Acidentes De Transporte Terrestre

ARTIGO ARTICLE

Acidentes de transporte terrestre em cidade da Região Sul do Brasil: avaliação da cobertura e qualidade dos dados
Traffic accidents in a city in Southern Brazil: an evaluation of coverage and quality of data

Selma Maffei de Andrade 1
Maria Helena Prado de Mello-Jorge

1 Departamento
Materno-Infantil e Saúde
Comunitária, Universidade
Estadual de Londrina.
Rua Pernambuco 1227,
204, Londrina, PR
86020-071, Brasil. [e-mail] 2 Departamento de
Epidemiologia, Faculdade de Saúde Pública,
Universidade de São Paulo.
Av. Dr. Arnaldo 715,
São Paulo, SP
01246-904, Brasil.

2

Abstract The aim of this study was to analyze police coverage and the validity of data on emergency and hospitalization records as well as on death certificates for traffic casualties in Londrina, Paraná State, Brazil. Victims (3,643) of road accidents during the first semester of 1996 were investigated and followed up after 180 days to confirm whether death was due to the accident.
Police data recorded only 32.5% of the casualties, the coverage being higher for car occupants
(71.6%) and lower for cyclists (8.1%) and pedestrians (24.8%). Agreement was low between original information and that derived from investigation of death certificates (Kappa coefficient
0.10; 95% CI: 0.02-0.17), fair for hospitalization records (Kappa coefficient 0.33; 95% CI: 0.270.40), and substantial for emergency records (Kappa coefficient 0.63; 95% CI: 0.61-0.65). Results suggest that police data underestimate the number of traffic casualties and that it is necessary to improve the validity of medical records.
Key words Traffic Accidents; Hospital Records; Death Certificates

Resumo O objetivo do estudo foi o de avaliar a cobertura policial e a validade dos dados registrados em fichas de pronto-socorro, internação e nas declarações de óbito de vítimas de acidentes de transporte terrestre ocorridos em Londrina, Paraná, Brasil. Foram estudadas 3.643 vítimas resultantes de acidentes ocorridos no