Reilly Louis, Chan Jessica, Thevanesan Thevanthi, Orr Robin, Dawes Jay, Lockie Robert, Canetti Elisa, Schram Ben
Faculty of Health Sciences and Medicine, Bond University, Robina, QLD 4226, Australia.
Tactical Research Unit, Bond University, Robina, QLD 4226, Australia.
Healthcare (Basel). 2024 Nov 22;12(23):2334. doi: 10.3390/healthcare12232334.
BACKGROUND/OBJECTIVES: Custody officers (CO) are often exposed to workplace hazards when monitoring prisoners, managing prisoners' recreational time, or searching for contraband, yet research into their injuries is limited. This review aimed to identify, appraise, and synthesise research investigating injuries in CO.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol and registration with the Open Science Framework, a systematic search of five databases (PubMed, ProQuest, Embase, CINAHL and SportDiscus) using key search terms was conducted. The identified studies were considered against eligibility criteria, with the remaining studies critically appraised using the appropriate Joanna Briggs Institute checklist.
From the 975 identified studies, eight studies (mean critical appraisal score = 69 ± 25%) remained to inform the review. The incidence of fatal injuries ranged from 0.027 to 0.03 per 1000 full-time employees (FTE), whereas that of non-fatal injuries ranged from 15.9 to 44.0 per 1000 FTE. CO aged 31+ years were the most likely to experience injuries (22-44%). Male CO were more commonly injured than female CO in both fatal injuries (male = 89%, female = 11%) and non-fatal injuries (male = 73-74%, female = 26-27%). Assaults (11.5-38%) and slips/trips/falls (23.2-25%) were found to be the most common causes of injuries. The upper extremity was the most commonly injured body part (26-30%), with musculoskeletal sprains and strains (30-60.2%) the most common types of injury.
CO injury profiles are similar to those reported in general-duty police officers. As such, musculoskeletal conditioning, reconditioning, and fall prevention practices employed in law enforcement may serve as an initial approach to risk mitigation in this population.
背景/目的：监管人员在监视囚犯、管理囚犯娱乐时间或搜查违禁品时经常暴露于工作场所危害中，但对他们受伤情况的研究有限。本综述旨在识别、评估和综合调查监管人员受伤情况的研究。
按照系统评价和荟萃分析的首选报告项目协议并在开放科学框架注册，使用关键检索词对五个数据库（PubMed、ProQuest、Embase、CINAHL和SportDiscus）进行系统检索。根据纳入标准对识别出的研究进行考量，其余研究使用适当的乔安娜·布里格斯研究所清单进行严格评估。
从975项识别出的研究中，有八项研究（平均严格评估得分 = 69 ± 25%）纳入本综述。致命伤的发生率为每1000名全职工人（FTE）0.027至0.03例，而非致命伤的发生率为每1000名FTE 15.9至44.0例。31岁及以上的监管人员最容易受伤（22 - 44%）。在致命伤（男性 = 89%，女性 = 11%）和非致命伤（男性 = 73 - 74%，女性 = 26 - 27%）中，男性监管人员比女性监管人员更常受伤。袭击（11.5 - 38%）和滑倒/绊倒/摔倒（23.2 - 25%）被发现是最常见的受伤原因。上肢是最常受伤的身体部位（26 - 30%），肌肉骨骼扭伤和拉伤（30 - 60.2%）是最常见的损伤类型。
监管人员的受伤情况与普通警察报告的情况相似。因此，执法部门采用的肌肉骨骼调理、康复和预防跌倒措施可作为该人群风险缓解的初步方法。
