Kool Bridget, Ameratunga Shanthi, Scott Nina, Lawrenson Ross, Christey Grant
Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, New Zealand.
Section of Epidemiology and Biostatistics, University of Auckland, New Zealand.
Injury. 2017 Nov;48(11):2478-2484. doi: 10.1016/j.injury.2017.09.018. Epub 2017 Sep 22.
To describe the epidemiological characteristics of patients with work-related injuries (WRI) admitted to hospitals in New Zealand's Midland Trauma System (MTS) during a four year period.
A retrospective review was conducted of trauma registry records for adults (≥15years) admitted to four hospitals in the MTS as a result of WRI between 1 January 2012 and 31 December 2015. We describe the patterns of injury incidence by demographic characteristics, employment industry, mechanism of injury, body regions injured, injury severity score (ISS), month, day and time of injury, duration of hospital stay, domicile District Health Board (DHB), and discharge destination.
The 2169 WRI trauma admissions, corresponded to an annualised rate of 205.8 per 100,000 workers or 234.3 per 100,000 full time employment employees (FTE). Injury rates were highest among males (238.0 per 100,000 workers) and those aged 15-24 years (227.1 per 100,000 workers), and lowest among Asians (83 per 100,000 workers). The highest injury rates occurred among the 'agriculture/forestry/fishing', 'manufacturing', and 'transport/postal/warehousing' industries. 'Contact with machinery' was the most common mechanism of injury, and the 'extremities or pelvic girdle' the most common body region injured. The in-hospital case fatality rate was <0.5%.
The predominance of WRI in the 'agriculture/forestry/fishing' industries in the Midland region is consistent with national estimates. The high rate of injuries amongst males, young adults, and Māori requires further exploration.
描述在四年期间新西兰中部创伤系统（MTS）收治的工伤患者的流行病学特征。
对2012年1月1日至2015年12月31日期间因工伤入住MTS四家医院的成人（≥15岁）创伤登记记录进行回顾性研究。我们按人口统计学特征、就业行业、受伤机制、受伤身体部位、损伤严重程度评分（ISS）、受伤月份、日期和时间、住院时间、户籍地区卫生委员会（DHB）以及出院目的地描述损伤发生率模式。
2169例工伤创伤入院患者，相当于每10万名工人的年化率为205.8例，或每10万名全职就业员工（FTE）为234.3例。男性（每10万名工人238.0例）和15 - 24岁年龄组（每10万名工人227.1例）的受伤率最高，亚洲人（每10万名工人83例）的受伤率最低。“农业/林业/渔业”、“制造业”和“运输/邮政/仓储”行业的受伤率最高。“接触机械”是最常见的受伤机制，“四肢或骨盆带”是最常见的受伤身体部位。院内病死率<0.5%。
中部地区“农业/林业/渔业”行业工伤的主导地位与全国估计一致。男性、年轻人和毛利人受伤率高需要进一步探究。
