Purola Lotta, Kavola Heli, Vuola Jyrki
Department of Plastic Surgery, Oulu University Hospital, PO. Box 21, 90029, Oulu, Pohjois-Pohjanmaa, Finland.
Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital, HUCH, University of Helsinki, P.O. Box 800, 00029, Helsinki, Finland.
Inj Epidemiol. 2022 Aug 26;9(1):28. doi: 10.1186/s40621-022-00387-5.
This study comprises all hospitalized work-related burn injuries in one country during 2011-2015. The purpose was to describe demographics, causes and risk factors of occupational burn injuries with special focus on the outcome of return to work.
This is a retrospective study on two data sources of which Finnish Workers' Compensation Center's (FWCC) register includes all work-related burn cases at a given time. Additional data have been obtained from those patients, who were referred to the National Burn Centre (NBC) during the same time according to the Emergency Management of Severe Burns (EMSB) criteria. We compare demographics, injury mechanisms and general burn data of these two patient groups.
Based on FWCC register, in 2011-2015 occurred 11,623 work-related burn cases of whom 54% were men. During the study period, NBC admitted 26 patients fulfilling EMSB criteria. The most severe patients treated in NBC had injuries affecting multiple body parts. In FWCC data, hand was most injured body part. Kitchen/bakery work was the most common profession in FWCC register but in NBC material industrial and transport professions dominated. In FWCC register, patients had lower mean age (37 years vs. 43 years). Most severe injuries occurred among older patients: In NBC data, those with total body surface area 40% or over had mean age 53 years. Majority of patients returned to work.
Safety at work in Finland has improved during last decades, and the vast majority of work-related burn injuries are minor. Minor burn injuries are common in young adults working in kitchen and bakery work, whereas elderly men working in transports and industry sustain the most severe burn accidents. Retirement after work-related injury becomes very expensive for all parties, and this data can be used in preventing those cases as well as the minor accidents.
本研究涵盖了2011年至2015年期间一个国家所有因工作导致的住院烧伤病例。目的是描述职业性烧伤的人口统计学特征、原因和风险因素，并特别关注重返工作岗位的结果。
这是一项对两个数据源的回顾性研究，其中芬兰工人赔偿中心（FWCC）的登记册包含给定时间内所有与工作相关的烧伤病例。另外的数据来自于同一时期根据严重烧伤应急管理（EMSB）标准被转诊至国家烧伤中心（NBC）的患者。我们比较了这两组患者的人口统计学特征、损伤机制和一般烧伤数据。
根据FWCC登记册，2011年至2015年期间发生了11,623例与工作相关的烧伤病例，其中54%为男性。在研究期间，NBC收治了26例符合EMSB标准的患者。在NBC接受治疗的最严重患者的损伤累及多个身体部位。在FWCC数据中，手部是最常受伤的身体部位。厨房/面包店工作是FWCC登记册中最常见的职业，但在NBC的资料中，工业和运输行业占主导地位。在FWCC登记册中，患者的平均年龄较低（37岁对43岁）。最严重的损伤发生在老年患者中：在NBC的数据中，全身表面积达40%或以上的患者平均年龄为53岁。大多数患者重返工作岗位。
在过去几十年中，芬兰的工作安全状况有所改善，绝大多数与工作相关的烧伤都不严重。轻度烧伤在从事厨房和面包店工作的年轻人中很常见，而从事运输和工业工作的老年男性遭受的烧伤事故最为严重。工伤后退休对各方来说成本都非常高，这些数据可用于预防此类严重病例以及轻微事故。
