RESUMO
The objective of this study was to review mortality from external causes (accidental injury) in children and adolescents in systematically selected journals. This was a systematic review of the literature on mortality from accidental injury in children and adolescents. We searched the Pubrvled, Latin-American and Caribbean Health Sciences and Excerpta Medica databases for articles published between July of 2001 and June of 2011. National data from official agencies, retrieved by manual searches, were also reviewed. We reviewed 15 journal articles, the 2011 edition of a National Safety Council publication and 2010 statistical data from the Brazilian National Ministry of Health Mortality Database. Most published data were related to high-income countries. Mortality from accidental injury was highest among children less than 1 year of age. Accidental threats to breathing (non-drowning threats) constituted the leading cause of death among this age group in the published articles. Across the pediatric age group in the surveyed studies, traffic accidents were the leading cause of death, followed by accidental drowning and submersion. Traffic accidents constitute the leading external cause of accidental death among children in the countries understudy. However, infants were vulnerable to external causes, particularly to accidental non-drowning threats to breathing, and this age group had the highest mortality rates for external causes. Actions to reduce such events are suggested. Further studies investigating the occurrence of accidental deaths in low-income countries are needed to improve the understanding of these preventable events.
Assuntos
Acidentes/mortalidade , Ferimentos e Lesões/mortalidade , Adolescente , Distribuição por Idade , Causas de Morte , Criança , Humanos , Traumatismo Múltiplo/mortalidade , Fatores de RiscoRESUMO
The objective of this study was to review mortality from external causes (accidental injury) in children and adolescents in systematically selected journals. This was a systematic review of the literature on mortality from accidental injury in children and adolescents. We searched the Pubrvled, Latin-American and Caribbean Health Sciences and Excerpta Medica databases for articles published between July of 2001 and June of 2011. National data from official agencies, retrieved by manual searches, were also reviewed. We reviewed 15 journal articles, the 2011 edition of a National Safety Council publication and 2010 statistical data from the Brazilian National Ministry of Health Mortality Database. Most published data were related to high-income countries. Mortality from accidental injury was highest among children less than 1 year of age. Accidental threats to breathing (non-drowning threats) constituted the leading cause of death among this age group in the published articles. Across the pediatric age group in the surveyed studies, traffic accidents were the leading cause of death, followed by accidental drowning and submersion. Traffic accidents constitute the leading external cause of accidental death among children in the countries understudy. However, infants were vulnerable to external causes, particularly to accidental non-drowning threats to breathing, and this age group had the highest mortality rates for external causes. Actions to reduce such events are suggested. Further studies investigating the occurrence of accidental deaths in low-income countries are needed to improve the understanding of these preventable events.
Assuntos
Adolescente , Criança , Humanos , Acidentes/mortalidade , Ferimentos e Lesões/mortalidade , Distribuição por Idade , Causas de Morte , Traumatismo Múltiplo/mortalidade , Fatores de RiscoRESUMO
Objetivo: descrever um caso de trauma tóraco-abdominal fechado causado pela queda de um tanque de lavar roupa em uma criança, discutindo dados de literatura. Relato do caso: menina de 3 anos, vítima de trauma tóraco-abdominal após queda do tanque, chegou ao hospital descorada, gemente, evoluindo com choque, tendo sido garantida oxigenação e ventilação associada a fluidoterapia agressiva. Encaminhada ao Centro Cirúrgico, foi submetida a laparotomia e toracotomia, sendo encontrado hemotórax à direita com lesão em átrio direito, com choque hemorrágico não responsivo, culminando com parada cardíaca irreversível às manobras de ressuscitação.Conclusão: na vigência de trauma torácico ou abdominal em criança, a busca diagnóstica por lesões incomuns, mas potencialmente letais, como a ruptura de grandes vasos e miocárdio, deve ser incessante, particularmente naqueles pacientes com fortes evidências clínicas. A queda de tanque de lavar roupa ainda é importante causa de morbimortalidade que pode ser prevenida através de adaptações no modelo do tanque e orientações aos responsáveis pelo cuidado das crianças.(AU)
Assuntos
Humanos , Feminino , Pré-Escolar , Traumatismos Torácicos , Traumatismos Abdominais , Acidentes Domésticos , Unidades de Terapia Intensiva PediátricaRESUMO
Objetivo: descrever um caso de trauma toraco-abdominal fechado causado pela queda de um tanque de lavar roupa em uma criança discutindo dados de literatura...
Objective: to describe a case of closed thoracoabdominal injury provoked by the fall of a washing tank over achild, and to discuss it in accordance to the literature...
Assuntos
Humanos , Feminino , Pré-Escolar , Traumatismos Abdominais , Acidentes por Quedas , Traumatismos Cardíacos , Traumatismos TorácicosRESUMO
Os autores apresentaram dois casos de hemossiderose pulmonar primaria em criancas, possivelmente relacionada a alergia ao leite de vaca. As manifestacoes clinicas caracterizam-se por tosse, dispneia, insuficiencia cardiaca congestiva associadas a pneumopatia de repeticao e anemia ferropriva. O diagnostico foi confirmado pelo encontro de hemossiderina em macrofagos do escarro no caso 1 e em macrofagos pulmonares no caso 2. Em ambos os casos, o quadro clinico sugeriu a relacao da doenca com alergia a leite de vaca (variante de Heiner).