Department of Surgery, Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, United States.
Department of Surgery, Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, United States; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States.
Am J Emerg Med. 2018 May;36(5):846-850. doi: 10.1016/j.ajem.2018.01.047. Epub 2018 Jan 16.
Power saw and axe injuries are associated with significant morbidity and are increasingly managed in the emergency department (ED). However, these injuries have not been summarily reported in the literature. We aim to evaluate and compare the common injury patterns seen with use of power saws and axes.
Data from the National Electronic Injury Surveillance System- All Injury Program (NEISS-AIP) database was analyzed during 2006 to 2016. All patients with nonfatal injuries relating to the use of power saws or axes were included. Baseline demographics type and location of injuries were collected. Descriptive statistical analyses were performed using Chi Square or Fisher's exact test.
Information on (n = 18,250) patients was retrieved from the NEISS-AIP database. Injuries were caused by power saw n = 16,384 (89%) and axe n = 1866 (11%) use, and mostly involved males (95%). The most frequently encountered injury was laceration axe n = 1166 (62.5%); power saw n = 11,298 (68.9%). Approximately half of all injuries in both groups involved the fingers and hand. Most injuries occurred at home (65%) and were attributed to power saw use (89%).
Power saws and axes can cause significant injuries, the majority of which occurred at home and were primarily associated with power saw use. Lacerations and injuries to the finger and hand were prevalent in both study groups. Further research into power saw and axe injuries should place emphasis on preventative measures and personal protective equipment (PPE).
IV Study type: Retrospective review.
电锯和斧头伤与显著的发病率相关，越来越多地在急诊科（ED）进行管理。然而，这些伤害在文献中并没有被总结报道。我们旨在评估和比较使用电锯和斧头时常见的损伤模式。
分析了 2006 年至 2016 年期间国家电子伤害监测系统-所有伤害计划（NEISS-AIP）数据库的数据。所有与使用电锯或斧头有关的非致命性伤害的患者均被纳入研究。收集了基线人口统计学资料、损伤类型和位置。使用卡方检验或 Fisher 确切检验进行描述性统计分析。
从 NEISS-AIP 数据库中检索到（n=18250）名患者的信息。损伤由电锯（n=16384，89%）和斧头（n=1866，11%）引起，主要涉及男性（95%）。最常见的损伤是斧头造成的 1166 例（62.5%）撕裂伤；电锯造成的 11298 例（68.9%）撕裂伤。两组患者的近一半损伤都涉及手指和手。大多数损伤发生在家庭（65%），归因于使用电锯（89%）。
电锯和斧头会造成严重的伤害，其中大多数发生在家里，主要与使用电锯有关。两组患者的手指和手部都普遍发生撕裂伤和损伤。进一步研究电锯和斧头伤应重点关注预防措施和个人防护设备（PPE）。
IV 研究类型：回顾性研究。
