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美国 1998-2005 年医院急诊部门治疗的非致命性建筑行业相关伤害。

Nonfatal construction industry-related injuries treated in hospital emergency departments in the United States, 1998-2005.

机构信息

Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.

出版信息

Am J Ind Med. 2010 Jun;53(6):570-80. doi: 10.1002/ajim.20829.

Abstract

BACKGROUND

This study documented the burden of nonfatal construction industry work-related injuries treated in hospital emergency departments in the United States (US) from 1998 through 2005 and described injured worker demographics and injury characteristics.

METHODS

Data from the National Electronic Injury Surveillance System work-related injury supplement (NEISS-Work) were used to identify and describe construction industry-related injuries. Rates were estimated using data from the Current Population Survey.

RESULTS

An estimated 3,216,800 (95% CI 2,241,400-4,192,200) construction industry-related injuries were seen in US emergency departments during the 8-year period; this represented an injury rate of 410/10,000 full-time equivalents and suggests that there are a greater number of construction injuries than reported through the Bureau of Labor Statistics' Survey of Occupational Injuries and Illnesses (BLS SOII). Common characteristics included diagnoses of laceration, sprain/strain, and contusion/abrasion; events of contact with an object/equipment, bodily reaction/exertion, and falls; and sources of injury of parts/materials; structures/surfaces; and tools/instruments/equipment. The upper extremities were most often affected.

CONCLUSIONS

These data highlight the high burden of nonfatal construction industry-related injuries. The limitations of national occupational injury data sources inherent in relying on OSHA logs highlight the utility of NEISS-Work data in occupational injury research. While data captured from emergency departments are not immune to factors that influence whether a worker or an employer reports an injury as work-related or files a workers' compensation claim, emergency department data as collected through NEISS-Work do not rely on employer involvement in order to be classified as work-related.

摘要

背景

本研究记录了 1998 年至 2005 年期间,美国(美国)医院急诊部门治疗的非致命性建筑行业工作相关伤害的负担,并描述了受伤工人的人口统计学特征和伤害特征。

方法

使用国家电子伤害监测系统工作相关伤害补充(NEISS-Work)的数据来识别和描述建筑行业相关伤害。使用当前人口调查的数据估算费率。

结果

在 8 年期间,美国急诊部门共发现估计有 321.68 万例(95%CI 224.14 万至 419.22 万)建筑行业相关伤害;这代表每 10,000 名全职等效人员中有 410 例受伤,表明建筑伤害的数量比劳工统计局的职业伤害和疾病调查(BLS SOII)报告的要多。常见特征包括诊断为撕裂伤、扭伤/拉伤和挫伤/擦伤;与物体/设备接触、身体反应/用力和跌倒的事件;以及伤害源为零件/材料;结构/表面;和工具/仪器/设备。上肢最常受到影响。

结论

这些数据突出了非致命性建筑行业相关伤害的高负担。依赖 OSHA 日志固有地存在国家职业伤害数据来源的局限性,突出了 NEISS-Work 数据在职业伤害研究中的实用性。虽然从急诊部门收集的数据不受影响工人或雇主是否将伤害报告为工作相关或提出工人赔偿索赔的因素的影响,但通过 NEISS-Work 收集的急诊部门数据无需依赖雇主参与即可被归类为工作相关。

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