Abstract
Objective: To characterize the profile of hospitalizations and deaths related to craniofacial fractures in Brazilian children and adolescents. Material and Methods: This is an ecological cross-sectional study with inductive approach with comparative-descriptive procedure and indirect documentation technique. Data were obtained from the DATASUS / SIH-SUS website for the years 2010-2014, considering information for each state of the five Brazilian regions. Admission rates were calculated per 100,000 inhabitants, and data were analyzed by population rates, averages and absolute and relative frequencies. Results: The Northeastern region of Brazil showed the highest hospitalization rate (81.72), followed by the Northern (56.84), Southern (50.94), Midwestern (44.25) and Southeastern regions (30.28). In all regions, the years with the highest hospitalization rates were: 2010 for the Northern (13.17) and Southeastern regions (6.61), 2013 for the Northeastern (20.07) and Midwestern regions (10.17) and 2014 for the Southerner region (10.52). The highest hospitalization rates in all regions of the country in the last five years were observed for male children and adolescent. In relation to age group, higher rates were recorded from 15 to 19 years. Of the total of 27,244 hospitalizations (3.8%), 1028 patients died and 35.5% of them occurred in the Northeastern region. Considering the years under study, the average length of stay and average daily hospitalization cost were respectively 4.0 days and US$ 82.7. Conclusion: The Northeast region of Brazil had the highest hospitalization rate of children and adolescents by craniofacial fractures, and male adolescents and those aged 15-19 years were the most affected in different regions of the country. Costs of hospital admissions due to this type of injury are significant, with more deaths as a result of these injuries in Brazil in the last 5 years evaluated with the highest prevalence in the Northeastern region of Brazil.
Highlights
The building of scientific evidence about diseases in public health is considered as competence of research in the field of epidemiology, so that preventive measures, policies and intervention programs can be organized, planned, implemented and assessed for the control of the determining factors [1].Epidemiological surveys operate as pioneer and initial tools in logistic cost-effectiveness management processes, as well as in the decision making of managers of health policies, which suggest strategies that positively impact health-related quality of life
Universe and Sample The study was retrospective and had a census character, which universe was composed of all hospitalizations due to craniofacial fractures involving individuals aged 0-19 years registered in hospitals assisted by SUS from January 2010 to December 2014 in the five geographical regions of Brazil
Among the 27,244 hospitalizations due to craniofacial fractures of individuals aged 0-19 years treated in the 2010-2014 period in public or private hospitals funded by SUS resources, it appears that the highest hospitalization rates occurred in the Northeastern region (81.72/100,000 inhabitants), varying among Brazilian regions in different years of the study period (Table 1)
Summary
The building of scientific evidence about diseases in public health is considered as competence of research in the field of epidemiology, so that preventive measures, policies and intervention programs can be organized, planned, implemented and assessed for the control of the determining factors [1].Epidemiological surveys operate as pioneer and initial tools in logistic cost-effectiveness management processes, as well as in the decision making of managers of health policies, which suggest strategies that positively impact health-related quality of life. The building of scientific evidence about diseases in public health is considered as competence of research in the field of epidemiology, so that preventive measures, policies and intervention programs can be organized, planned, implemented and assessed for the control of the determining factors [1]. Epidemiological surveys significantly contribute to the reduction of deaths and injuries, as a result of the effective connection of the various health areas with epidemiological surveillance [2]. In this perspective, injuries are characterized as diseases of interest in the context of public health for being among the leading causes of morbidity and mortality worldwide that directly interfere in the operation of health services [3]. Hospitalizations due to fractures account for about 9% of global mortality as a result of high demand, little specialized infrastructure and significant costs [5,6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
