Gholipour Changiz, Shams Vahdati Samad, Ghaffarzade Elmira, Kashi Zonouzy Keivan
Department of General Surgery, Tabriz University of Medical Science, Tabriz, Iran.
Road Traffic Injury Research Center, Department of Emergency Medicine, Tabriz University of Medical Science, Tabriz, Iran.
Bull Emerg Trauma. 2015 Jan;3(1):27-31.
To determine the characteristics and etiologies of occupational trauma associated mortality in Tabriz megacity, Northern Iran.
In a cross-sectional study, we included all the recorded cases of occupational mortalities referring to Tabriz forensic medicine center, labor institute and Imam Reza and Sina hospitals between March 2011 and March 2012. We recorded the demographic and clinical characteristics including age, gender, type of occupational accident, experience of work and permanent or temporary jobs for all the cases. The death etiology was also recorded according to the forensic medicine report. The data are presented as descriptive analytics.
Overall we included 32 occupational trauma associated mortality out of whom 30 (93.8%) were men and 2 (6.2%) were women. The mean age of the patients was 44.1±16.3 years old with most of them (31.3%) being younger than 30 years old. The occupation was recorded to be structural in 13 (40.6%), industrial in 5 (15.6%), agricultural in 5 (15.6%) and office work in 6 (18.8%). In 20 (62.5%) patients the occupation was seasonal and in 12 (37.5%) was permanent. Summer was the most common season in which occupational trauma associated mortality was recorded (40.6%) followed by fall by 34.4% of all mortalities. Most frequent causes of occupational traumas were the result of nonuse of safety wares (71.9%), inattention during work time (84.4%) and inappropriate instructions (18.8%).
Most of the fatalities occurred in young and less-experienced workers, not having enough attention while working. Regarding this fact we conclude that with continuous education and supervision especially in young workers, most of the occupational accidents are preventable.
确定伊朗北部大不里士市职业创伤相关死亡率的特征和病因。
在一项横断面研究中,我们纳入了2011年3月至2012年3月期间转诊至大不里士法医学中心、劳动研究所、伊玛目礼萨医院和西纳医院的所有职业死亡记录病例。我们记录了所有病例的人口统计学和临床特征,包括年龄、性别、职业事故类型、工作经验以及是长期还是临时工作。死亡病因也根据法医学报告进行记录。数据以描述性分析呈现。
我们总共纳入了32例职业创伤相关死亡病例,其中30例(93.8%)为男性,2例(6.2%)为女性。患者的平均年龄为44.1±16.3岁,其中大多数(31.3%)年龄小于30岁。职业记录为建筑行业的有13例(40.6%),工业行业的有5例(15.6%),农业行业的有5例(15.6%),办公室工作的有6例(18.8%)。20例(62.5%)患者的职业是季节性的,12例(37.5%)是长期的。夏季是记录职业创伤相关死亡率最高的季节(40.6%),其次是秋季,占所有死亡病例的34.4%。职业创伤最常见的原因是未使用安全器具(71.9%)、工作时注意力不集中(84.4%)和指导不当(18.8%)。
大多数死亡发生在年轻且经验不足的工人身上,他们在工作时没有足够的注意力。鉴于这一事实,我们得出结论,通过持续教育和监督,尤其是对年轻工人,大多数职业事故是可以预防的。