male (n = 235)		Female (n = 140)		Total (n = 375)
		N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.
Location of the event								0.001
	Home^b b Includes residence and collective housing.	59	21.7	63	35.1	122	26.5
	Public Road	77	29.1	54	45.4	131	35.0
	School	15	6.5	8	10.0	23	7.8
	Leisure area	16	6.6	8	4.6	24	5.9
	Other^c c Includes bar or similar, trade / services, industry / construction and other.	63	36.1	6	4.9	69	24.8
Nature of injury								0.174
	No injury	13	6.3	10	6.4	23	6.4
	Concussion / sprain / dislocation	76	41.2	53	51.1	129	44.6
	Cut/laceration	92	35.1	38	20.1	130	29.7
	Fracture / amputation / trauma^d d Includes head trauma, dental trauma and polytrauma.	35	13.7	24	15.2	59	14.3
	Other^e e Includes poisoning, burns and other.	13	3.7	12	7.2	25	5.0
Body part affected								0.892
	Head / neck	37	16.9	20	14.6	57	16.1
	Chest / abdomen / pelvis	11	4.3	11	6.0	22	4.9
	Upper and lower limbs	145	68.9	81	69.0	226	69.0
	Multiple organs / parts	31	9.9	14	10.4	45	10.0
Work-related event								0.000
	Yes	56	48.0	6	4.2	62	36.3
	No	130	52.0	74	95.8	204	63.7

Characteristics of care		Gender^a a The number of attendances for some variables diverged due to missing data (ignored / blank).						p^ Chi-square association test (Rao-Scott).
		Male (n = 235)		Female (n = 140)		Total (n = 375)
		N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.	N	%^* * Percentage weighted for sample design.
Transport to hospital								0.289
	Walking / bus / minibus	42	28.0	22	20.0	64	25.2
	Private car	104	47.4	68	51.9	172	48.9
	SAMU / ambulance / rescue	70	18.0	39	24.8	109	20.4
	Other^b b Includes police car and other.	16	6.6	10	3.3	26	5.5
Period of care								0.398
	Daytime	141	65.3	79	59.5	220	63.2
	Nighttime	89	34.7	59	40.5	148	36.8
Day of care								0.143
	Saturday and Sunday	55	18.7	35	27.6	90	21.9
	Monday through Friday	180	81.3	105	72.4	285	78.1
Previous care in another facility								0.720
	Yes	53	22.3	37	24.6	90	23.2
	No	176	77.7	100	75.4	276	76.8
Development								NA
	Discharge	177	86.0	99	75.0	276	82.1
	Hospitalization^c c Includes hospitalization and referral to other service.	32	9.2	23	19.5	55	12.8
	Outpatient referral	15	3.9	12	5.5	27	4.5
	Other^d d Includes evasion / escape, death and other.	3	0.9	-	-	3	0.6

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[1] Collaborations

ER Souza and K Njaine designed the study and wrote the text; MDM Mascarenhas elaborated data review and wrote the methodology; MC Oliveira collaborated in the writing of the text.