Factors Associated with Multiple Sequelae in Individuals Involved in Traffic Accidents

Abstract

Objective: To analyze factors associated with multiple sequelae in individuals involved in traffic accidents.Materials and Methods: A cross-sectional study conducted at Hospital Geral Prado Valadares, Jequié-BA, evaluating hospitalizations from February to June 2019. Data were collected through forms and medical records and analyzed statistically. Pearson’s chi-square test and Fisher’s exact test were used to identify factors associated with multiple sequelae.Results: A total of 245 hospitalizations due to traffic accidents were recorded, with 30.6% presenting multiple sequelae. The majority were male (81.3%) and adults aged 20–59 years (85.3%). Variables significantly associated with multiple sequelae included: accident location (p<0.001), cause of the accident (p<0.001), speeding (p=0.008), type of SAMU unit (p=0.048), stretcher retention (p=0.022), person responsible for helmet removal (p=0.052), ICU admission (p=0.009), presence and location of abrasions (p=0.016 and p<0.001), and site of closed fractures (p=0.007).Discussion: The analysis shows that sociodemographic, clinical, and accident-related factors influence the occurrence of multiple sequelae. Early patient management during first aid is highlighted as a relevant factor, underscoring the need for effective prevention and intervention strategies to reduce adverse outcomes. Conclusion: Preventive measures targeting both the population and healthcare professionals are essential. Educational campaigns and awareness programs for drivers, passengers, and pedestrians—especially motorcyclists—along with continuous training of healthcare teams, contribute to reducing the severity of injuries, sequelae, and mortality.

Keywords: Epidemiology; Traffic accident; Sequels.