Centre for Disaster Medicine, University of Gothenburg, Box 426, Göteborg 413 45, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborgsvägen 31, Mölndal 431 80, Sweden.
Mil Med. 2024 Feb 27;189(3-4):e573-e580. doi: 10.1093/milmed/usad377.
High-speed boat operators constitute a population at risk of work-related injuries and disabilities. This review aimed to summarize the available knowledge on workplace-related injuries and chronic musculoskeletal pain among high-speed boat operators.
In this systematic review, we searched Medline, Embase, Scopus, and the Cochrane Library Database for studies, published from 1980 to 2022, on occupational health and hazards onboard high-speed boats. Studies and reports were eligible for inclusion if they evaluated, compared, used, or described harms associated with impact exposure onboard high-speed boats. Studies focusing on recreational injuries and operators of non-planing boats were excluded. The primary outcome of interest was the incidence of acute injuries. The secondary outcome measures comprised the presence of chronic musculoskeletal disorders, pain medication use, and days off work.
Of the 163 search results, 5 (2 prospective longitudinal and 3 cross-sectional cohort studies) were included in this systematic review. A total of 804 cases with 3,312 injuries sustained during 3,467 person-years onboard high-speed boats were included in the synthesis of the results. The pooled incidence rate was 1.0 per person-year. The most common injuries were related to the lower back (26%), followed by neck (16%) and head (12%) injuries. The pooled prevalence of chronic pain was 74% (95% CI: 73-75%) and 60% (95% CI: 59-62%) of the cohort consumed analgesics.
Despite very limited data, this review found evidence that high-speed boat operators have a higher rate of injuries and a higher prevalence of chronic pain than other naval service operators and the general workforce. Given the low certainty of these findings, further prospective research is required to verify the injury incidence and chronic pain prevalence among high-speed boat operators.
高速船操作人员是工作相关伤害和残疾的高危人群。本综述旨在总结有关高速船操作人员工作场所相关伤害和慢性肌肉骨骼疼痛的现有知识。
在这项系统综述中，我们检索了 Medline、Embase、Scopus 和 Cochrane 图书馆数据库，以获取 1980 年至 2022 年期间与高速艇船上职业健康和危害相关的研究报告。如果研究评估、比较、使用或描述了与高速艇船上冲击暴露相关的危害，则符合纳入标准。排除了关注休闲伤害和非滑行艇操作人员的研究。主要研究结果是急性伤害的发生率。次要结果包括慢性肌肉骨骼疾病的存在、止痛药使用和休假天数。
在 163 项搜索结果中，有 5 项（2 项前瞻性纵向和 3 项横断面队列研究）被纳入本系统综述。共有 804 例患者，3312 例损伤，发生在 3467 人年的高速艇船上，纳入结果的综合分析。总的发生率为 1.0 人年。最常见的损伤与下背部（26%）、颈部（16%）和头部（12%）有关。慢性疼痛的总患病率为 74%（95%CI：73-75%），队列中有 60%（95%CI：59-62%）的人服用了镇痛药。
尽管数据非常有限，但本综述发现证据表明，与其他海军服务操作人员和普通劳动力相比，高速船操作人员的受伤率更高，慢性疼痛的患病率更高。鉴于这些发现的确定性较低，需要进一步进行前瞻性研究来验证高速船操作人员的受伤发生率和慢性疼痛患病率。
