Abstract
To estimate the burden of disease for external causes of injury in the department of Casanare during the 2008-2012 period. Retrospective descriptive study on the records of the events grouped as external causes of injury notified to SIVIGILA and the events reported to the Epidemiological Surveillance System of External Causes (SIVELCE). Analysis of time, place, and person variables through descriptive statistics, using templates available via WHO in Microsoft Office® Excel 2013 and Epi-Info® 7.1.3. Between 2008 and 2012, 5 829 cases grouped as external causes of injury were notified to SIVIGILA: 751 ophidic accidents (12.9%), 3 774 rabies attacks (64.7%), 1 231 poisoning cases (21.1%), 32 gunpowder injuries (0.5%), and 41 cases of violence (0.7%), with a male/female ratio of 1:1, average age of 25±19,3 (r=0.01-92), and 821 disability-adjusted life years (DALYs) (2. 5 years per 1 000 inhabitants). In turn, SIVELCE received 15 539 reports: 12 834 intentional injuries (82.6%) and 2 704 unintentional injuries (17.4%), with a male/female ratio of 1:1, average age of 28±14.1 (r=0.03-90), correlation between dying by intentional injuries vs. unintentional injuries with an odds ratio of OR=0.12 (X2=1 060.56 1 g.l; p value=0.0), and DALY of 18 179 (55.8/1 000). The external causes of injury affect men and women equally; DALYs occur at the expense of morbidity. All external causes of injury are preventable; therefore, it is necessary to strengthen surveillance, prevention and control actions.
Highlights
The external causes of injury affect men and women ; disability-adjusted life years (DALYs) occur at the expense of morbidity
Estimación de la carga de enfermedad para Colombia, 2010: Pontificia Universidad Javeriana, Editoiral Pontificia Universidad Javeriana, Centro de Proyectos para el Desarrollo - CENDEX; 2014. 149 p
Summary
The external causes of injury affect men and women ; DALYs occur at the expense of morbidity. All external causes of injury are preventable; it is necessary to strengthen surveillance, prevention and control actions. Para conocer el estado de salud poblacional e identificar prioridades se han utilizado indicadores [1] operacionales o epidemiológicos, que pueden agruparse como simples, para cifras absolutas y compuestos, construidos desde varios indicadores [2], entre ellos: años de vida ajustados por calidad (AVAC) o Quality Adjusted Life Years (QALY) [3, 4]; años de vida perdidos por muerte prematura (AVPM) o años de vida potenciales perdidos (AVPP) [2]; y,el indicador de carga de enfermedad o años de vida ajustados por discapacidad (AVAD) o años de vida saludable perdidos (AVISA) o Disability-Adjusted Life Year (DALY)(5) que combina tiempo perdido por mortalidad prematura (años de vida perdidos o AVP) y tiempo vivido con discapacidad (años vividos con discapacidad o AVD). El tiempo perdido por muerte prematura se mide en relación con la esperanza de vida de referencia [3]; aquél vivido con discapacidad se traduce en pérdida de tiempo equivalente, usando ponderaciones que reflejan la disminución de capacidad funcional [6]
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