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电锯所致手部损伤的经济影响。

The economic impact of electric saw injuries to the hand.

作者信息

Hoxie Samuel C, Capo Jason A, Dennison David G, Shin Alexander Y

机构信息

Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

J Hand Surg Am. 2009 May-Jun;34(5):886-9. doi: 10.1016/j.jhsa.2009.02.002.

DOI:10.1016/j.jhsa.2009.02.002
PMID:19410992
Abstract

PURPOSE

Injuries from electric saws cause considerable hand trauma. This study is designed to provide information detailing the costs of these injuries.

METHODS

The study was performed in a tertiary referral academic medical center. The records of patients injured by electric table saws were reviewed. Information regarding demographics, injury severity, medical expense, and time lost from work was analyzed. The patients were stratified by injury severity for further analysis. The mean wage for the region was used to estimate costs of time away from work. The Consumer Protection Agency's review was used to estimate the nationwide burden of these injuries.

RESULTS

The study group included 134 patients. Of these patients, 126 were male and 8 were female. The dominant hand was injured in 20; the nondominant, in 114. The mean age was 47.0 years. The mean time lost from work was 64 days. The mean cost of medical expenses for all patients was $22,086, with $8,668 in lost wages, for a total of $30,754 mean cost per injury. The total economic burden for the injuries in this study is $4,121,097. These injuries represent a spectrum of severity, with minor injuries incurring lower hospital fees and requiring less time off work as compared to more involved injuries.

CONCLUSIONS

Electric saws cause a wide spectrum of injuries that result in not only tremendous physical and emotional pain but also substantial economic impact as well. Technologies that would prevent such injuries would be a socioeconomic advancement. Federal mandates to implement such technologies should be encouraged.

摘要

目的

电锯造成的伤害会导致严重的手部创伤。本研究旨在提供有关这些伤害成本的详细信息。

方法

该研究在一家三级转诊学术医疗中心进行。回顾了电动台锯受伤患者的记录。分析了有关人口统计学、损伤严重程度、医疗费用和误工时间的信息。根据损伤严重程度对患者进行分层以进行进一步分析。使用该地区的平均工资来估计误工成本。利用消费者保护机构的审查来估计这些伤害在全国范围内造成的负担。

结果

研究组包括134名患者。其中,男性126名,女性8名。优势手受伤20例;非优势手受伤114例。平均年龄为47.0岁。平均误工时间为64天。所有患者的平均医疗费用为22,086美元,误工工资损失为8,668美元,每次受伤的平均总成本为30,754美元。本研究中这些伤害的总经济负担为4,121,097美元。这些伤害呈现出不同的严重程度,与更严重的伤害相比,轻伤的住院费用较低,误工时间较短。

结论

电锯造成的伤害范围广泛,不仅会带来巨大的身体和情感痛苦,还会产生重大的经济影响。能够预防此类伤害的技术将是社会经济的进步。应鼓励联邦政府强制实施此类技术。

相似文献

1
The economic impact of electric saw injuries to the hand.电锯所致手部损伤的经济影响。
J Hand Surg Am. 2009 May-Jun;34(5):886-9. doi: 10.1016/j.jhsa.2009.02.002.
2
Predicting functional recovery and return to work after mutilating hand injuries: usefulness of Campbell's Hand Injury Severity Score.预测手部毁损性损伤后的功能恢复及重返工作情况:坎贝尔手部损伤严重程度评分的效用
J Hand Surg Am. 2009 May-Jun;34(5):880-5. doi: 10.1016/j.jhsa.2009.02.009.
3
[Decrease in disability pension following replantation].[再植术后伤残抚恤金的减少]
Handchir Mikrochir Plast Chir. 1990 Mar;22(2):78-81.
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[Hand injuries caused by circular saw].[圆锯导致的手部损伤]
Przegl Lek. 2008;65(1):43-6.
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Cost analysis and related factors in patients with traumatic hand injury.手部创伤患者的成本分析及相关因素
J Hand Surg Eur Vol. 2013 Jul;38(6):673-9. doi: 10.1177/1753193412469012. Epub 2012 Nov 30.
6
Time off work in hand injury patients.手部损伤患者的误工时间。
J Hand Surg Am. 2008 May-Jun;33(5):718-25. doi: 10.1016/j.jhsa.2008.01.015.
7
Causes and consequences of hand injuries.手部损伤的原因与后果。
Am J Surg. 2006 Jul;192(1):52-7. doi: 10.1016/j.amjsurg.2005.10.055.
8
[The so-called "minor hand injury" and its socioeconomic sequelae].[所谓的“轻微手部损伤”及其社会经济后果]
Chirurg. 1994 Nov;65(11):1004-7.
9
[Predictive value of the HISS-scoring system for estimation of trauma severity and the time off work after hand injuries].[HISS评分系统对手部损伤后创伤严重程度及误工时间评估的预测价值]
Handchir Mikrochir Plast Chir. 2005 Aug;37(4):238-44. doi: 10.1055/s-2005-865800.
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[Saw injury of the hand--an accident with grave sequelae].手部锯伤——一种伴有严重后遗症的事故
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:763-6.

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