家用维护设备相关手部和下臂损伤的特征描述。
A characterization of home maintenance equipment-related hand and lower arm injuries.
作者信息
Plotsker Ethan, Wolfe Erin M, Slavin Benjamin R, White Nicholas, Cook Jonathan, Panthaki Zubin J
机构信息
Division of Plastic and Reconstructive Surgery, University of Miami Miller School of Medicine, 1611 NW 12th Ave #303, Miami, FL, 33136, USA.
出版信息
J Clin Orthop Trauma. 2022 Jul 5;31:101943. doi: 10.1016/j.jcot.2022.101943. eCollection 2022 Aug.
BACKGROUND
Thousands of Americans sustain injuries from various household appliances each year, though injury patterns have not been well characterized. We thus sought to determine the incidence, characteristics, and trends of household appliance-related hand injuries over the past decade.
METHODS
The National Electronic Injury Surveillance System database (NEISS) was queried from 2010 through 2019. Our analysis grouped patients into 10-year age groups. We defined types of appliances and injuries Chi-square tests were used to compare the most common injury mechanisms by age group.
RESULTS
Between 2010 and 2019, 30,336 total cases of home workshop equipment-related upper extremity injuries were recorded; 2,574 (8.48%) of these affected females, compared to 27,762 (91.52%) of the cases affecting males. Across all age groups, males were between 6 and 13 more times likely to be injured than females (p < 0.001). Between 2010 and 2019, we recorded a decline in total injuries from 168,795 to 147,584, with a Pearson correlation coefficient of -0.68 (p = 0.031). The appliances most likely to injure those in their 10s through 40s were mechanical tools such as screwdrivers. Meanwhile, those in their 50s through 70s were most likely to be injured by saws. Both amputations and avulsions were found to significantly increase with age (p = 0.038, p = 0.027, respectively). Most injuries result from manual tools and saws.
DISCUSSION
Males are significantly more likely to incur injuries than females from maintenance equipment, and risk of avulsions and amputations increase significantly with age. This aligns with previous research which also suggested that older saws were most likely to injure older individuals; namely, following new regulations on saws, older adults were more likely to be affected. This is especially worrisome in light of recent research showing that older adults with amputations are less likely to be offered replantations. Overall, these results can continue to guide and optimize community interventions on an epidemiological basis.
背景
每年有成千上万的美国人因各种家用电器而受伤，不过损伤模式尚未得到充分描述。因此，我们试图确定过去十年中与家用电器相关的手部损伤的发生率、特征和趋势。
方法
查询了2010年至2019年的国家电子伤害监测系统数据库（NEISS）。我们的分析将患者按10岁年龄组进行分组。我们定义了电器类型和损伤类型，采用卡方检验按年龄组比较最常见的损伤机制。
结果
2010年至2019年期间，共记录了30336例与家庭作坊设备相关的上肢损伤病例；其中2574例（8.48%）为女性，而男性病例为27762例（91.52%）。在所有年龄组中，男性受伤的可能性是女性的6至13倍（p<0.001）。2010年至2019年期间，我们记录到总损伤数从168795例下降至147584例，皮尔逊相关系数为-0.68（p=0.031）。最有可能使十几岁到四十几岁的人受伤的电器是螺丝刀等机械工具。与此同时，五十几岁到七十岁的人最容易被锯子弄伤。发现截肢和撕脱伤均随年龄显著增加（分别为p=0.038，p=0.027）。大多数损伤是由手动工具和锯子造成的。
讨论
男性因维护设备受伤的可能性明显高于女性，撕脱伤和截肢的风险随年龄显著增加。这与之前的研究一致，该研究也表明旧锯子最有可能伤害老年人；也就是说，随着锯子的新规定出台，老年人更容易受到影响。鉴于最近的研究表明，截肢的老年人接受再植手术的可能性较小，这一点尤其令人担忧。总体而言，这些结果可以继续在流行病学基础上指导和优化社区干预措施。
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