Consequences Of External Causes Research Articles

Adolescentes atendidos num serviço público de urgência e emergência: perfil de morbidade e mortalidade

One is about a transversal descriptive inquiry in the characterize causes of morbidade and mortality between adolescents taken care of in the urgency and emergency service of a public hospital. The collection of data was carried through the attendance fiches, in the January, February and March months of 2003, totalizing 2722. The population consisted of adolescents of 10 the 19 years of age, residents in the city. The morbi-mortality causes had been classified in accordance with the International Classification of Desease (CID-10). More than the half of the taken care is for the feminine population (54.1%). The predominant causes of morbidade had been the infectious and parasitic illnesses in the feminine sex (26.5%) and injuries and poisoning and some other consequences of external causes in the masculine sex (30.5%). The month of bigger attendance was March (38.4%). The period of the night was of bigger prevalence (37.6%). The medical clinic took care of 63.9% of the adolescents. They had received high, 84.6% of the cases and had not been detected deaths. The results contribute for the aiming of writ of prevention public politics the specific action, of control and reduction of the main causes of morbidade that take the adolescent population to look the service of ready aid.

Qualidade da informação sobre causas externas no Sistema de Informações Hospitalares

To analyze the coverage and quality of the data on hospitalizations due to external causes in the Hospital Information System of the Brazilian National Health System. Hospitalizations recorded in the Hospital Information System of 11 hospitals in two municipalities (Londrina and Maringá, Southern Brazil), in 2004, were compared with hospitalizations identified as consequences of external causes through investigating medical records, complemented with mortality and pre-hospital data. The crude agreement rate, sensitivity and positive predictive value were calculated. The profile of groups of hospitalization causes recorded in the System was compared with that obtained from investigations. In Londrina, 3,002 hospitalizations due to external causes were recorded in the System and, in Maringá, 1,403. The investigations found 4,018 and 2,370, respectively. The System presented high positive predictive values for hospitalizations due to external causes in both municipalities: 97.7% in Londrina and 98.6% in Maringá. However, the sensitivity was low: 57.3% in Maringá and 73% in Londrina, thus denoting underrecording of these causes. Comparison between the profiles of the types of causes revealed that there was underestimation of some causes in the System, especially regarding accidents due to exposure to inanimate mechanical forces, assaults and intentional self-harm. Underrecording of hospitalizations due to external causes and some distortions regarding the types of causes occurred in the Hospital Information System in both municipalities. Detection of these deficiencies may contribute towards the process of improving the quality of the information in this System.

Hospitalization Patterns for Psychiatric Disorders Across the Lifespan in Australia From July 1998 to June 2005

Hospitalization Patterns for Psychiatric Disorders Across the Lifespan in Australia From July 1998 to June 2005

Examining the burden of work-related hospitalized injuries: definitional issues

Background:Identifying work-related injuries from hospitalization data is not straightforward. How a work-related injury, either acute or non-acute, is defined will affect injury enumeration, injury burden estimates, and subsequent priority setting...

Relationship between the Change in Mental Health and Indicators of Medical Costs in the Prevention of Lifestyle-Related Disease

Mental health influences the need for health consultations, and mental healthcare is often required in the prevention of lifestyle-related disease. We investigated the relationship between indicators of medical costs and changes in mental health before and after interventions to prevent lifestyle-related disease. The study was conducted using data from participants of a lifestyle intervention program who did not have inpatient medical claims (n = 110; 46 men, 64 women). The results of a General Health Questionnaire (GHQ)-30, completed before the intervention in August 2003 and after 1 year, were used as indicators of mental health, while diagnoses based on the International Classification of Diseases (ICD)-10 from medical claims in the 2003 fiscal year were used to classify diseases using the proportional disease magnitude (PDM) method. Subjects were classified into four groups based on their change in mental health: change from good to good (GG; n = 72); change from good to poor (GP; n = 9); change from poor to good (PG; n = 16); and change from poor to poor (PP; n = 13).The indicators of medical costs were compared among four groups by analysis of variance (ANOVA) and analysis of co-variance (ANCOVA). We classified patients according to the frequency of consultations as follows: (i) those of at least two clinics per month; (ii) those of at least three clinics per month; and (iii) those of at least two clinics for the same disease per month. This frequency was used as an indicator of medical costs. Patients in the GG and PG groups required significantly fewer consultations than those in the PP group. The GG group had significantly fewer patients who had at least two outpatient medical claims per month than the PP group, following adjustment for age and sex. Patients in the GG and PG groups had significantly fewer consultations for ICD-10 diagnosis codes for ‘certain infectious and parasitic diseases’, ‘disease of the digestive system’, and ‘injury, poisoning, and certain other consequences of external causes’ than those in the PP group; however, the GP group had a significantly greater number of consultations for ‘endocrine, nutritional, and metabolic disease’ than the PP group. Individuals with mental health issues both before and after intervention required more outpatient consultations than those without. The importance of considering mental health in preventing lifestyle-related diseases was confirmed.