Khairallah Ghassan M, Al-Hajj Samar, Mowafi Hani, Rahme Diana V, Sakr Carine J
Employee Health Unit, Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
BMC Public Health. 2025 Apr 17;25(1):1447. doi: 10.1186/s12889-025-22727-y.
Healthcare workers (HCWs) are exposed to a multitude of hazards in the hospital environment, increasing their risks of sustaining injuries at a higher rate compared to workers in other sectors and resulting in substantial level of modified work and absenteeism. This study aims to examine the burden and determinants of occupational injury severity of HCWs at a tertiary care hospital in Lebanon.
This retrospective cross-sectional study examined incident reports completed by HCWs over a period of 5 years (January 2018 to December 2022). Injury severity was assessed by HCWs' need for an Emergency Department (ED) visit after sustaining an injury at work. The association with age, sex, occupation, and type of injury was examined. Results were reported as adjusted OR, with their corresponding 95% confidence intervals and p-values, using logistic regression.
1,772 injury reports were recorded, of which 790 were included for analysis since the sample was limited to the outpatient clinic opening hours to ensure a more accurate assessment of injury severity. Of these, 27% required an ED visit. Male sex (OR = 1.601, p-value = 0.005) was associated with more severe injuries. Transportation injuries (OR = 5.927, p-value = 0.001) were more severe compared to other injury mechanism, while needle-pricks (OR = 0.008, p-value = 0.000), exposure to blood products (OR = 0.025, p-value = 0.000), and exposure to harmful substances (OR = 0.209, p-value = 0.003) were less severe. Age and occupation only showed significance at the bivariate level.
This study highlighted significant determinants of injury severity among HCWs, emphasizing the critical need for targeted interventions for individuals at risk. Implementing comprehensive safety and wellness programs can enhance the overall health and safety of HCWs in high-stress environments.
医护人员在医院环境中面临多种危害，与其他行业的工人相比，他们遭受伤害的风险更高，导致大量的工作调整和旷工。本研究旨在调查黎巴嫩一家三级护理医院中医护人员职业伤害严重程度的负担和决定因素。
这项回顾性横断面研究检查了医护人员在5年期间（2018年1月至2022年12月）填写的事故报告。伤害严重程度通过医护人员在工作中受伤后是否需要前往急诊科就诊来评估。研究了与年龄、性别、职业和伤害类型的关联。使用逻辑回归将结果报告为调整后的比值比及其相应的95%置信区间和p值。
共记录了1772份伤害报告，其中790份纳入分析，因为样本仅限于门诊开放时间，以确保更准确地评估伤害严重程度。其中，27%的人需要前往急诊科就诊。男性（比值比=1.601，p值=0.005）与更严重的伤害相关。与其他伤害机制相比，交通伤害（比值比=5.927，p值=0.001）更严重，而针刺伤（比值比=0.008，p值=0.000）、接触血液制品（比值比=0.025，p值=0.000）和接触有害物质（比值比=0.209，p值=0.003）则不太严重。年龄和职业仅在双变量水平上显示出显著性。
本研究突出了医护人员中伤害严重程度的重要决定因素，强调了对高危个体进行针对性干预的迫切需求。实施全面的安全与健康计划可以提高高压力环境中医护人员的整体健康和安全水平。
