Kaya Bicer E, Kucuk L, Kececi B, Murat Ozturk A, Cetinkaya S, Ozdemir O, Coskunol E
université Egée, clinique chirurgicale orthopédique et traumatologique, Bornova, Izmir, Turquie.
Chir Main. 2011 Oct;30(5):340-4. doi: 10.1016/j.main.2011.04.003. Epub 2011 May 7.
To evaluate the effect of demographic and occupational factors on the severity of the acute occupational hand injuries.
Patients with acute hand injuries presenting to the emergency department of the Ege university hospital between 01.08.2008 and 27.02.2009 were included. A questionnaire investigating demographic and occupational factors of the patients and their injuries was filled out for each patient. Modified Hand Injury Severity Score (MHISS) was used to assess the severity of the injury.
A total of 144 subjects were included. Forty-three patients had occupational hand injuries. Age at injury, occupation, and main earning status did not alter the MHISS score significantly. Also, the mechanism of injury, occupational experience, timing of the injury, glove use, safety training did not have a significant effect on the injury severity. The injury pattern was found to have a statistically significant effect on the MHISS score.
The potentially modifiable factors such as the working conditions, safety training and use of gloves are important in the etiology of occupational acute hand injury. Most probably, in this study the size of the sample was not large enough to be able to demonstrate any relation between these and the injury severity. However, attempts to modify these factors by various strategies may reduce the incidence of acute hand injury at work. Precautions and widespread educational programs can prevent occupational acute hand injury.
评估人口统计学和职业因素对急性职业性手部损伤严重程度的影响。
纳入2008年8月1日至2009年2月27日期间在伊兹密尔艾杰大学医院急诊科就诊的急性手部损伤患者。为每位患者填写一份调查患者人口统计学和职业因素及其损伤情况的问卷。采用改良手部损伤严重程度评分（MHISS）评估损伤的严重程度。
共纳入144名受试者。43例患者为职业性手部损伤。受伤年龄、职业和主要收入状况对MHISS评分无显著影响。此外，损伤机制、职业经验、受伤时间、手套使用情况、安全培训对损伤严重程度也无显著影响。发现损伤类型对MHISS评分有统计学显著影响。
工作条件、安全培训和手套使用等潜在可改变因素在职业性急性手部损伤的病因中很重要。在本研究中，样本量可能不够大，无法证明这些因素与损伤严重程度之间的任何关系。然而，通过各种策略尝试改变这些因素可能会降低工作中急性手部损伤的发生率。预防措施和广泛的教育项目可以预防职业性急性手部损伤。
