Emergency Department, Tan Tock Seng Hospital, Singapore
Tan Tock Seng Emergency Department, Ministry of Health Holdings Pte Ltd, Singapore.
BMJ Open. 2021 May 10;11(5):e042427. doi: 10.1136/bmjopen-2020-042427.
To investigate current patterns of work-related injuries sustained by foreign workers in Singapore and compare them to a decade ago. Secondary aim to analyse usefulness of selected trauma scores in this context.
Retrospective review of trauma registry of a single centre, from 1 April to 30 June 2015. Data compared with those from similar study performed at same centre in 2004.
Emergency department (ED) of 1500-bedded acute urban public hospital in Singapore.
1094 foreign workers with work-related injuries were included. Tourists, foreign students, non-work-related injuries, re-attendances for the same condition were excluded.
Mean age of participants was 32.8 years (SD 7.8), 90.0% were men. ED attendance was lowest on Sundays. Mechanism of injury: blunt (78.2%), penetrating (19.2%), burns (2.6%). Compared to 2004, 5% of foreign workers required admission (vs 19.6% in 2004, p≤0.0001), 8.0% underwent day or inpatient surgical procedures (vs 13.2% in 2004, p≤0.0001), 41.6% were referred to specialist outpatient clinics (vs 27.6% in 2004, p≤0.0001), 12.5% were referred to primary care follow-up (vs 29.9% in 2004, p≤0.0001). Mean duration of sick days was 4.3 (vs 5.1 in 2004, p≤0.0001). Of admitted patients, 49.1% had extremity injuries and 36.3% had head and neck injuries. Mean Injury Severity Score (ISS) for admitted patients was 3.64 (SD 3.1) (vs 4.3 (SD 5.5) in 2004, p=0.39). Mean Revised Trauma Score (RTS) for admitted patients was 7.74 (SD 0.39) (vs 7.8 (SD 0.2) in 2004, p=0.07). Of discharged patients, 48.9% had extremity injuries and 48.9% had external injuries. There was no death.
Compared to 2004, there were fewer major/fatal work-related injuries and an increased proportion of minor injuries. ISS and RTSs were of limited use in this setting.
调查新加坡外籍工人目前的工作相关伤害模式，并与十年前进行比较。次要目的是分析在此背景下选择的创伤评分的有用性。
对 2015 年 4 月 1 日至 6 月 30 日期间，一家中心的创伤登记处进行回顾性研究。将数据与同一中心 2004 年进行的类似研究进行比较。
新加坡一家拥有 1500 张病床的急性城市公立急症室。
纳入 1094 名有工作相关伤害的外国工人。排除游客、外国学生、非工作相关伤害、同一病情再次就诊。
参与者的平均年龄为 32.8 岁（标准差 7.8），90.0%为男性。急诊就诊人数最少的是星期日。受伤机制：钝器（78.2%）、穿透伤（19.2%）、烧伤（2.6%）。与 2004 年相比，有 5%的外国工人需要入院治疗（2004 年为 19.6%，p≤0.0001），8.0%接受日间或住院手术治疗（2004 年为 13.2%，p≤0.0001），41.6%被转介至专科门诊（2004 年为 27.6%，p≤0.0001），12.5%被转介至初级保健随访（2004 年为 29.9%，p≤0.0001）。病假平均持续时间为 4.3 天（2004 年为 5.1 天，p≤0.0001）。住院患者中，49.1%有四肢损伤，36.3%有头颈部损伤。住院患者的平均损伤严重度评分（ISS）为 3.64（标准差 3.1）（2004 年为 4.3（标准差 5.5），p=0.39）。住院患者的修订创伤评分（RTS）平均为 7.74（标准差 0.39）（2004 年为 7.8（标准差 0.2），p=0.07）。出院患者中，48.9%有四肢损伤，48.9%有外部损伤。无死亡。
与 2004 年相比，工作相关的严重/致命伤害减少，轻伤比例增加。ISS 和 RTS 在这种情况下的使用有限。
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