Lefkowitz Rafael Y, Slade Martin D, Redlich Carrie A
Yale Occupational and Environmental Medicine, Yale School of Medicine, New Haven, Connecticut.
Am J Ind Med. 2015 Jun;58(6):688-96. doi: 10.1002/ajim.22459. Epub 2015 May 4.
Research on seafarer medical conditions at sea is limited. This study describes the frequency and distribution of seafarer injury and illness at sea, and explores potential risk factors for resultant lost work.
The study analyzed a telemedicine database of 3,921 seafarer medical cases between 2008 and 2011 using descriptive statistics and logistic regression.
There were over twice as many illness cases (n = 2,764, 70.5%) as injury (n = 1,157, 29.5%) cases. Disability was more often secondary to illness (n = 646, 54.3%), predominantly from gastrointestinal, dermatologic, and respiratory conditions. Logistic regression revealed age, rank, and worksite as potential risk factors for lost work.
This study emphasizes illness as a significant problem occurring in seafarers at sea. Future research should further elucidate risk factors for illness, as well as injury, to inform preventive measures and reduce seafarer disability.
关于海员海上医疗状况的研究有限。本研究描述了海员海上受伤和患病的频率及分布情况，并探讨了导致误工的潜在风险因素。
该研究使用描述性统计和逻辑回归分析了2008年至2011年间3921例海员医疗病例的远程医疗数据库。
患病病例（n = 2764，70.5%）是受伤病例（n = 1157，29.5%）的两倍多。残疾更多是疾病所致（n = 646，54.3%），主要源于胃肠道、皮肤和呼吸系统疾病。逻辑回归显示年龄、职级和工作地点是误工的潜在风险因素。
本研究强调疾病是海员在海上出现的一个重大问题。未来的研究应进一步阐明疾病以及受伤的风险因素，为预防措施提供依据并减少海员残疾情况。
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