Journal of Surgery
Volume 7, Issue 1, February 2019, Pages: 19-23
Received: Feb. 17, 2019;
Accepted: Mar. 26, 2019;
Published: Apr. 18, 2019
Views 286 Downloads 48
Washington Gomes de Araujo, Department of Collective Health, School of Medicine, University of Santo Amaro, Sao Paulo, Brazil
Rodrigo Tadashi Martines, Department of Collective Health, School of Medicine, University of Santo Amaro, Sao Paulo, Brazil
Tamiris Pontel de Oliveira, Department of Collective Health, School of Medicine, University of Santo Amaro, Sao Paulo, Brazil
Priscila Souza Schinzari, Department of Collective Health, School of Medicine, University of Santo Amaro, Sao Paulo, Brazil
Jane de Eston Armond, Department of Collective Health, School of Medicine, University of Santo Amaro, Sao Paulo, Brazil
Pedestrian traffic injuries represent an important cause of mortality, and although the occurrence rates are lower than collisions between vehicles, the lethality is much higher due to the vulnerability of the pedestrians. This study characterized the victims of traffic accidents as to gender, age group, period of occurrence, association with alcohol and drug use, place of accidents, diagnosis of attendance, evolution of victims and types of vehicles involved, in order to assist public managers in intervening in such scenario. It is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2719 pedestrians injured in traffic accident records, during 2017 in Sao Paulo, Brazil. Men were involved in 61.9% of the traffic accidents and the most affected age group was between 20 and 24 years (12.4%). The highest incidence was in the afternoon (12.2%), in the South region (4.5%) and 46.3% associated with cars. The lower limb traumas were the most frequent (32.3%) and 76.5% of the victims followed to hospital discharge. This study revealed the importance of the epidemiological analyses of traffic accidents. It is an important tool to guide governments to promote public and drivers education to respect the traffic regulations. And besides, it can be used to manage the assistance of the pedestrian victims of traffic accidents by the maintaining of the pre-hospital and hospital care teams in strategic locations to minimize the time between the accident and the victim’s care by the public Brazilian National Health System (Sistema Único de Saúde - SUS).
Washington Gomes de Araujo,
Rodrigo Tadashi Martines,
Tamiris Pontel de Oliveira,
Priscila Souza Schinzari,
Jane de Eston Armond,
Incidence of Pedestrian Traffic Injury in Sao Paulo Brazil, Journal of Surgery.
Vol. 7, No. 1,
2019, pp. 19-23.
Nunes MN, Nascimento LFC. Spatial analysis of deaths due to traffic accidents, before and after the Brazilian Drinking and Driving Law, in micro-regions of the state of São Paulo, Brazil. Rev Assoc Med Bras. 2012; 58 (6): 685-690.
Moreno NTS, Dalmas JS, Martins EAP. Run over: Epidemiological analysis of the last four years. Cienc Cuid Saude. 2016; 15 (4): 693-700.
Anjos KC, Evangelista MRB, Silva JS, Zumiotti AV. A patient victim of car traffic violence: na analysis of socioeconomic profile, accident characteristics and social services intervention in the emergency room. Acta Ortop Bras. 2007; 15 (5): 262-266.
Neto OLD, Montenegro MDMS, Monteiro RA, Júnior JBS, Silva MMAD, Lima, CMD, Júnior JBDS. Mortality due to Road Traffic Accidents in Brazil in the last decade: trends and risk clusters. Cienc Saude Colet. 2012; 17 (9): 2223-2236.
Soares LS, Sousa DACM, Machado ALG, Silva GRF. Profile of trauma victims from motorcycle accidents assisted in a public hospital. Rev Enferm UERJ. 2015; 23 (1): 115-121.
Andrade SSSCDA, Jorge MHPDM. Estimate of physical sequelae in victims of road traffic accidents hospitalized in the Public Health System. Rev Bras Epidemiol. 2016; 19 (1): 100-111.
Viégas MLC, Pereira ELR, Targino AA, Furtado VG, Rodrigues DB. Traumatic brain injury in a reference hospital in Para, Brazil: prevalence of victims about gender, age group, mechanisms of trauma, and death. Arq Bras Neurocir. 2013; 32 (01): 15-18.
Leon LM, Belon AP, Barros MB, Almeida SD, Restitutti MC. Trends in traffic accidents in Campinas, São Paulo State, Brazil: the increasing involvement of motorcyclists. Cad Saúde Pública. 2012; 28 (1): 39-51.
National Health Plan (PNS): 2016 – 2019. Brasilia: Ministry of Health of Brazil. Executive Secretary. Secretary of Planning and Budget, 2016-2019. http://bvsms.saude.gov.br/bvs/publicacoes/plano_nacional_saude_2016_2019_30032015_final.pdf (March 25th 2019, last access).
Camargo ABM. Senior and mortality: worrying relationship with external causes. SEADE 1st Analysis. Sao Paulo: State Data Analysis System Foundation. 2016; 35: 1-20. http://www.seade.gov.br/wp-content/uploads/2016/03/Primeira_Analise_35_fev16.pdf (March 25th, 2019, last access).
Soares RAS, Pereira APDJT, Moraes RMD, Vianna RPDT. Characterization of victims of traffic accidents attended by the Mobile Emergency Service in João Pessoa-PB in 2010. Epidemiol Serv Saúde. 2012; 21 (4): 589-600.
Paixão LMMM, Gontijo ED, Mingoti SA, Costa DAS, Friche AAL, Caiaffa WT. Deaths in urban traffic: qualification and information of vulnerable groups. Cad Saúde Pública. 2015; 31: S1-S15.
Rozestraten, Reinier JA. Social Psychology and Traffic. Psychology: Science and profession. 1986; 6 (2): 22-23.
World Health Organization. Global Status Report on Road Safety - 2015. Geneva: World Health Organization, 2018. Available at https://apps.who.int/iris/bitstream/handle/10665/277370/WHO-NMH-NVI-18.20-eng.pdf?ua=1 (March 25th, 2019, last access).
Jorge MHPM, Martins CBG. Child, teenager, and traffic: some importante considerations. Assoc Med Bras. 2013; 59 (3): 199-208.
Gorios C, Souza RM, Gerolla V, Maso B, Rodrigues CL, Armond JE. Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo. Rev Bras Ortop. 2014; 49 (4): 391-395.
Almeida RLF, Filho JGB, Macedo MCM, Silva KA, Braga JU, Magalhaes FB. Man, road and vehicle: risk factors associated with the severity of traffic accidents. Rev Saude Publica. 2013; 47 (4): 718-731.
Martines, R. T., Araujo, W. G. D., Rodrigues, C. L., Armond, J. D. E.. Incidence of pedestrian traffic injury in São Paulo, Brazil, in 2016. Acta Ortop Bras. 2018; 26 (2): 112-116.
Brazilian Institute of Geography and Statistics - IBGE. Infographic: municipal fleet of vehicles in São Paulo. 2019. Available at https://cidades.ibge.gov.br/brasil/sp/sao-paulo/pesquisa/22/28120 (Last access: March 25th, 2019).