Mortalidade por causas externas em idosos no Distrito Federal - Brasil : 2000-2010






Epidemiological studies on mortality have shown a high incidence of deaths from external causes in the elderly. They are exposed to "accidents and violence" as road kill, assaults, falls, causing complications that often lead to death due to the greater vulnerability of the elderly, due to the limitations and physical and /or psychological disabilities common on senility. Population aging in progress suggests that such occurrences should increase considerably in coming years, ie, with increasing longevity, older people will be exposed, which makes it relevant to studies of diseases of morbidity and mortality resulting from external causes. The aim of this study was to determine the main causes of deaths from external causes in people aged over 60 years living in the Federal District, Brazil, between 2000 and 2010. Know the main groups of causes of deaths by external causes and analyze the variables that influence the incidence of mortality. The methodology used was a descriptive/quantitative epidemiological study in which we analyzed deaths from external causes, using data from the Mortality Information System - SIM obtained from the death certificate, available on the Department of Epidemiological Surveillance - Center for Information and Analysis Data in Health, the State Department of Health - SES/DF. The results were in a total of 51,863 deaths of individuals aged 60 years or more, 2,223 (4.3%) died due to an external cause. The distribution coefficient due to external causes, by gender of the elderly ranged from 178.59/100,000 inhabitants (year 2000) to 205.93/100,000 inhabitants (year 2010) considering men and from 72.2/100,000 to 104,77/100,000 considering women. The ratio between the coefficients of the genders showed a minimum value of 1.42 in 2005 and a maximum of 2.47 in 2000. The "other causes of accidental injury", especially the falls, had the highest mortality rates when compared to other external causes, and the coefficients increased considerably, from 41.96/100,000 inhabitants (year 2000) to 77.42/100,000 inhabitants (year 2010). The "traffic accidents", especially involving pedestrians, were the second leading cause of death for external causes, with coefficients ranging from 43.78/ 100,000 inhabitants (year 2000) to 40.48/100,000 inhabitants (year 2010). The "traffic accidents" involve more seniors with 70 to 79 years than in other age groups with a minimum coefficient ranging from 31.57/100,000 inhabitants in 2007 to a maximum of 75.37/100,000 in 2003. In turn, the "other causes of accidental injury" were the main cause of death on individuals with 80 years and older, regardless of the year, compared with other age groups, with coefficients ranging from 231.63/100,000 inhabitants in 2007 and a maximum of 497.55/100,000 in 2006. However, more studies are needed on mortality from external causes, for better identification of the major diseases affecting the elderly and provide data for planning actions to promote additional life time to elder population.


mortalidade idosos acidentes gerontologia ciencias da saude mortality elderly external causes federal district

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