Department of Emergency Medicine, Singapore General Hospital; Emergency Medicine Academic Medical Programme, SingHealth-Duke-NUS Academic Medical Centre, Singapore.
Health Services Research Centre, Singapore Health Services, Singapore.
Singapore Med J. 2023 Apr;64(4):237-243. doi: 10.11622/smedj.2022017.
Falls from heights contribute to 34% of fatal accidents in Singapore. Of these, 51% of the accidents occur in the construction industry. This retrospective review, of all persons falling from heights in the construction industry from 2006 to 2012 and attending a major hospital, analysed injury patterns and related them to mechanisms and contributory factors.
Information collected included injury and casualty characteristics, safety measures, pre-existing medical conditions and clinical outcomes.
Of 1,085 patients, 951 were male with a mean age of 39.8 years, mean height of 165.9 cm and mean weight of 69.7 kg. Most of the casualties fell between 0800 and 2000 hours. Among the severely injured patients, 2.4% had head injuries, 54.9% had chest injuries and 39.2% had abdominal and pelvic injuries. For these casualties, the mortality rate was 60.8%. For patients with less than major trauma, the commonest injuries were in the lower limbs (41.8%), upper limbs (40.8%) and spine (22.2%). All the casualties survived. Falls from scaffolding, formwork and platforms were the most common causes of severe injuries (41.1%). Safety helmets and harnesses were reported to be used in 1.8% and 4.1% of instances of falls, respectively.
Studying the patterns of injuries following falls at construction sites has the potential for injury prevention through safe practices, use of safety equipment and targeted training.
在新加坡，高处坠落事故导致 34%的致命事故。其中，51%的事故发生在建筑行业。本回顾性研究分析了 2006 年至 2012 年期间在建筑行业因高处坠落而前往一家主要医院就诊的所有人员的受伤模式，并将其与机制和促成因素相关联。
收集的信息包括伤害和伤亡特征、安全措施、先前存在的医疗状况和临床结果。
在 1085 名患者中，951 名男性，平均年龄为 39.8 岁，平均身高为 165.9 厘米，平均体重为 69.7 公斤。大多数伤亡人员发生在 0800 至 2000 小时之间。在重伤患者中，2.4%有头部受伤，54.9%有胸部受伤，39.2%有腹部和骨盆受伤。对于这些伤亡人员，死亡率为 60.8%。对于受伤程度较轻的患者，最常见的受伤部位是下肢（41.8%）、上肢（40.8%）和脊柱（22.2%）。所有伤亡人员均幸存。从脚手架、模板和平台坠落是导致严重受伤的最常见原因（41.1%）。报告称，分别有 1.8%和 4.1%的坠落事故中使用了安全头盔和安全带。
研究建筑工地高处坠落事故后的受伤模式，有可能通过安全实践、使用安全设备和有针对性的培训来预防受伤。
