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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.26 - Nº 4 - Dic. 2010

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Childhood accidents. Prevalence, characteristics and morbidity determined by accidents in the Uruguayan population

BERNADA M; ASSANDRI E; CUADRO MN; PERDOMO V; GARCÍA L; CHAMORRO F; MIGDAL C; GIBARA S; ROMERO ORONOZ C; PEREYRA A
Rev Med Urug 2010; 26: 224-237
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Introduction: accidents constitute an important health problem within the global context. In Uruguay, they represent the first cause of death in children between 1 and 14 years old.

Objetives: to learn about the prevalence of consultations for accidents, main characteristics and morbidity in the acute stage, in children assisted in private and public health centers in Montevideo, Salto and Paysandú.

Method: we conducted an observational study from September 1 through 30, 2008. Children between 0 and 14 years old who consulted for accidents in certain emergency services were included in the study. We recorded: age, sex, place where it occurred (intradomicile or extradomicile), type, lesion topography, treatment required, hospitalization sector, dismissal from hospital or death.

Results: 29.216 pediatrics consultations took place, accident prevalence was 7.8% . Median age was 6 years old (varying from 22 days to 14 years old), 60% were boys. The most frequent kind of accident was falls, followed by: cuts and puncture wounds, or both, trauma or unknown mechanism of injury, burns, sports trauma, bites, car accidents and poisoning. Car accidents and poisoning caused the most serious lesions. 3.6% required hospitalization. Four children were admitted to the intensive care unit, and two to the intermediate care unit. No patients died.

Conclusions: we need to encourage and sustained involvement from many sectors to avoid children lesions and death caused by accidents.