244032 Emergency Department Visits due to falls in public hospitals, Brazil, 2009

Wednesday, November 2, 2011: 9:10 AM

Vilma Gawryszewski, MD PhD , Health Information & Analysis, Pan American Health Organization, Washington, DC
Marta Maria Alves Da Silva, Dr , Injury Prevention Coordination, Brazilian Ministry of Health, Brazilia, Brazil
Marcio Denis Medeiros Mascarenhas, Prof , Federal University of Piauí, Brasília, Brazil
Naiza Nayla Bandeira Sa , Coordination of Non Communicable Diseases, Brazilian MInistry of Health, Brasilia, DF, Brazil
Otaliba Libanio Morais Neto, Dr , Department of Information Analysis, Brazilian Ministry of Health, Brasília, Brazil
Regina Tomie Ivata Bernal , School of Public Health, University of São Paulo, Sao Paulo, Brazil
Rosane Aparecida Monteiro , Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto/SP, Brazil
Silvânia Suely Caribé de Araújo Andrade , Coordination of Non Communicable Division, Brazilian Ministry of Health, Brasilia, DF, Brazil
Deborah Carvalho Malta , Coordination of Non Communicable Diseases, Brazilian Ministry of Health, Brasília/DF, Brazil
Objective: To analyze the characteristics and associated factors of fall related injuries treated in selected emergency departments (ED). Methods: A cross-sectional study analyzing 12,617 ED visits due to falls collected through the National Injury Surveillance System (VIVA), in 23 Capitals and the Federal District, from September to November 2009 through a cluster sample. A correspondence analysis was used. Results: Most victims were male (56.5%), age group 0 to 19 (45.7%) and non-white (62.2%). Most falls occurred at home (54.6%); females showed higher proportion compared to males) and public places (17.4%). Work related falls were 14.3% overall. Alcohol use prior to the fall, suspected by the interviewer or informed by the victim, reached 11.4%. The leading types were fall on same level (57.0%) and fall on and from stairs and steps (15.6%). The majority of injuries were classified as contusions, sprains, dislocations and cuts (68.3%); fractures account for 16.8% and traumatic brain injury for 4.7% overall. The correspondence analysis showed an association between falls among children aged 0 to 9 occurred at home, aged 10 to 14 and at school and aged 15 to 19 and at sports. Falls among adults 20 to 59 years were associated with workplace; falls from scaffolds, roofs, ladders, holes, and alcohol use. Falls on same level were associated with less severe injuries, in the upper and lower extremities. Scaffolds and roofs were associated with severe injuries and hospitalization.Conclusions: Fall prevention strategies should be implemented particularly in the home, schools and workplace environments.hools and workplace environments.

Learning Areas:
Occupational health and safety

Learning Objectives:
Analyze the characteristics and associated factors of fall related injuries treated in selected emergency departments (ED).

Keywords: Injuries, Emergency Department/Room

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am among the coordinators of the Injury Surveillance System in ED in Brazil
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.