RESUMEN
INTRODUCCIÓN: Los accidentes en bicicleta son una causa frecuente de trauma abdominal contuso en pediatría. En Chile no existen publicaciones científicas que traten sobre las lesiones abdominales por manubrio de bicicleta, su presentación y manejo. OBJETIVO: Describir tres casos clínicos de trauma abdominal contuso provocados por manubrio de bicicleta en niños, ilustrar las distintas lesiones observadas, sus formas de presentación y manejo. CASOS CLÍNICOS: 1) Paciente masculino, 11 años, consulta tras golpe con manubrio de bicicleta en epigastrio; en la Tomografía Computada (TC) de abdomen y pelvis se describió neumoretroperitoneo. Se realizó laparotomía exploradora, reparándose una perforación duodenal. 2) Paciente masculino, 14 años, consulta tras golpe en el hipocondrio izquierdo con el manubrio de la bicicleta; en la TC se evidenció fractura esplénica con múltiples laceraciones. Por la presencia de sangrado activo se trató con angioembolización, lográndose resolución de la lesión y viabilidad del órgano luego de 6 semanas de seguimiento. 3) Paciente masculino, 9 años, ingresó tras sufrir golpe con manubrio de bicicleta en el hipocondrio derecho. En TC se observó una laceración hepática, que fue manejada de forma expectante, con resolución de la lesión luego de 8 semanas de seguimiento. Todos los pacientes tuvieron una evolución favorable. CONCLUSIÓN: El trauma abdominal contuso por golpe con manubrio de bicicleta puede ser potencialmente grave en pacientes pediátricos, pudiendo afectar órganos sólidos y vísceras huecas. El manejo no quirúrgico cada vez es más utilizado, logrando altas tasas de éxito en pacientes estables. Los pacientes inestables o en los que se sospeche perforación de víscera hueca, requerirán cirugía como primera aproximación.
INTRODUCTION: Bicycle accidents are a frequent cause of blunt abdominal trauma in children. In Chile, there are no scientific articles about such accidents, their presentation and management. OBJECTIVE: The aim of this study is to describe three cases of blunt abdominal trauma due to handlebar injury in children, in order to illustrate the different kinds of lesions, their presentation, and management. CLINICAL CASES: 1) 11-year-old boy presented to Emergency Department (ED) after falling on a bi cycle handlebar, hitting his epigastric region. A CT scan showed signs of duodenal perforation. A la parotomy was performed and the duodenal perforation repaired. 2) 14-year-old boy seen at ED after a bicycle accident in which the handlebar hit him in the abdomen area. A CT scan showed a splenic injury with multiple lacerations and active bleeding that was treated with angioembolization. After 6 weeks of follow-up, he presented resolution of the lesion and viability of the spleen. 3) 9-year-old boy admitted due to a hit with the bicycle handlebar on the abdomen area. A CT scan showed a he patic injury that was managed with non-surgical procedures, achieving resolution of the lesion after 8 weeks of follow-up. CONCLUSION: Blunt abdominal trauma caused by handlebar can be potentially serious in pediatric patients, since it may affect solid and hollow abdominal viscera. Non-surgical ma nagement is becoming more used for stable patients, achieving high success rates. Unstable patients or those with suspicion of hollow viscera perforation will require surgery as first approach.
Asunto(s)
Humanos , Masculino , Niño , Adolescente , Heridas no Penetrantes/diagnóstico , Heridas no Penetrantes/terapia , Ciclismo/lesiones , Traumatismos Abdominales/diagnóstico , Traumatismos Abdominales/terapia , Heridas no Penetrantes/etiología , Tomografía Computarizada por Rayos X , Servicio de Urgencia en Hospital , Traumatismos Abdominales/etiologíaRESUMEN
Road safety research in low- and middle-income countries is limited, even though ninety percent of global road traffic fatalities are concentrated in these locations. In Colombia, road traffic injuries are the second leading source of mortality by external causes and constitute a significant public health concern in the city of Bogotá. Bogotá is among the top 10 most bike-friendly cities in the world. However, bicyclists are one of the most vulnerable road-users in the city. Therefore, assessing the pattern of mortality and understanding the variables affecting the outcome of bicyclists' collisions in Bogotá is crucial to guide policies aimed at improving safety conditions. This study aims to determine the spatiotemporal trends in fatal and nonfatal collision rates and to identify the individual and contextual factors associated with fatal outcomes. We use confidence intervals, geo-statistics, and generalized additive mixed models (GAMM) corrected for spatial correlation. The collisions' records were taken from Bogotá's Secretariat of Mobility, complemented with records provided by non-governmental organizations (NGO). Our findings indicate that from 2011 to 2017, the fatal bicycling collision rates per bicyclists' population have remained constant for females while decreasing 53 % for males. Additionally, we identified high-risk areas located in the west, southwest, and southeast of the city, where the rate of occurrence of fatal events is higher than what occurs in other parts of the city. Finally, our results show associated risk factors that differ by sex. Overall, we find that fatal collisions are positively associated with factors including collisions with large vehicles, the absence of dedicated infrastructure, steep terrain, and nighttime occurrence. Our findings support policy-making and planning efforts to monitor, prioritize, and implement targeted interventions aimed at improving bicycling safety conditions while accounting for gender differences.
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Ciclismo/lesiones , Accidentes de Tránsito/mortalidad , Entorno Construido , Ciudades , Colombia , Femenino , Humanos , Masculino , Factores de Riesgo , Análisis EspacialRESUMEN
INTRODUCTION: Bicycle accidents are a frequent cause of blunt abdominal trauma in children. In Chile, there are no scientific articles about such accidents, their presentation and management. OBJECTIVE: The aim of this study is to describe three cases of blunt abdominal trauma due to handlebar injury in children, in order to illustrate the different kinds of lesions, their presentation, and management. CLINICAL CASES: 1) 11-year-old boy presented to Emergency Department (ED) after falling on a bi cycle handlebar, hitting his epigastric region. A CT scan showed signs of duodenal perforation. A la parotomy was performed and the duodenal perforation repaired. 2) 14-year-old boy seen at ED after a bicycle accident in which the handlebar hit him in the abdomen area. A CT scan showed a splenic injury with multiple lacerations and active bleeding that was treated with angioembolization. After 6 weeks of follow-up, he presented resolution of the lesion and viability of the spleen. 3) 9-year-old boy admitted due to a hit with the bicycle handlebar on the abdomen area. A CT scan showed a he patic injury that was managed with non-surgical procedures, achieving resolution of the lesion after 8 weeks of follow-up. CONCLUSION: Blunt abdominal trauma caused by handlebar can be potentially serious in pediatric patients, since it may affect solid and hollow abdominal viscera. Non-surgical ma nagement is becoming more used for stable patients, achieving high success rates. Unstable patients or those with suspicion of hollow viscera perforation will require surgery as first approach.
Asunto(s)
Traumatismos Abdominales/diagnóstico , Traumatismos Abdominales/terapia , Ciclismo/lesiones , Heridas no Penetrantes/diagnóstico , Heridas no Penetrantes/terapia , Traumatismos Abdominales/etiología , Adolescente , Niño , Servicio de Urgencia en Hospital , Humanos , Masculino , Tomografía Computarizada por Rayos X , Heridas no Penetrantes/etiologíaRESUMEN
Although cycling has been associated with overuse/fatigue and acute injuries, there is lack of information regarding associated risk factors and prevention factors. The objective of the study was to determine the factors associated with injury, and perceptions of discomfort and pain in cyclists. A total of 739 cyclists completed an online questionnaire between February and October 2016. The questionnaire acquired information on participant demographics, characteristics related to cycling profile and fitness training, bike components and cycling posture, self-reported perceptions of comfort and pain, and injuries sustained in the last 12 months. Logistic regression models estimated odds ratios (OR) and 95% confidence intervals (95%CI) that examined factors associated with reporting overuse/fatigue injury, acute injury, body discomfort, saddle discomfort, and pain while cycling. Odds of reporting an overuse/fatigue injury increased when the cyclists complemented training with running (OR = 1.74; 95%CI = 1.03-2.91) or swimming (OR = 2.17; 95%CI = 1.19-3.88), and with reported pain while cycling (OR = 1.17; 95%CI = 1.05-3.69) and not cycling (OR = 1.76; 95%CI = 1.07-2.90). Odds of reporting an acute injury increased when biking to work (OR = 1.79; 95%CI = 1.07-2.86), and decreased with increased average cycling speed (1-km/h decrease OR = 0.93; 95%CI = 0.88-0.97), and compared to low-end bike, with the use of mid-range (OR = 0.25; 95%CI = 0.09-0.72) and high-end bike (OR = 0.34; 95%CI = 0.13-0.96). Although body discomfort was only associated with saddle discomfort and the presence of pain during cycling, saddle discomfort was also associated with biking to work (OR = 0.46; 95%CI = 0.22-0.88). Finally, pain perception was associated with a number of factors such as ride to work, core training, cycling experience, saddle discomfort, pain while not cycling. Numerous factors are associated with injury, and perceptions of discomfort and pain in cyclists. Such factors should be considered when developing training routines, bicycle maintenance best practices, and injury prevention programs.
Asunto(s)
Ciclismo/lesiones , Dolor/psicología , Adulto , Ciclismo/psicología , Estudios Transversales , Europa (Continente) , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Dolor/etiología , Percepción del Dolor , Estudios Retrospectivos , Factores de Riesgo , Autoinforme , América del Sur , Encuestas y CuestionariosRESUMEN
Objetivo: analisar a produção científica acerca dos acidentes de bicicleta produzidos no Brasil. Método: revisão integrativa com propósito de responder à questão "Qual o conhecimento científico já produzido no Brasil sobre acidentes de bicicleta?". Os dados foram coletados no período de junho a agosto de 2015 nas bases MEDLINE e LILACS, artigos em português e inglês, utilizando-se os descritores: "ciclismo", "acidentes de trânsito", "Brasil", "saúde pública", "epidemiologia" e "mortalidade". Resultados: Foram analisados 15 artigos agrupados em duas categorias: perfil epidemiológico das lesões e perfil epidemiológico dos acidentes. Conclusão: Nota-se ser necessário ampliar os estudos referentes a este tema, nos diferentes estados brasileiros, uma vez que os acidentes de bicicleta passaram a ter papel importante no campo da Saúde, em especial para a Enfermagem, que irá planejar e implementar cuidados com as vítimas
Objective: To analyse the scientific production in Brazil about bicycle accidents. Method: An integrated revision with the aim at responding to the question: "What Scientific Knowledge was already produced in Brazil about bicycle accidents?" The data was collected in the period of June to August, 2015, at the MEDLINE and LILACS databases; articles in Portuguese and English, using the following keywords: "cycling", "Traffic Accidents", "Brazil", "Public Health", "Epidemiology", and "Mortality". Results: Fifteen articles were analysed and grouped in two categories: The epidemiological profile of the lesions, and the epidemiological profile of the accidents. Conclusions: It is highlighted that it is necessary to broaden the studies referring to this issue, in the different Brazilian States, since bicycle accidents have taken an important role in the area of Healthcare, especially for Nursing, which is planning and implementing the victims care
Objetivo: analizar la producción científica acerca de los accidentes de bicicleta producidos en Brasil. Método: revisión integradora con propósito de responder a la cuestión "¿Cuál el conocimiento científico ya producido en Brasil sobre accidentes de bicicleta?" Los datos han sido recopilados en el período de junio hasta agosto de 2015 en las bases MEDLINE y LILACS, artículos en portugués e inglés, utilizándose los descriptores: "ciclismo", "accidentes de tránsito", "Brasil", "salud pública", "epidemiología" y "mortalidad". Resultados: Han sido analizados 15 artículos agrupados en dos categorías: perfil epidemiológico de las lesiones y perfil epidemiológico de los accidentes. Conclusiones: Observase ser necesario ampliar los estudios referentes a este tema, en los diferentes estados brasileños, una vez que los accidentes de bicicleta pasan a tener papel importante en el campo de la Salud, en especial para la Enfermería, que irá planificar y ejecutar cuidados con las víctimas
Asunto(s)
Humanos , Masculino , Femenino , Ciclismo/lesiones , Accidentes de Tránsito/prevención & control , Accidentes de Tránsito/tendencias , Accidentes de Tránsito/estadística & datos numéricos , Ciclismo/estadística & datos numéricosRESUMEN
OBJECTIVE: to identify the magnitude and factors associated with death and serious injuries among victims of traffic accidents in the urban area of Goiânia, Brazil. METHODS: cross-sectional study with linkage between records of the Mortality Information System (SIM) Hospital Information System of the Brazilian National Health System (SIH/SUS) and occurrences of traffic accidents, from January to June 2013; Poisson regression was used. RESULTS: among 9,795 identified victims, there were 155 deaths and 1,225 serious injuries; cyclists (Incidence ratio [IR]=2.26; 95%CI 1.19;4.30) and pedestrians (IR=2.12; 95%CI 1.26;3.58) had an increased risk of death, while the risk of serious injuries was higher among motorcyclists (IR=2.38; 95%CI 2.01;2.83), cyclists (IR=2.35; 95%CI 1.76;3.13) and pedestrians (IR=2.83; 95%CI 2.27;3.53). CONCLUSION: the study revealed a number of deaths and serious injuries, closer to the real and identified vulnerable groups to plan traffic safety actions.
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Ciclismo/lesiones , Motocicletas/estadística & datos numéricos , Peatones/estadística & datos numéricos , Accidentes de Tránsito/mortalidad , Adolescente , Adulto , Brasil/epidemiología , Niño , Preescolar , Estudios Transversales , Femenino , Sistemas de Información en Hospital , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Programas Nacionales de Salud , Distribución de Poisson , Heridas y Lesiones/epidemiología , Heridas y Lesiones/mortalidad , Adulto JovenRESUMEN
With the objective of analyzing fatal and non-fatal road traffic injuries in cyclists and to document helmet use in this road user to inform sustainable mobility policies, a descriptive analysis of four secondary official information sources was conducted at the national level: mortality, Ministry of Health's hospital discharges, Unintentional and Violence Registry System (SIS-SS-17-P) and the 2012 National Health and Nutrition Survey (ENSANUT). Only SIS-SS-17-P and ENSANUT document helmet use. Except for ENSANUT information analyzed is of 2014.A total of 190 cyclists died in Mexico during 2014 and 392 were hospitalized; head was the anatomical region most frequently affected (63% and 32%, respectively). Only 0.75% of the 667 cases registered in SIS-17 reported helmet use and 24% suffered head injuries. Of the 165,348 non-fatally injured cyclists from ENSANUT <10% used helmet, 24% had head injuries and more than 16,000 suffered permanent injuries. Whereas cyclist-friendly infrastructure is an effective intervention to prevent injuries in the long term, helmet use could potentially reduce the frequency and severity of head injuries in the short run while bicycle use widespread as a means of transportation providing "safety in numbers".
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Ciclismo/lesiones , Traumatismos Craneocerebrales/epidemiología , Heridas y Lesiones/epidemiología , Adolescente , Adulto , Anciano , Ciclismo/estadística & datos numéricos , Niño , Estudios Transversales , Femenino , Dispositivos de Protección de la Cabeza/estadística & datos numéricos , Encuestas Epidemiológicas , Hospitalización/estadística & datos numéricos , Humanos , Masculino , México , Persona de Mediana Edad , Sistema de Registros , Índices de Gravedad del Trauma , Heridas y Lesiones/mortalidad , Adulto JovenRESUMEN
With the increasing popularity of mountain biking, also known as off-road cycling, and the riders pushing the sport into extremes, there has been a corresponding increase in injury. Almost two thirds of acute injuries involve the upper extremities, and a similar proportion of overuse injuries affect the lower extremities. Mountain biking appears to be a high-risk sport for severe spine injuries. New trends of injury patterns are observed with popularity of mountain bike trail parks and freeride cycling. Using protective gear, improving technical proficiency, and physical fitness may somewhat decrease the risk of injuries. Simple modifications in bicycle-rider interface areas and with the bicycle (bike fit) also may decrease some overuse injuries. Bike fit provides the clinician with postural correction during the sport. In this review, we also discuss the importance of race-day management strategies and monitoring the injury trends.
Asunto(s)
Traumatismos en Atletas/clasificación , Traumatismos en Atletas/prevención & control , Ciclismo/lesiones , Trastornos de Traumas Acumulados/prevención & control , Humanos , Extremidad Inferior/lesiones , Aptitud Física , Equipo Deportivo , Extremidad Superior/lesionesRESUMEN
OBJECTIVE: To describe the epidemiology of Guyana's road traffic injuries and perform the first geocoding of road traffic injuries in this setting. METHODS: This was a registry-based retrospective cross-sectional study investigating collisions resulting in serious and fatal injuries. Police reports from two police divisions were used to identify victim, second party (ie, non-victim) and collision characteristics of all serious and fatal collisions between January 2012 and June 2015. Collisions with available location data were geocoded using Geographic Information Systems. Distributions of characteristics were compared for urban and rural areas. Multivariable logistic regression was used to assess variables associated with fatal collisions. RESULTS: The study included 751 collisions, resulting in 1002 seriously or fatally injured victims. Fatally injured victims tended to be older, male and either pedestrians or cyclists. Fatal collisions tended to take place in rural areas, occur on weekends and involve speeding. Fifty-three per cent of fatalities occurred due to non-motorised road users being struck by motorised road users, and the most common fatal collision type was between pedestrians and motor vehicles (35%). The distribution of collisions was similar for urban (43.8%) and rural (56.2%) areas. Fatal collisions were more likely to occur in rural settings. CONCLUSIONS: Road traffic injuries pose a considerable public health burden in Guyana. These results suggest a pattern of high mortality in rural collisions and a disproportionate burden of injuries on vulnerable road users. The spatial distribution of collisions should be considered in order to target interventions and improve road traffic safety.
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Ciclismo/lesiones , Sistemas de Información Geográfica , Peatones , Heridas y Lesiones/epidemiología , Accidentes de Tránsito/prevención & control , Adolescente , Adulto , Ciclismo/estadística & datos numéricos , Estudios Transversales , Femenino , Guyana/epidemiología , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Peatones/estadística & datos numéricos , Estudios Retrospectivos , Factores de Riesgo , Población Rural , Población Urbana , Heridas y Lesiones/prevención & control , Adulto JovenRESUMEN
BACKGROUND/AIM: The condylar fracture is among the most frequent facial fractures. Despite all the published studies, its treatment remains controversial. The aim of this retrospective study was to evaluate the epidemiology and complications of mandibular condyle fractures managed by surgical and conservative treatments, over a period of twenty years. MATERIAL AND METHODS: The files of 262 patients with 318 condyle fractures were included in this study. One hundred and seven patients had conservative management, and 155 had surgical management for the condylar fractures. The outcomes were assessed by reviewing the patient's clinical records. RESULTS: The prevalence was higher in males and most patients were Caucasians in the third decade of life. The mean age was 30.17 years old. The main causes were motorcycle accidents followed by bike accidents, and the mean follow-up time was 226.5 days. The number of complications found in the two modalities of treatment was low and similar. CONCLUSION: Both treatments achieved their goals. There was no statistical difference in the complication rate between the two groups.
Asunto(s)
Tratamiento Conservador , Fijación de Fractura/métodos , Cóndilo Mandibular/lesiones , Fracturas Mandibulares/terapia , Accidentes de Tránsito , Adolescente , Adulto , Anciano , Ciclismo/lesiones , Brasil , Femenino , Estudios de Seguimiento , Humanos , Masculino , Fracturas Mandibulares/etiología , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Resultado del TratamientoRESUMEN
Introdução: O cuidar e os cuidados de enfermagem vêm se ajustando continuamente ao contexto social, político e econômico de cada época, com o propósito de garantir qualidade e eficiência para a clientela atendida. Considerando o atual cenário de mobilidade urbana, a sustentabilidade das cidades e a importância dos exercícios físicos para a saúde, a bicicleta tem se mostrado como um dos mais eficientes e populares modo de transporte, esporte e lazer. Contudo, apesar de todas as vantagens do seu uso, há grande preocupação com as questões de segurança, visto que muitas vezes os ciclistas dividem o mesmo espaço com veículos automotores, representando risco de acidentes, especialmente entre os homens, os mais acometidos pelos acidentes e pelas violências, considerando o atual conceito de masculinidade hegemônica. Objetivos: caracterizar os homens com histórico de acidentes de bicicleta; determinar os fatores que contribuíram para a ocorrência do acidente; discutir as repercussões do acidente para os acidentados; descrever os cuidados de enfermagem para homens com histórico de acidentes de bicicleta implementados no atendimento de emergência hospitalar e analisar a aproximação dos cuidados de enfermagem para homens com histórico de acidentes de bicicleta implementados no atendimento de emergência hospitalar considerando a tipologia de cuidados proposta por Coelho (1997). Metodologia: estudo misto, descritivo e exploratório, dividido em duas etapas: a abordagem quantitativa envolveu a análise de todos os atendimentos para homens acidentados de bicicleta realizados por um Serviço de Atendimento Pré-hospitalar de Urgência no ano de 2014. A abordagem qualitativa, a partir da etnometodologia, abrangeu homens com histórico de acidentes de bicicleta, que receberam o cuidar e os cuidados de enfermagem em uma emergência hospitalar. Resultados: são apresentadas três categorias analíticas. Categoria 1 Os Homens com Histórico de Acidentes de Bicicleta Atendidos em um Serviço Móvel de Emergência Pré-hospitalar; Categoria 2 O Acidente, Seus Fatores Antecedentes e suas Repercussões: dando voz ao homem acidentado de bicicleta e Categoria; e 3 Tipos de Cuidar e Cuidados de Enfermagem para Homens com Histórico de Acidentes de Bicicleta. Do total dos acidentes de bicicleta atendidos pelo Serviço Móvel de Emergência Pré-hospitalar no ano de 2014, 55,6% envolveram homens com idade entre 18 a 29 anos (p < 0,001), que se acidentaram na Região Metropolitana da Grande Vitória (83,7%), principalmente na sexta-feira e no sábado (p < 0,001), no horário entre 16h00min e 19h59min e 20,6% dos acidentados apresentaram suspeita de ingestão de bebida alcoólica. Os etnométodos revelam que o acidente se configurou como um importante episódio na vida do homem, trazendo-lhe repercussões no âmbito dos sentimentos, no contexto do trabalho e econômico. A frágil infraestrutura cicloviária e o conceito de masculinidade hegemônica foram fatores antecedentes para a ocorrência do acidente e o cuidar e os cuidados de enfermagem precisaram ser específicos considerando as necessidades do homem. Considerações Finais: No âmbito da Política Nacional de Atenção Integral à Saúde do Homem, os acidentes de transporte terrestre, e dentre eles, os de bicicleta, foram elucidados, permitindo a elaboração de atividades de prevenção nos diversos níveis de atenção à saúde do homem, permitindo propor uma tipologia do cuidar e dos cuidados de enfermagem específicos para homens com histórico de acidentes de bicicleta.(AU)
Asunto(s)
Humanos , Masculino , Ciclismo/lesiones , Ciclismo/estadística & datos numéricos , Enfermería de Urgencia/estadística & datos numéricos , Salud del Hombre/estadística & datos numéricos , Atención de EnfermeríaRESUMEN
Introdução: O estudo de biomarcadores musculares permite diagnóstico de futuras lesões no esporte de alto nível. Objetivo: Avaliar a creatinoquinase (CK) e lactato desidrogenase (LDH) em atletas Mountain Bike. Métodos: Foram coletadas amostras sanguíneas de dez atletas de Elite de Mountain Bike. As coletas de sangue foram realizadas 24 horas antes da prova (T1), imediatamente ao final da corrida (T2), uma hora após a corrida (T3) e 24 horas depois da competição (T4). Resultados: A CK se elevou da ordem de 100% em 24 horas após a competição. Já LDH aumentou 43% em T2, permanecendo elevado até 1h após competição. A correlação entre os dois marcadores apresentou o coeficiente r = 0,80. Conclusão: O acompanhamento das concentrações de CK e LDH neste experimento foi possível estimar a recuperação pós-competição dos atletas em níveis de lesão muscular, o que se converte em valiosa ferramenta para a planificação e periodização do treinamento.
Introduction: Biomarkers muscles allows diagnosis of future injuries in overall sport. Objective: Evaluate the creatine kinase (CK) and lactate dehydrogenase (LDH) in Mountain Bike athletes. Methods: Blood samples of ten athletes Elite Mountain Bike was collected. The samples of blood were taken 24 hours before (T1) immediately at the end (T2), one hour after the race (T3) and 24 hour after competition (T4). Results: The CK amounted to around 100 % in 24 hours after the competition. LDH already increased by 43 % and remaining high until 1 hour after competition. The correlation between the two biomarkers showed coefficient r = 0.80. Conclusion: The monitoring of concentrations of CK and LDH in this experiment it was possible to estimate muscle injury post-competition, which becomes a valuable tool for planning and periodization of training.
Asunto(s)
Humanos , Masculino , Adulto , Adulto Joven , Ciclismo/lesiones , Creatina Quinasa/sangre , L-Lactato Deshidrogenasa/sangre , AtletasRESUMEN
OBJECTIVE: To characterize maxillofacial fractures due to traffic accidents in patients attending the Hospital Universitario San Vicente Fundación (Medellin-Colombia) from 1998 to 2010. METHODS: A descriptive study (n =1609) was carried out with information from the medical records of patients meeting the inclusion criteria established by the general objective of the study. The variables consisted of sex, age, year, type and number of fractures, and type of vehicle. A descriptive analysis of the variables was performed and the frequency of fractures due to traffic accidents was calculated according to year and sex. Crude and adjusted odds ratios (aOR) were estimated to establish associations among age, type of vehicle, and the presence of two or more fractures with stratification by sex. RESULTS: The frequency of maxillofacial fractures due to traffic accidents increased in 2007 (men: n=198, women: n=35) and decreased from 2008 to 2010 in both sexes. Fractures were more frequent in persons aged <35 years (80%) and in men (82%). The highest frequency of fractures was observed in motorists. Male users of motorcycles (aOR=1.41; confidence interval 95% [95%CI]: 1.02- 1.94) and bicycles (aOR=1.61; 95%CI: 1.01- 2.56) were more likely to report two or more fractures compared with pedestrians, after adjustment for other variables. CONCLUSIONS: Most maxillofacial fractures occurred in men and in motorists. Future studies should analyze other determinants affecting the epidemiology of maxillofacial fractures. Strategies should be designed to improve the use of protective elements and drivers' knowledge and practices.
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Fracturas Mandibulares/epidemiología , Fracturas Maxilares/epidemiología , Fracturas Cigomáticas/epidemiología , Adolescente , Adulto , Conducción de Automóvil/estadística & datos numéricos , Ciclismo/lesiones , Colombia/epidemiología , Femenino , Fracturas Múltiples/epidemiología , Fracturas Múltiples/etiología , Humanos , Masculino , Fracturas Mandibulares/etiología , Fracturas Maxilares/etiología , Persona de Mediana Edad , Motocicletas/estadística & datos numéricos , Caminata/lesiones , Fracturas Cigomáticas/etiologíaAsunto(s)
Restauración Dental Permanente/métodos , Incisivo/lesiones , Cierre del Espacio Ortodóncico/métodos , Avulsión de Diente/terapia , Ciclismo/lesiones , Cefalometría/métodos , Niño , Resinas Compuestas/química , Materiales Dentales/química , Humanos , Masculino , Maloclusión Clase II de Angle/terapia , Maxilar/patología , Cierre del Espacio Ortodóncico/instrumentación , Planificación de Atención al PacienteRESUMEN
Handlebar hernia is a rare traumatic abdominal wall hernia occurring after blunt trauma. We report a case of an adolescent patient with a traumatic rectus muscle abdominal wall hernia produced by injury with the bicycle handlebar. The skin abrasion caused by the trauma and a swelling reproduced after a Valsalva maneuver suggested the diagnosis. Traumatic wall hernias after blunt trauma should be repaired primarily to avoid complications.
Asunto(s)
Traumatismos Abdominales/complicaciones , Ciclismo/lesiones , Hernia Abdominal/etiología , Heridas no Penetrantes/patología , Traumatismos Abdominales/diagnóstico , Traumatismos Abdominales/etiología , Pared Abdominal/patología , Adolescente , Hernia Abdominal/diagnóstico , Hernia Abdominal/patología , Humanos , Masculino , Heridas no Penetrantes/diagnóstico , Heridas no Penetrantes/etiologíaRESUMEN
This study estimated the economic costs of permanent disability caused by road traffic injuries in Mexico during 2012. From the health system's perspective, a bottom-up approach was used to calculate direct medical costs (hospitalization, outpatient care, rehabilitation, and prostheses). From society's perspective, using a human capital approach, indirect costs were associated with loss of productivity for the victims and their caregivers. Permanent disability due to road traffic injuries takes a high toll on the health system and Mexican society. From the health system perspective, the cost was US$269,529,480.72, or US$1,496.33 per victim. The estimated average cost to society was US$3,445.45 during the first year. The total average cost per victim was US$4,941.77, resulting in a total economic cost of US$1,119,761,632.53 during 2012. The study's findings highlight the need to design and implement more rigorous and efficient public policies to control and prevent road traffic injuries in Mexico.
Asunto(s)
Accidentes de Tránsito/economía , Personas con Discapacidad , Costos de la Atención en Salud , Heridas y Lesiones/economía , Accidentes de Tránsito/estadística & datos numéricos , Automóviles/estadística & datos numéricos , Ciclismo/lesiones , Personas con Discapacidad/estadística & datos numéricos , Humanos , México/epidemiología , Motocicletas/estadística & datos numéricos , Heridas y Lesiones/etiologíaRESUMEN
Objetivo Determinar los costos de atención médica generados por la accidentalidad vial en Bogotá. Metodología Estudio observacional prospectivo con datos de pacientes mayores de edad atendidos en la central de urgencias de 6 instituciones hospitalarias. Resultados El promedio del costo totalde atención por paciente fue de $1'112.000 El costo promedio día de paciente hospitalizado fue de $1'200.000. Pacientes con atención ambulatoria tuvieron un costo promedio de $247.400. El costo promedio por accidente se calculó en $2'333.700. Los costos médicos por accidentes en el periodo de análisis en Bogotá fueron aproximadamente $2.301'028.200. Cifras en pesos de 2011. Conclusiones Los costos de la atención médica de los accidentes de tránsito constituyen una carga económica considerable.
Objective To determine the cost of medical attention associated with traffic accidents in Bogotá, Colombia. Methods Prospective observational study with data from adult patients attended to in the emergency centers of 6 hospitals. Results Average total cost per patient was $1'112.000 COP. Average daily cost of hospitalized patients was $1'200.000 COP. Average cost of ambulatory treated patients ascended to $247.400 COP. Cost per accident calculated was $2'333.700 COP. In the whole city during study period, total medical costs were around $2.301'028.200 COP. All data was expressed in 2011 Colombian pesos. Conclusion The medical cost of transit accidents is a significant economic burden.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Accidentes de Tránsito/economía , Costos Directos de Servicios/estadística & datos numéricos , Gastos en Salud/estadística & datos numéricos , Heridas y Lesiones/economía , Ciclismo/lesiones , Colombia/epidemiología , Costos y Análisis de Costo , Servicio de Urgencia en Hospital/economía , Hospitalización/economía , Hospitales Privados/economía , Hospitales Privados/estadística & datos numéricos , Hospitales Públicos/economía , Hospitales Públicos/estadística & datos numéricos , Vehículos a Motor , Estudios Prospectivos , Factores Socioeconómicos , Salud Urbana , Heridas y Lesiones/epidemiología , Heridas y Lesiones/etiología , Heridas y Lesiones/terapiaRESUMEN
Se realizó un estudio descriptivo transversal y observacional de 137 pacientes con lesiones traumáticas faciales de tejido blando por accidente de ciclos, atendidos en el Servicio de Cirugía Maxilofacial del Hospital Provincial Docente Clinicoquirúrgico Saturnino Lora Torres de Santiago de Cuba, desde entre de 2008 hasta diciembre de 2009, con vistas a caracterizarles según variables de interés para la investigación. En la serie predominaron los adultos jóvenes menores de 45 años y del sexo masculino, las caídas como modalidad de accidente causante de lesiones de tejidos blandos, así como la imprudencia y la ingestión de alcohol de los conductores como las causas principales de accidentes, particularmente en el horario de la tarde y de la noche, los fines de semana y en los meses de agosto y julio, en ese orden(AU)
A cross-sectional and observational descriptive study of 137 patients with facial traumatic lesions of the soft tissue due to cycle accident, assisted in the Maxillofacial Surgery Service of Saturnino Lora Torres Provincial Teaching Clinical Surgical Hospital in Santiago de Cuba was carried out from 2008 to December, 2009, aimed at characterizing them according to variables of interest for the investigation. In the series, adults younger than 45 years and of male sex, the falls as the modality causing lesions of the soft tissue prevailed, as well as the imprudence and the alcohol ingestion of drivers as the main causes of accidents, particularly during the months of August and July, in that order(AU)