Clinical-epidemiological profile of traumatic brain injury associated with traffic accidents in southeastern Pará, in the Brazilian Amazon

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2023.204038

Keywords:

Brain injuries traumatic, Epidemiology descriptive, Traffic accidents, Neurology

Abstract

Introduction: In Brazil, traumatic brain injury (TBI) represents about two thirds of all causes of death and are often associated with traffic accidents, causing overload of medium and high complexity services. Objectives: To describe the occurrence and clinical-epidemiological profile of TBIs associated with traffic accidents in a regional hospital in the southeast of the state of Pará. Materials and Methods: This is a cross-sectional analytical study.
It was based on data from the medical and statistical archives service of a regional hospital, through the analysis of electronic medical records of patients treated with TBI resulting from traffic accidents in the period from 2016 to 2020. Results: Of the 20,077 overall hospitalizations recorded, 4.0% were associated with the occurrence of TBI, of which, 75.3% were directly caused by traffic accidents involving motorcycles. The cases were concentrated
in individuals of mixed race, male, aged between 18 and 29 years, with percentages of 92.5%, 86% and 39%, respectively. Conclusions: The occurrence of TBIs associated with automobile accidents is a problem that requires attention in the region. Moreover, there were several gaps in the completion of the medical records, which made it difficult to determine the association of the outcome, alcohol consumption and the use of PPE. However, considering all the information presented, assertive local public policies aimed at prevention can be implemented. And this can be the starting point for promoting changes aimed at mitigating traffic accidents and bed occupations due to preventable causes, impacting the quality of health care and economic factors.

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Author Biographies

  • Edlainny Araujo Ribeiro, Faculdade de Ensino Superior da Amazônia Reunida, Redenção, (PA), Brasil

    Docente no curso de Medicina e Enfermagem

  • Rogerio Hercules Ferreira, Faculdade de Ensino Superior da Amazônia Reunida, Redenção, (PA), Brasil

    Docente no Curso de Medicina

  • Laura Costa Caixeta, Faculdade de Ensino Superior da Amazônia Reunida, Redenção, (PA), Brasil

    Discente no Curso de Medicina

  • Marilia Jaqueline Lopes Fagundes, Faculdade de Ensino Superior da Amazônia Reunida, Redenção, (PA), Brasil

    Discente no Curso de Medicina

  • Lorrany Karen Batista de Jesus Weber, Faculdade Única de Ipatinga, Santo Ângelo, (RS), Brasil

    Enfermeira Especialista em Gestão de UTI

  • Alanna Oliveira Teixeira , Faculdade de Ensino Superior da Amazônia Reunida, Redenção, (PA), Brasil

    Discente no Curso de Medicina

References

ICD-11 for Mortality and Morbidity Statistics. Disponível em: http://id.who.int/icd/entity/1103667651. Acesso em 24 de outubro de 2021

Filho GB. Bogliolo - Patologia. (10ª edição). Rio de Janeiro: Grupo GEN; 2021.

Silva FS e., Carvalho Filha FSS, Gomes RNS, Carvalho Paixão ML, Silva NO da, Maria RC de, et al. Trauma crânio encefálico como um problema de saúde pública: uma revisão integrativa da literatura. In: Saúde Em Foco: Temas Contemporâneos - Volume 2. Editora Científica Digital; 2020. 622-33.

Choi WS, Cho JS, Jang YS, Lim YS, Yang HJ, Woo JH. Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident: A propensity score matching. PLoS One. 2020;15(1):e0227691. Published 2020 Jan 13. doi:10.1371/journal.pone.0227691.

TabNet Win32 3.0: Mortalidade - Brasil [Internet]. Datasus.gov.br. 2019. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obt10uf. Acesso em 10 de outubro de 2021.

GBD Results [Internet]. Institute for Health Metrics and Evaluation,2019. Disponível em: https://vizhub.healthdata.org/gbd-results/ Acesso em 15 de Junho de 2022.

Chaves BS de C, Cabral da Paz CO, De Oliveira LG, Miranda NIF, De Araújo IT, Gonçalves AGF, et al. Análise epidemiológica das internações por traumatismo craniano em hospitais de Belém do Pará, entre 2015 e 2019. Int Neuropsychiatr Dis J [Internet]. 2020;10–5. Disponível em: http://dx.doi.org/10.9734/indj/2020/v14i130118

Magalhães ALG, Barros JLVM de, Cardoso MG de F, Rocha NP, Faleiro RM, Souza LC de, et al. Traumatic brain injury in Brazil: an epidemiological study and systematic review of the literature. Arq Neuropsiquiatr [Internet]. 2022;80(4):410–23. Available from: http://dx.doi.org/10.1590/0004-282x-anp-2021-0035

Fukujima MM. O Traumatismo Cranioencefálico na Vida do Brasileiro. Rev Neurociênc [Internet]. 2013;21(2):173–4. Disponível em: http://dx.doi.org/10.34024/rnc.2013.v21.8175

Cidades e Estados: Pará [Internet]. Gov.br. Disponível em: https://www.ibge.gov.br/cidades-e-estados/pa.html. Acesso em 13 de novembro de 2021

Quem Somos. Hospital Regional Público do Araguaia. [Internet]. HRPA. Disponível em: https://hrpa.org.br/quem-somos. Acesso em 05 Agosto de 2022.

Dunne J, Quiñones-Ossa GA, Still EG, Suarez MN, González-Soto JA, Vera DS, et al. The epidemiology of Traumatic brain injury due to traffic accidents in Latin America: A narrative review. J Neurosci Rural Pract. 2020;11(2):287–90. http://dx.doi.org/10.1055/s-0040-1709363

Ganti L, Bodhit AN, Daneshvar Y, et al. Effectiveness of seatbelts in mitigating traumatic brain injury severity. World J Emerg Med. 2021;12(1):68-72. doi:10.5847/wjem.j.1920-8642.2021.01.011

Weil ZM, Corrigan JD, Karelina K. Alcohol Use Disorder and Traumatic Brain Injury. Alcohol Res. 2018;39(2):171-180.

Conselho Nacional De Trânsito. Resolução nº 453 de 26 de setembro de 2013. Disciplina o uso de capacete para condutor e passageiro de motocicletas, motonetas, ciclomotores, triciclos motorizados e quadriciclos motorizados. [s.l: s.n.]. p. 1–11. 2013.]

Balikuddembe JK, Ardalan A, Khorasani-Zavareh D, Nejati A, Munanura KS. Road traffic incidents in Uganda: a systematic review study of a five-year trend. J Inj Violence Res. 2017;9(1). http://dx.doi.org/10.5249/jivr.v9i1.796

Clivatti GM, Milcheski DA, Briza DN, Ribeiro RDA, Abbas L, Monteiro GGR, et al. Avaliação do impacto no atendimento de pacientes com pandemia de COVID-19 em serviço especializado. Rev Bras Cir Plást [Internet]. 2021;36(4). Disponível em: http://dx.doi.org/10.5935/2177-1235.2021rbcp0127

Pinggera D, Klein B, Thomé C, Grassner L. The influence of the COVID-19 pandemic on traumatic brain injuries in Tyrol: experiences from a state under lockdown. Eur J Trauma Emerg Surg. 2021;47(3):653–8. http://dx.doi.org/10.1007/s00068-020-01445-7

Ribeiro-Junior MAF, NÉder PR, Augusto SDES, Elias YGB, Hluchan K, Santo-Rosa OM. Estado atual do trauma e da violência em São Paulo - Brasil durante a pandemia de COVID-19. Rev Col Bras Cir. 2021;48:e20202875. http://dx.doi.org/10.1590/0100-6991e-20202875

Rault F, Terrier L, Leclerc A, Gilard V, Emery E, Derrey S, et al. Decreased number of deaths related to severe traumatic brain injury in intensive care unit during the first lockdown in Normandy: at least one positive side effect of the COVID-19 pandemic. Acta Neurochir (Wien). 2021;163(7):1829–36. http://dx.doi.org/10.1007/s00701-021-04831-1

Rajalu BM, Indira Devi B, Shukla DP, Shukla L, Jayan M, Prasad K, et al. Traumatic brain injury during COVID-19 pandemic—time-series analysis of a natural experiment. BMJ Open. 2022;12(4):e052639. http://dx.doi.org/10.1136/bmjopen-2021-052639

Mangot-Sala L, Tran KA, Smidt N, Liefbroer AC. The impact of the COVID lockdown on alcohol consumption in the Netherlands. The role of living arrangements and social isolation. Drug Alcohol Depend. 2022; 233:109349. doi:10.1016/j.drugalcdep.2022.109349.

Da Silva BB, Rios FMA, Araújo TCD, Paz MSA, Xavier ASG, Bárbara da Silva SS. Caracterização do trauma em vítimas submetidas a procedimentos cirúrgicos em um hospital público da Bahia. Rev Baiana Saúde Pública [Internet]. 2018;42. Disponível em: http://dx.doi.org/10.22278/2318-2660.2018.v42.n0.a2869

Silva C de LN, Lopes MCBT, Thomaz RR, Whitaker IY. Mortalidade de motociclistas com lesões traumáticas resultantes de acidentes de trânsito na cidade de São José dos Campos, em 2015: estudo de coorte. Epidemiol Serv Saude [Internet]. 2020;29(5). Disponível em: http://dx.doi.org/10.1590/s1679-49742020000500003

Nnadi MON, Bankole OB, Fente BG. Motorcycle-related traumatic brain injuries: Helmet use and treatment outcome. Neurosci J 2015; 2015:696787. http://dx.doi.org/10.1155/2015/696787

Da Cunha, EC; Melo, LFM. Perfil epidemiológico de motociclista atendido por trauma cranioencefálico na Sala Amarela-Hospital Referência ao Trauma do Distrito Federal. Comunicação em Ciências da Saúde, 2019. http://10.233.90.10:8080/jspui/handle/prefix/135

Tobi KU, Azeez AL, Agbedia SO. Outcome of traumatic brain injury in the intensive care unit: a five-year review. South Afr j anaesth analg. 2016;22(5):135–9. http://dx.doi.org/10.1080/22201181.2016.1206293

Popescu C, Anghelescu A, Daia C, Onose G. Actual data on epidemiological evolution and prevention endeavours regarding traumatic brain injury. J Med Life. 2015;8(3):272–7.

Published

2023-11-27

Issue

Section

Original Articles

How to Cite

1.
Ribeiro EA, Ferreira RH, Caixeta LC, Fagundes MJL, Weber LKB de J, Teixeira AO. Clinical-epidemiological profile of traumatic brain injury associated with traffic accidents in southeastern Pará, in the Brazilian Amazon: . Medicina (Ribeirão Preto) [Internet]. 2023 Nov. 27 [cited 2024 May 23];56(3):e-204038. Available from: https://revistas.usp.br/rmrp/article/view/204038