Duke University School of Medicine, Durham, North Carolina, USA.
Am J Ind Med. 2011 Feb;54(2):128-35. doi: 10.1002/ajim.20880.
There is a growing recognition that common occupational injury surveillance systems in the US fail to reflect true injury risk; this failure limits efforts to accurately monitor efforts to prevent work-related injuries on a national level.
Data from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) were used to describe fall-related injuries treated in US emergency departments among workers in the construction industry (1998-2005). These data do not require workers' compensation as the payer in order to be classified as work-related.
Based on NEISS-Work estimates, a total of 555,700 (95% confidence interval (CI): 390,700-720,800) non-fatal work-related injuries among workers in the construction industry were the result of a fall, resulting in an annual rate of 70 (95% CI: 49-91) per 10,000 full-time equivalents. Younger workers had higher rates of falls, whereas older workers were more likely to suffer serious injuries. The majority of the injuries (70%) were precipitated by falls to a lower level from roofs, ladders, and scaffolding.
The patterns of fall-related injuries identified in these data are consistent with other reports. In contrast to the declining rates of falls requiring days away from work reported through the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses, construction industry fall-related injury rates estimated through NEISS-Work remained unchanged from 1998 to 2005 providing another perspective on this serious cause of morbidity in the construction industry.
人们越来越认识到，美国常见的职业伤害监测系统未能反映真实的伤害风险；这种失败限制了在国家层面上准确监测预防工作相关伤害的努力。
利用国家电子伤害监测系统职业补充（NEISS-Work）的数据，描述了在建筑行业工作的工人中，在美国急诊部门治疗的与跌倒相关的伤害（1998-2005 年）。这些数据不需要工人赔偿作为支付者，就可以被归类为与工作相关的伤害。
根据 NEISS-Work 的估计，建筑行业工人共有 555700 例（95%置信区间（CI）：390700-720800）非致命与工作相关的伤害是由跌倒引起的，每年每 10000 名全职等效人员中有 70 例（95%CI：49-91）。年轻工人的跌倒率较高，而老年工人更有可能遭受严重伤害。大多数伤害（70%）是由从屋顶、梯子和脚手架上摔落到较低水平引起的。
这些数据中确定的与跌倒相关的伤害模式与其他报告一致。与劳工统计局职业伤害和疾病调查报告的工作日缺勤率下降的趋势相反，通过 NEISS-Work 估计的建筑行业与跌倒相关的伤害率在 1998 年至 2005 年期间保持不变，为建筑行业这一严重发病率提供了另一个视角。
