Section of Trauma Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar.
J Trauma Acute Care Surg. 2012 Sep;73(3):704-8. doi: 10.1097/TA.0b013e31825472d7.
Workplace-related injuries carry a significant health care challenge. The state of Qatar is developing rapidly, with much construction and an expanding industrial work force. This study aimed to assess the incidence and social impact of work-related injuries requiring hospitalization caused by falling objects at the construction sites.
We performed a prospective study for all admissions, which resulted from falling objects between January 2008 and June 2010 at the only trauma center in the state of Qatar. Data were analyzed, and outcomes were described (mortality, length of hospital stay, and safety measures).
Of the total injured patients (N = 4,302) admitted between January 2008 and June 2010, 185 (4%) had injuries caused purely by falling objects. Patients' mean age was 29 years, and 97% of the patients were men. All injuries occurred at construction sites. Most patients (86%) were brought by ambulance, and the reminder was brought by private vehicles. After initial evaluation and resuscitation, 120 patients (65%) were found to have a single-system injury, and 65 (35%) had multisystem injury. Operative interventions were required in 50% of the patients. Mean length of hospital stay varied from 6.5 days for single-system injuries to 19 days for multisystem injuries. Safety devices were used in 32 patients (17.3%). All of the 16 mortality cases (8.6%) were reported in multiple injuries.
Traumatic injury caused by falling object represents a significant problem in a rapidly developing country. Many of these injuries could be prevented by following established safety guidelines.
Epidemiologic study, level III.
与工作相关的伤害给医疗保健带来了重大挑战。卡塔尔国正在迅速发展，建筑和工业劳动力不断扩大。本研究旨在评估因建筑工地物体坠落而导致的需要住院治疗的工作相关伤害的发生率和社会影响。
我们对 2008 年 1 月至 2010 年 6 月期间唯一一家创伤中心收治的所有因物体坠落而受伤的住院患者进行了前瞻性研究。对数据进行了分析，并描述了结果（死亡率、住院时间和安全措施）。
在 2008 年 1 月至 2010 年 6 月期间收治的总共 4302 名受伤患者中，有 185 名（4%）因纯粹由坠落物体引起的受伤。患者的平均年龄为 29 岁，97%的患者为男性。所有伤害均发生在建筑工地。大多数患者（86%）由救护车送来，其余的由私家车送来。经过初步评估和复苏后，120 名患者（65%）发现只有单一系统受伤，65 名（35%）有多个系统受伤。50%的患者需要手术干预。住院时间从单一系统损伤的 6.5 天到多个系统损伤的 19 天不等。有 32 名患者（17.3%）使用了安全装置。16 例死亡病例（8.6%）全部报告为多发伤。
在一个快速发展的国家，由坠落物体引起的创伤性损伤是一个重大问题。许多此类伤害可以通过遵循既定的安全指南来预防。
流行病学研究，III 级。
