Son Hyung Min, Kim Sun Hyu, Shin Sang Do, Ryoo Hyun Wook, Ryu Hyun Ho, Lee Ji Ho
Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.
Emerg Med Australas. 2014 Apr;26(2):188-93. doi: 10.1111/1742-6723.12166.
This study was performed to evaluate occupational and fall injuries presenting to the ED, the risk factors associated with falls among all occupational injuries, and factors affecting prognosis.
Data from ED-based Occupational Injury Surveillance System were analysed to investigate the occupational injuries. The 2147 occupational injury subjects were divided into two groups: fall (n = 213, 9.9%) and non-fall (n = 1934, 90.1%). Data including baseline and clinical characteristics were compared between the groups.
The mean age was older in the fall group (46 vs 42 years old). The rate of construction site-related injury was 32% in the fall group and only 8% in the non-fall group. Injury occurrence during regular working hours (09.00 hours to 18.00 hours) was 70% in the fall group and 57% in the non-fall group. Injury severity using the Excess Mortality Ratio-adjusted Injury Severity Score (EMR-ISS) was more severe in the fall group than in the non-fall group, and days away from work were longer in the fall group than the non-fall group. Older age, compared with an age <29 years old and presence in a construction area during regular working hours were factors associated with fall injuries. Factors affecting prolonged absence for work were older age, higher EMR-ISS, fall injury and poor workplace environmental conditions.
Risk factors associated with fall-related occupational injuries include older age and being at a construction area during regular working hours. Falls among occupational injuries are more severe than other injuries and result in longer work loss.
本研究旨在评估急诊科收治的职业伤害和跌倒损伤、所有职业伤害中与跌倒相关的危险因素以及影响预后的因素。
分析基于急诊科的职业伤害监测系统的数据以调查职业伤害情况。2147名职业伤害受试者被分为两组：跌倒组（n = 213，9.9%）和非跌倒组（n = 1934，90.1%）。比较两组之间包括基线和临床特征在内的数据。
跌倒组的平均年龄更大（46岁对42岁）。跌倒组中与建筑工地相关的损伤发生率为32%，而非跌倒组仅为8%。跌倒组在正常工作时间（09:00至18:00）发生损伤的比例为70%，非跌倒组为57%。使用超额死亡率调整后的损伤严重程度评分（EMR - ISS）评估，跌倒组的损伤严重程度高于非跌倒组，跌倒组的缺勤天数也比非跌倒组更长。与年龄<29岁相比，年龄较大以及在正常工作时间身处建筑区域是与跌倒损伤相关的因素。影响长期缺勤的因素包括年龄较大、EMR - ISS较高、跌倒损伤以及工作场所环境条件较差。
与跌倒相关的职业伤害的危险因素包括年龄较大以及在正常工作时间身处建筑区域。职业伤害中的跌倒比其他伤害更严重，且导致更长时间的工作损失。
