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Advisor(s)
Abstract(s)
Enquadramento: A idade pediátrica é propícia à ocorrência de acidentes, as lesões
continuam entre as principais causas de morte nesta faixa etária. Os profissionais de saúde
encontram-se numa situação privilegiada para identificar as causas e por forma a promover
medidas preventivas.
Objetivos: Determinar a incidência dos acidentes, que no ano 2017 geraram uma
solicitação de atendimento no Serviço de Urgência Pediátrico (SUP); Identificar os aspectos
epidemiológicos dos acidentes em idade pediátrica, por forma a aportar uma vertente ao
conhecimento global dos acidentes na região de Vila Real, com potencial utilidade e
aplicabilidade na clínica assistencial; Contribuir para a promoção da segurança infantil e
prevenção de acidentes em idade pediátrica.
Metodologia: Uma investigação quantitativa, de analise descritiva, procurando dar-se uma
visão da distribuição percentual dos acidentes registados. Os dados recolhidos, sobre o
acidente ou lesão, foram obtidos através das aplicações SONHO, SClinico e Sistema de
Triagem de Manchester, tendo sido exportados para o programa Excel, e analisados através
do sistema informático estatístico SPSS. Os dados apresentados referem-se a todos os
acidentes registados no Serviço de Urgência Pediátrica do Centro Hospitalar de Trás os
Montes e Alto Douro – Unidade de Vila Real, no ano de 2017, tendo sido excluído o motivo
de admissão Doença.
Resultados: Verificar-se que 4,4% das admissões no SUP são referentes a acidentes,
sendo a maioria do sexo masculino. Numa análise de causa dos acidentes, a queda é o
principal motivo de admissão. O traumatismo crânio-encefálico é o fluxograma mais vezes
utilizado pelo enfermeiro na Triagem de Manchester, sendo a cabeça o segmento corporal
mais atingido. Globalmente os acidentes ocorrem maioritariamente no domicilio e na escola.
Conclusão: Para a definição de prioridades de prevenção, é fundamental conhecer a
epidemiologia, por forma a servir de base às ações e estratégias a implementar. As medidas
de prevenção devem concentrar-se nos três níveis: primárias, secundária, terciária.
Apesar das medidas implementadas, verifica-se que ainda é em casa e na escola onde o
maior numero de acidentes ocorre. Deve haver o cuidado de garantir um ambiente seguro,
onde a criança possa crescer e explorar o meio livremente.
Abstract Background: The pediatric age is conducive to the occurrence of accidents, injuries remain the leading cause of death in this age group. Health professionals are in a privileged position to identify the causes and promote preventive measures. Objectives: To determine the incidence of accidents, which in 2017 generated a request for care in the Pediatric Emergency Department (SUP); To identify the epidemiological aspects of accidents in pediatric age, in order to contribute to the overall knowledge of accidents in the Vila Real region, with potential utility and applicability in the care clinic; To contribute to the promotion of child safety and the prevention of pediatric accidents. Methodology: A quantitative investigation, of descriptive analysis, seeking to give an overview of the percentage distribution of the registered accidents. Data collected on the accident or injury were obtained through the SONHO, SClinico and Manchester Triage System applications, and were exported to the Excel program and analyzed using the SPSS statistical computer system. The data presented refer to all accidents registered in the Pediatric Emergency Service of the Centro Hospitalar de Trás os Montes e Alto Douro - Unidade de Vila Real, in the year 2017, and the reason for admission was excluded. Results: It was verified that 4.4% of the admissions in the SUP are related to accidents, being the majority male. In an analysis of the cause of accidents, the fall is the main reason for admission. The taumatic brain injury is the flow chart most often used by the nurse in Manchester Triage, with the head being the body segment most affected. Accidents generally occur at home and at school. Conclusion: In order to define prevention priorities, it is essential to know the epidemiology, in order to serve as a basis for the actions and strategies to be implemented. Prevention measures should focus on the three levels: primary, secondary, tertiary. Despite the implemented measures, it is still at home and in the school where the greatest number of accidents occurs. Care should be taken to ensure a safe environment where the child can grow and explore the environment freely.
Abstract Background: The pediatric age is conducive to the occurrence of accidents, injuries remain the leading cause of death in this age group. Health professionals are in a privileged position to identify the causes and promote preventive measures. Objectives: To determine the incidence of accidents, which in 2017 generated a request for care in the Pediatric Emergency Department (SUP); To identify the epidemiological aspects of accidents in pediatric age, in order to contribute to the overall knowledge of accidents in the Vila Real region, with potential utility and applicability in the care clinic; To contribute to the promotion of child safety and the prevention of pediatric accidents. Methodology: A quantitative investigation, of descriptive analysis, seeking to give an overview of the percentage distribution of the registered accidents. Data collected on the accident or injury were obtained through the SONHO, SClinico and Manchester Triage System applications, and were exported to the Excel program and analyzed using the SPSS statistical computer system. The data presented refer to all accidents registered in the Pediatric Emergency Service of the Centro Hospitalar de Trás os Montes e Alto Douro - Unidade de Vila Real, in the year 2017, and the reason for admission was excluded. Results: It was verified that 4.4% of the admissions in the SUP are related to accidents, being the majority male. In an analysis of the cause of accidents, the fall is the main reason for admission. The taumatic brain injury is the flow chart most often used by the nurse in Manchester Triage, with the head being the body segment most affected. Accidents generally occur at home and at school. Conclusion: In order to define prevention priorities, it is essential to know the epidemiology, in order to serve as a basis for the actions and strategies to be implemented. Prevention measures should focus on the three levels: primary, secondary, tertiary. Despite the implemented measures, it is still at home and in the school where the greatest number of accidents occurs. Care should be taken to ensure a safe environment where the child can grow and explore the environment freely.
Description
Keywords
Acidentes domésticos Acidentes por quedas Acidentes de trânsito Corpos estranhos Criança Criança de idade pré-escolar Intoxicação Lactente Mordeduras e picadas Queimaduras Serviços de urgência hospitalar Triagem Accidental falls Accidents, home Accidents, traffic Bites and stings Burns Child Child, preschool Emergency service, hospital Foreign bodies Infant Poisoning Triage