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A existencia de condicoes de trabalho inadequadas resulta em novas formas de adoecimento dos trabalhadores e desencadeia o aumento de acidentes e doencas relacionadas ao ambiente laboral. O objetivo foi identificar e caracterizar os acidentes de trabalho graves e fatais registrados no Centro de Referencia em Saude do Trabalhador do Distrito Federal. Trata-se de um estudo retrospectivo descritivo com abordagem quantitativa, caracterizado por uma amostra geograficamente definida, com base nos dados do Sistema Nacional de Agravos de Notificacao (SINAN/NET) notificados durante os anos de 2014 e 2015. Os achados revelaram que no periodo destacado foram notificados 997 casos de acidentes de trabalho graves e fatais. As notificacoes foram predominantemente com o genero masculino (n= 872; 87,46%) na faixa etaria de 20 a 59 anos (n= 898; 90,07%), que desenvolviam a ocupacao de pedreiro (n= 118; 11,83%). A maioria dos acidentes ocorreram nos locais de trabalho (n=554; 55,5%), desencadeando fraturas da extremidade distal do radio (n=32; 3,2%). A emissao da Comunicacao de Acidente de Trabalho (CAT) foi feita em 13,54% (n= 135) dos casos. Conclui-se que o reconhecimento dessas caracteristicas e essencial para o planejamento de estrategias de prevencao de acidentes graves e fatais no trabalho, no entanto, ressalta-se a necessidade de investigacao das principais causas de acidentes com acoes de vigilância em saude do trabalhador no ambiente de trabalho. Abstract The existence of inadequate working conditions results in new forms of sickness of workers and trigger the increase of accidents and diseases related for their working environment. The objective of this study was to identify and characterize serious and fatal occupational accidents recorded in the Reference Center on Occupational Health of Federal District. This is a retrospective descriptive study with a quantitative approach, characterized by a geographically defined sample, based on data from the Health Information Systems reported during the years 2014 and 2015. The findings revealed that has been reported 997 cases of serious and fatal occupational accidents in the period. The reports were predominantly male (n = 872, 87.46%) in the age range of 20 to 59 years (n = 898, 90.07%), whose occupation is bricklayer (n = 118, 11, 83%). Most of the accidents occurred at work sites (n = 554, 55.5%), triggering fractures of the distal radius (n = 32, 3.2%). The Communication of Occupational Accidents was done in 13.54% (n = 135) of the cases. It has been concluded that the recognition of these characteristics is essential for planning strategies to prevent serious and fatal occupational accidents, however, it is highlighted the need to investigate the main causes of accidents with surveillance actions on occupational health for their working environment. Keywords: Occupational Health, Occupational Accidents Registry, Health Information Systems.

revisbrato

Caracterização de acidentes graves e fatais nos registros de um centro de referência em saúde do trabalhador/Characterization of serious and fatal accidents with registration in the center of reference in occupational health