Work-Related Injuries: Injury Characteristics, Survival, and Age Effect

2011 ◽  
Vol 77 (6) ◽  
pp. 702-707 ◽  
Author(s):  
Agathoklis Konstantinidis ◽  
Peep Talving ◽  
Leslie Kobayashi ◽  
Galinos Barmparas ◽  
David Plurad ◽  
...  

Work-related injuries impose a significant burden on society. The goal of this study was to delineate the epidemiology and the effect of age on type and mortality after occupational injuries. Patients 16 years of age or older sustaining work-related injuries were identified from the National Trauma Databank 12.0. The study population was stratified into four age groups: 16 to 35, 36 to 55, 56 to 65, and older than 65 years old. The demographic characteristics, type of injury, mechanism of injury, setting of injury, use of alcohol or other illicit drugs, and mortality were analyzed and related to age strata. Overall 67,658 patients were identified. There were 27,125 (40.1%) patients in the age group 16 to 35 years, 30,090 (44.5%) in the group 36 to 55 years, 6,618 (9.8%) in the group 56 to 65 years, and 3,825 (5.7%) older than 65 years. The injury severity increased significantly with age. Elderly patients were significantly more likely to sustain intracranial hemorrhages, spinal, and other skeletal injuries. The overall mortality was 2.9 per cent (1938) with the latter increasing significantly in a stepwise fashion with progressing age, becoming sixfold higher in patients older than 65 years (OR, 6.18; 95% CI, 4.78 to 7.80; P < 0.001). Our examination illustrates the associations between occupational injury and significant mortality that warrant intervention for mortality reduction. There is a stepwise-adjusted increase in mortality with progressing age.

AAOHN Journal ◽  
2007 ◽  
Vol 55 (9) ◽  
pp. 381-387 ◽  
Author(s):  
Priscah Mujuru ◽  
Miriam Mutambudzi

This study used workers' compensation data to examine seasonal trends of compensable injuries among workers 14 to 24 years old during a 10-year period. These workers had higher rates of occupational injuries in major classes of industry (e.g., service, manufacturing, and agriculture) during summer and non-summer months. The overall rate of occupational injury was significantly higher for male workers than female workers in all age groups ( p & .001). Young workers experienced occupational injuries within less than 3 hours of starting a shift. Among males, injury rates were highest in the manufacturing industry for those 14 to 18 years old and in the service industry for those 22 to 24 years old for both seasons. These results indicate that preventing injuries among young workers should be a primary concern of education and health and safety professionals and parents.


1988 ◽  
Vol 16 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Bo Jacobsson ◽  
Lothar Schelp

The aim of this study was to investigate occupational injuries among teenagers in a defined population and geographical area with regard to incidence and severity and to compare our registration system with that of the Swedish Occupational Injury Information System. All occupational accidents in the age group 15–19 years were registered at public health centres. We found a higher incidence compared to school accidents in the same age group as well as in relation to occupational accidents in the older population. Part-time work, lack of experience, temporary employment, unskilled work, and age-specific behavioural patterns are factors that might explain the higher incidence rate. The highest rates were found in service, military and unspecified occupations. Only 25 % of the work-related accidents in our study were registered by the Swedish Occupational Injury System (ISA). It seems possible to reduce the number of accidents through the instigation of fairly simple measures. The coverage of the registration by the ISA seems to be incomplete.


2020 ◽  
Vol 27 (09) ◽  
pp. 1958-1965
Author(s):  
Shafiq Ur Rehman ◽  
Yasir Makki ◽  
Saad Fazal ◽  
Hafiza Swaiba Afzal ◽  
Fareena Ishtiaq

Objectives: Purpose of the study is to identify the characteristics and burden of pediatric trauma in a hospital with limited resources and to compare the results with published literature and to formulate the effective injury prevention strategies. Study Design: Prospective, Descriptive, Cross-sectional study. Setting: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2019. Material & Methods:  A total of 871 patients aged 12 years and below with a history of trauma were included. The patients were categorized into four age groups, 0-2 years, 3-5 years, 6-8 years, and 9-12 years. Data collected included, age, gender, area (rural/urban), type of injury, mechanism of injury, regional pattern of injury, any intervention required and final outcome. The data were compared in different age groups and both sexes. Results: Out of total 2609 admissions, 871(33.38%) patients were of trauma and burn. 699(80.3%) trauma patients and 172(19.7%) burn patients. The males were 595(67.9%) and females comprised 276(32.1%). Age ranged from 05 days to 12 years (mean5.07years). By age groups, distribution of patients was, 0-2years 201(23.1%), 3-5years 340(39.0%), 6-8years 213(24.5%), and 9-12years 117(13.4%). Blunt trauma was most common type of injury 688(95.56%) and penetrating trauma was 31(4.43%). Most common mechanisms of injury were, vehicle related incidents 380(54.4%) and fall 238(34.0%). The majority of injuries 432(61.8%), were seen in head, neck and face region. Scald was most common type of burn and seen in 125(14.4%) patients. Conclusion:  This study clearly shows that pediatric injuries and burn contribute a substantial proportion of all pediatric surgical admissions. Pediatric trauma including burn is a significant burden on health care system. Vehicle related incidents, fall injuries and scald burns are most common type of injuries.


2021 ◽  
Vol 6 (1) ◽  
pp. 18-31
Author(s):  
Oyelayo Adekiya

Purpose: The aim of this study was to evaluate the occupational health risk of scavengers and their awareness to covid-19 in Abuja Municipal Area Council of the FCT a view to acknowledge the vulnerability of scavengers in the pandemic and how they simultaneously pose a threat to the general public. Methodology: A descriptive survey research was employed for the study. The population consisted of 277 scavengers, from 12 sites in Abuja Municipal Area Council. The instrument used for this study was a structured questionnaire. The questionnaire was divided into five sections. The first section collected information on socioeconomic characteristics of scavengers. The second section collected information on awareness on Covid 19 and sources of information. The third section was on use of safety tools and hygiene practices of scavengers. The forth section was on occupational injuries and diseases associated with scavenging and the fifth section was on measures taken to reduce health effects of scavenging. The questionnaire was interview-administered to the scavengers.  Findings: The study revealed that 82.6 % of scavengers believe in the existence of Covid-19 pandemic. About 58.4% do no use hand gloves and 64.6 % do not wear boots during work. Majority (90 %) of scavengers have sustained injuries from glass and sharp objects and about 71 %  form nails .Occupational disease associated with scavenging include skin rash and (83.4 %), back pain, (71.6%), chest pain, (61.4 %), Diarrhoeal ( 56.5 %  and cough (45.20%). Majority (80.7 %) of the scavengers were not prepared to change  their jobs, only about 30.4 % of them were prepared to purchase and  use personal protective equipment as a measure to reduce  occupational injury and diseases. About 53.9 % of them use illicit drugs (mainly marijuana) to overcome the stress of the job. Recommendations: The study, recommend that scavenging be legalized, so that the government and nongovernmental organizations can help in educating the scavengers on the importance of personal hygiene and personal protective equipment in reducing occupational injuries and diseases.


Author(s):  
ALESSANDRO PERSONA ◽  
DARIA BATTINI ◽  
MAURIZIO FACCIO ◽  
MAURIZIO BEVILACQUA ◽  
FILIPPO EMANUELE CIARAPICA

Occupational safety and illness surveillance has made a great effort to spread a "safety culture" to all workplaces and a great deal of progress has been made in finding solutions that guarantee safer working conditions.This paper analyses occupational injury data in order to identify specific risk groups and factors that in turn could be further analyzed to define prevention measures. A technique based on rule induction is put forward as a non-parametric alternative tool for analyzing occupational injury data which specifically uses the Classification And Regression Tree (CART) approach. Application of this technique to relevant work-related injury data collected in Italy has been encouraging. Data referring to 156 cases of injury in the period 2000–2002 were analyzed and lead to the factors that most affect work-related injuries being identified. According to the literature, up to the time of writing computer-intensive non-parametric modeling procedures have never been used to analyze occupational injuries. The aim of this paper is to use a real world application to illustrate the advantages and flexibility of applying a typical non-parametric epidemiological tool, such as CART, to an occupational injury study. This application can provide more informative, flexible, and attractive models identifying potential risk areas in support of decision-making in safety management.


Curationis ◽  
2005 ◽  
Vol 28 (4) ◽  
Author(s):  
S Marais ◽  
A Kritzinger

Aim and method: An exploratory and descriptive study to obtain basic data on the extent, nature, sources and severity of injuries sustained on fruit farms was conducted. The possibility of utilizing lay health workers (LHWs) on farms to document routine information on injuries was also investigated. Descriptive information of all injuries occurring on selected farms, both occupational and other, needing some form of treatment, were documented over a one-year period from June 1999 to May 2000. A purposive non-probability sampling method was used. Forty-eight fruit farms with a history of trained LHWs were purposefully selected. Injuries were documented using a one-page questionnaire. Results: A total of 500 injuries were recorded, giving an average of 10.4 injuries per farm per year. Half of these injuries were work-related. Workers aged 20-39 were most at risk. Injuries sustained were related to routine activities of fruit farming, occurred mostly in the orchards and involved cuts, bruises and abrasions to the hands, including the fingers, and the eyes. Most of the non-work related injuries occurred in and around the home. A third of these injuries were sustained by persons <20. A large percentage of the non-work related injuries were violence- and alcohol related. Most of the injuries required basic primary health care that could be managed by the LHW. Injury severity caused people to take time off for one third of the cases. Conclusion: A relatively high occupational injury rate in comparison to high-income countries. Occupational Health and Safety legislation needs to be institutionalized and adhered to. Alcohol and violence on farms is a serious public health problem. LHWs could potentially play an important role in documenting injury data.


2020 ◽  
pp. 000313482094951
Author(s):  
Ahmad Zeineddin ◽  
Mallory Williams ◽  
Harry Nonez ◽  
Wasay Nizam ◽  
Olubode A. Olufajo ◽  
...  

Introduction Trauma center care and survival have been improving over the past several years. However, yearly firearm-related deaths have remained near constant at 33 000. One challenge to decreasing gunshot mortality is patients presenting with complex injury patterns from multiple gunshot wounds (GSWs) made possible by high-caliber automated weapons. Our study analyzes outcomes of trauma patients of firearms using the National Trauma Databank (NTDB). Methods We conducted a retrospective review of the NTDB from the years 2003-2015 for patients with penetrating injuries. We separated patients into groups based on stab wounds, single GSW, and multiple GSW. We performed multivariate logistic regression analyses in which we adjusted for demographics and injury severity. Results Overall, 382 376 patients presenting with penetrating injuries were analyzed. Of those 167 671 had stab, 106 538 single GSW, and 57 819 multiple GSW injuries. Crude mortality was 1.97% for stab wounds, 13.26% for single GSW, and 18.84% for multiple GSW. Adjusted odds ratio (OR) compared with 2003 demonstrates a trend toward decreased mortality for stab wounds (OR range of 0.48-0.69, P < .05 for years 2010-2015). A similar trend was demonstrated in single GSW injuries (OR 0.31-0.83, P < .01 for years 2005-2015). Conversely, multiple GSW injuries did not follow this trend (OR 0.91-1.36 with P > 0.05 for each year). Conclusion In contrast to significant improvement in survival in patients with a single GSW injury since 2003, multiple GSW injuries still pose a challenge to trauma care. This warrants further investigation into the efficacy of legislature, and the lack thereof, as well as future preventative measures to this type of injury.


2021 ◽  
Vol 11 (2) ◽  
pp. 757
Author(s):  
Hsien-Min Wang ◽  
Dang Khanh Linh Le ◽  
Wei-Chih Lin

Work-related musculoskeletal disorder (WMSD) is a common occupational injury. Among the occupational injuries of agricultural workers, 93% are related to WMSD, with the shoulder being the second most affected area. This paper presents a passive upper-limb exoskeleton (PULE) with a gas spring and four-bar mechanism developed to aid the daily activities associated with orchard farming. The PULE is used to assist the arm-lifting process, reducing the physical exertion of farmers and the risk of developing WMSD. Electromyography (EMG) measurements of 26 participants were obtained to evaluate the difference in physical exertion with and without the PULE. Two arm activities: fruit thinning, with the arms raised and maintained at 100°, and pesticide spraying, with the hands swinging from 0° to 100° and back, were simulated. Using the PULE decreased muscle tension of the anterior deltoid (AD) by 17.64–19.86%. The PULE also decreased the AD activity by 37.67–39.57% during the actual orchard farming operations. The Qualisys motion capture system indicated that the difference in the lifting angle of the upper limb with and without the PULE was less than 1° and not significant (α > 0.05). Thus, the PULE did not affect the flexibility of the wearer in orchard farming activities.


Author(s):  
Adebimpe Obembe ◽  
Ayodele Onigbinde ◽  
Olubusola Johnson ◽  
Anne Emechete ◽  
Medinat Oyinlola

Background: Bureau of Labour Statistics (BLS) has identified on-the-job injuries as a major problem facing health care workers. There is little data available on injuries sustained by physical therapists in Nigeria. Objective: This sfudy was carried out to detennine the nature, prevalence, job risk factors and consequences of occupational injuries with particular focus on musculoskeletal injuries experienced by physical therapists in the south western part of Nigeria. Methods: A hundred copies, self administered questionnaire composed of thirty (30) close-ended questions were administered to physical therapists working in hospitals and private clinics. Questions included occupational history of the physical therapists; duration of injury; body parts affected; activities that aggravate symptoms; patients predominantly treated; management and preventive strategies. The data were analysed using descriptive analysis. Results: Seventy-eight percent (78%) of the physical therapists had past histories of occupational injuries. The most prevalent injured body parts were the lower back (45.2%), wrist and hand (26%) mid back (10.6%) and neck (6.7%). The highest job risk factors were manual therapy techniques (20.9%), transferring patients (13.8%) and static position (12.2%). Stroke (31.7%) and low back (28.2%) patients were predominantly treated. Activities that cause re-injury include manual technique and repetitive tasks. Muscle strain was the commonest type of injury (55%), while fracture was the least (1 %). Conclusion: This study concluded that occupational injury was high among selected physical therapists in the South West of Nigeria. It also concluded that the low back and hands were the most common sites susceptible to injury, while muscle strain was the most common type of injury. KEYWORDS: Occupational injury, Musculoskeletal injury, Physical therapists


2016 ◽  
Vol 22 (1) ◽  
pp. 1-12 ◽  
Author(s):  
James A Athanasou

The purpose of this paper is to explore the context of injury and its consequences for the vocational rehabilitation of Australian workers. This report was derived from a secondary analysis of the seventh national survey of Work-Related Injuries by the Australian Bureau of Statistics. This is a stratified, random, multiple household survey of 42,100 private dwellings. Work-related injury affects 1 in every 25 of those who had worked at some time in the last 12 months. There were high probabilities of a workplace injury for those in labouring-type jobs and workers who exceeded 35–39 hours per week. Occupational injury is heterogeneous in nature and but there is clearly a restriction in the range of clientele encountered in rehabilitation. A second implication for professional rehabilitation arises from the type of injury. Work-related injuries in Australia are dominated overwhelmingly by musculoskeletal conditions. Work-related injury is a major cause of disability and there are consistently large numbers of people each year that will be requiring some vocational rehabilitation services.


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