School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Occup Med (Lond). 2013 Jul;63(5):358-60. doi: 10.1093/occmed/kqt037. Epub 2013 Apr 18.
The United Arab Emirates is a rapidly developing country with recent expansion in construction and manufacturing.
To investigate the occurrence and outcomes following occupational traumatic brain injury (TBI) requiring hospital admission.
Records for all TBI cases admitted to an Abu Dhabi hospital between 2005 and 2009 were reviewed. Data on mechanisms of occupational injuries, Glasgow Coma Scale (GCS) on admission and Glasgow Outcome Scale (GOS) on follow-up, were analysed.
Of 581 TBI cases reviewed, 56 (10%) cases were reported as occupational by either the patient or the informant accompanying the patient. All cases were male migrants, and 63% were aged 25-44. Falls accounted for 63% of cases, falling objects 34% and motor vehicle collisions 4%. Median GCS score was 13 for all cases. Median hospital stay was 7.5 days. Intensive care unit admission data were available in 47 cases, of which 34% (16) were admitted with a median stay of 5 days. GOS data were available in 95% (53) of cases, with good recovery in 81% cases, moderate-to-severe disability in 11% of cases and death in 8% (4) cases.
Occupational TBI requiring hospitalization is most frequently due to falls and falling objects, with potentially grave consequences. This study further highlights the urgent need to implement preventative measures to improve construction worker safety.
阿联酋是一个快速发展的国家，最近在建筑和制造业方面有了扩张。
调查需要住院治疗的职业性创伤性脑损伤（TBI）的发生情况和结果。
回顾了 2005 年至 2009 年期间阿布扎比一家医院收治的所有 TBI 病例的记录。分析了职业性损伤机制、入院时的格拉斯哥昏迷量表（GCS）和随访时的格拉斯哥结局量表（GOS）的数据。
在回顾的 581 例 TBI 病例中，有 56 例（10%）病例被患者或陪同患者的家属报告为职业性。所有病例均为男性移民，63%的年龄在 25-44 岁之间。63%的病例是跌倒，34%是物体坠落，4%是机动车碰撞。所有病例的 GCS 中位数均为 13。中位住院时间为 7.5 天。47 例有 ICU 入院数据，其中 34%（16 例）的患者入院时中位住院时间为 5 天。95%（53 例）的病例有 GOS 数据，81%的病例恢复良好，11%的病例中度至重度残疾，8%（4 例）的病例死亡。
需要住院治疗的职业性 TBI 最常见的原因是跌倒和物体坠落，可能导致严重后果。本研究进一步强调了迫切需要实施预防措施，以改善建筑工人的安全。
