回顾性分析 10 年来某单一医疗中心外籍劳工的工伤情况。

Retrospective review of work-related injuries sustained by foreign workers: a single centre experience over 10 years.

机构信息

Emergency Department, Tan Tock Seng Hospital, Singapore

Tan Tock Seng Emergency Department, Ministry of Health Holdings Pte Ltd, Singapore.

出版信息

BMJ Open. 2021 May 10;11(5):e042427. doi: 10.1136/bmjopen-2020-042427.

DOI:10.1136/bmjopen-2020-042427

PMID:33972330

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8112445/

Abstract

OBJECTIVES

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.

DESIGN

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.

SETTING

Emergency department (ED) of 1500-bedded acute urban public hospital in Singapore.

PARTICIPANTS

1094 foreign workers with work-related injuries were included. Tourists, foreign students, non-work-related injuries, re-attendances for the same condition were excluded.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

设计

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。

地点

新加坡一家拥有 1500 张病床的急性城市公立急症室。

参与者

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。

结果

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。