The occurrence of external causes in childhood in emergency care: epidemiological aspects, Brazil, 2014

• Published in: Ciência & saude coletiva 2016-12, Vol.21 (12), p.3729-3744
• Main Authors: Malta, Deborah Carvalho, Mascarenhas, Márcio Dênis Medeiros, Silva, Marta Maria Alves da, Carvalho, Mércia Gomes Oliveira de, Barufaldi, Laura Augusta, Avanci, Jovina Quintes, Bernal, Regina Tomie Ivata
• Format: Article
• Language: eng ; por
• Subjects: Accidental Falls - statistics & numerical data; Accidents - statistics & numerical data; Accidents, Traffic - statistics & numerical data; Age Distribution; Brazil - epidemiology; Burns - epidemiology; Child; Child Abuse - statistics & numerical data; Child, Preschool; Children & youth; Emergency medical care; Emergency Service, Hospital - statistics & numerical data; Female; Humans; Infant; Infant, Newborn; Injuries; Male; Sex Distribution; Surveys and Questionnaires; Violence; Violence - statistics & numerical data; Wounds and Injuries - epidemiology; Wounds and Injuries - etiology
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-812320152112.17532016

To describe emergency care for external causes in childhood, age group 0-9 years, in Brazilian capitals, collected from the Violence and Accident Surveillance System (VIVA) Survey in 2014. To review data from the VIVA survey conducted in public emergency services in 24 Brazilian capitals. Variables analyzed were gender, age group (0-1 years, 2-5 years and 6-9 years), race/skin color, type of events and injuries, aggressors and other. Eight thousand five hundred eighty-eight children received care, of which 8,164 (95%) were victims of accidents and 424 (5%) of violence. Boys suffered more accidents, most events occurred at home (65%) and discharge was the most frequent outcome. Falls were the most frequent accidents, followed by other accidents, road injury and burns. Neglect prevailed among the types of violence, followed by physical violence. The perpetrator was a child's relative in 72% of the cases, and women were the most frequent aggressors for children under 1 year, and men for children aged 6 to 9 years. Childhood accidents occurred mainly at home, and falls were the most frequent events. Family members and acquaintances perpetrated violence against children. Data point to the implementation of public prevention and child protection policies.