Department of Forensic Medicine, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu-Türkiye.
The Ministry of Justice Council of Forensic Medicine, İstanbul-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2022 Sep;28(9):1258-1269. doi: 10.14744/tjtes.2022.22796.
This study was aimed to evaluate the injury characteristics, causes, results, and hospital charges in cases of occupational accidents that were reported to judicial authorities using trauma scores.
The study was performed after obtaining permission from the judicial authorities and approval from the local ethics committee. All occupational accident cases that were reported to the judicial authorities in Bolu Province between 2015 and 2019 were included in the study. The groups were compared with the Chi-Square test, Mann-Whitney U Test, and the Kruskal-Wallis Test. P<0.05 was considered statistically significant.
This study included 3599 cases. The majority of the cases (74.70%) were male, with a mean age of 34.90±10.50 years. Occupational accidents occurred most frequently between 8 and 16 h (n=1982; 55.10%), on Friday (n=595, 16.53%), in April (n=356; 9.89%), and in spring (n=971; 26.98%). Occupational accident-related death occurred in 29 cases (0.8%). The most common injury due to occupational accidents occurred in the food industry (n=1256, 34.90%). Blunt object injury (n=1112, 30.90%) was the most common type of occupational accident; and the upper extremity (n=2049, 54.93%) was the most common injury localization. The mean Abbreviated Injury Scale of the cases was 0.94±0.74, the mean Injury Severity Score (ISS) was 1.79±4.47, and the mean New-Injury Severity Score (NISS) was 2.11±5.28. The means of ISS and NISS were statistically significantly higher for males, life-threatening injuries, work accidents in the Construction and Agriculture-Forestry sectors, fall from height, traffic accidents, and caught-in-machinery. The total hospital charge was 1,351,339.10 TL and its average was 380.30±2418.90 TL. The mean of treatment costs was significantly higher in the agriculture-forestry and construction sectors.
The evaluation of all occupational accidents that are submitted to the jurisdiction on a provincial basis may provide more useful information in the prevention of work accidents. The use of trauma scores in the evaluation of occupational accidents is a useful argument for understanding the sectors and injury types that cause severe trauma. Furthermore, trauma scores may be an important predictor of hospital costs.
本研究旨在通过创伤评分评估报告给司法当局的职业事故的损伤特征、原因、结果和住院费用。
本研究获得司法当局许可并获得当地伦理委员会批准后进行。2015 年至 2019 年期间，所有在博卢省报告给司法当局的职业事故案例均纳入本研究。使用卡方检验、Mann-Whitney U 检验和 Kruskal-Wallis 检验对组进行比较。P<0.05 被认为具有统计学意义。
本研究共纳入 3599 例。大多数病例（74.70%）为男性，平均年龄为 34.90±10.50 岁。职业事故最常发生在 8 至 16 小时（n=1982；55.10%）、周五（n=595，16.53%）、四月（n=356；9.89%）和春季（n=971；26.98%）。职业事故相关死亡发生 29 例（0.8%）。职业事故中最常见的受伤发生在食品行业（n=1256，34.90%）。钝器伤（n=1112，30.90%）是最常见的职业事故类型；最常见的损伤部位是上肢（n=2049，54.93%）。病例的平均简明损伤量表评分为 0.94±0.74，损伤严重程度评分（ISS）为 1.79±4.47，新损伤严重程度评分（NISS）为 2.11±5.28。ISS 和 NISS 的平均值在男性、危及生命的伤害、建筑和农业林业部门的工作事故、高处坠落、交通事故和机器夹伤中显著较高。总住院费用为 1351339.10 土耳其里拉，平均 380.30±2418.90 土耳其里拉。农业林业和建筑部门的治疗费用平均值明显较高。
在省级基础上评估提交给司法管辖的所有职业事故可能会在预防工作事故方面提供更有用的信息。创伤评分在职业事故评估中的使用是理解导致严重创伤的部门和损伤类型的有用论据。此外，创伤评分可能是医院费用的重要预测指标。
