Galasso Annemarie, Caughman Alexander M, Griffith Adam, Hoch Caroline, Rex James, Scott Daniel J, Gross Christopher E
College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Carle Illinois College of Medicine, Urbana, Illinois.
Foot Ankle Spec. 2024 Feb 29:19386400241233844. doi: 10.1177/19386400241233844.
This study analyzes the incidence rate and median workdays missed due to foot and ankle injuries across age groups, sexes, and industries.
Workplace injury data from 2003 to 2019 were obtained using the Nonfatal Cases Involving Day Away from Work: Selected Characteristics database provided by the Bureau of Labor Statistics (BLS). The data were grouped by injury location (ie, foot, ankle), injury type (ie, fracture, sprain), and industry, and reported with injury incidence rates and median workdays missed.
The incidence rate of foot and ankle injuries significantly decreased from 2003 to 2019 (P < .001). With increasing age, the incidence rate of foot and ankle injuries decreased (P < .001) and median workdays missed increased (P < .001). Men had significantly higher rates of foot and ankle injuries (P < .001). Agriculture, forestry, fishing, and hunting (foot=10.23%, ankle=10.41%); construction (foot=8.14%, ankle=8.68%); and transportation and warehousing (foot=11.06%, ankle=13.80%) industries had the highest injury incidence rates. Transportation and warehousing (foot=16.8 days, ankle=16.3 days), mining (foot=44.9 days, ankle=17.1 days), and utilities (foot=26.7 days, ankle=24.4 days) industries had the highest median workdays missed.
Increased incidence and severity of workplace foot and ankle injuries are associated with male sex and heavy labor industries. Age was positively associated with severity and negatively associated with incidence of workplace ankle injuries.
Level III, Retrospective cohort study.
本研究分析了不同年龄组、性别和行业因足踝损伤导致的发病率及误工天数中位数。
利用美国劳工统计局（BLS）提供的《非致命工伤离岗案例：特定特征》数据库获取2003年至2019年的职场工伤数据。数据按损伤部位（即足部、踝部）、损伤类型（即骨折、扭伤）和行业进行分组，并报告损伤发病率和误工天数中位数。
2003年至2019年，足踝损伤的发病率显著下降（P <.001）。随着年龄增长，足踝损伤的发病率下降（P <.001），误工天数中位数增加（P <.001）。男性足踝损伤的发生率显著更高（P <.001）。农业、林业、渔业和狩猎业（足部=10.23%，踝部=10.41%）；建筑业（足部=8.14%，踝部=8.68%）；运输和仓储业（足部=11.06%，踝部=13.80%）的损伤发病率最高。运输和仓储业（足部=16.8天，踝部=16.3天）、采矿业（足部=44.9天，踝部=17.1天）和公用事业（足部=26.7天，踝部=24.4天）的误工天数中位数最高。
职场足踝损伤发病率和严重程度的增加与男性及重体力劳动行业有关。年龄与职场踝部损伤的严重程度呈正相关，与发病率呈负相关。
三级，回顾性队列研究。
