A survey on occupational injuries and related factors among emergency patients of Mashhad teaching hospitals over a year.

Hosein Zakeri, Hasan Jahed Taherani, Lahya Afshari Saleh
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Abstract

Background: Occupational injuries (OI) are a - significant source of social and economic costs. They can cause prolonged absences from work, loss of limb, and worker disability, among other negative consequences. In light of this, the present study aimed to evaluate the factors associated with OI in trauma centers affiliated with Mashhad University of Medical Sciences.

Methods: This cross-sectional study was carried out among patients admitted to the trauma ward of four teaching hospitals in Mashhad during 2019-2020. Patients' data was collected in a checklist and trauma severity was assessed based on injury severity score. The Epworth questionnaire was completed for patients. Data was analyzed by SPSS 20.0.

Results: Out of a total of 13660 patients who were referred to the emergency department of four hospitals of Mashhad University of Medical Sciences, 683 (5.15%) individuals suffered occupational trauma and entered the study. The mean (±SD) age and work experience of the participants were 34 (±10) and 10 (±9) respectively. Most of the participants were in the age group of 20-40 years. the most common mechanism of trauma was falling (p=0.00) and the most injury frequency was among manual working (p=0.01). There was not a significant association between trauma severity and demographic characteristics. Those who had falling or electric accidents had more severe trauma compared to other injured patients. (p=0.00) CONCLUSIONS: In general, the most burden of occupational accidents and in fact, the most serious injuries were related to men and manual workers. Also, most of the injuries happened through falls and cuts. The results of this study showed the need for serious policies to reduce occupational injuries.

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对马什哈德教学医院一年来急诊病人职业伤害及相关因素的调查。
背景:职业伤害(OI)是社会和经济成本的重要来源。职业伤害可导致长期缺勤、肢体缺失、工人残疾等不良后果。有鉴于此,本研究旨在评估与马什哈德医科大学附属创伤中心的 OI 相关的因素:这项横断面研究是在 2019-2020 年期间对马什哈德四家教学医院创伤病房的住院患者进行的。通过核对表收集患者数据,并根据损伤严重程度评分评估创伤严重程度。患者填写了埃普沃思问卷。数据采用 SPSS 20.0 进行分析:在转诊至马什哈德医科大学四家医院急诊科的 13660 名患者中,有 683 人(5.15%)遭受过职业创伤并参与了研究。参与者的平均年龄(±SD)和工作经验分别为 34(±10)岁和 10(±9)岁。最常见的外伤机制是跌倒(P=0.00),受伤频率最高的是体力劳动(P=0.01)。创伤严重程度与人口统计学特征之间没有明显关联。与其他受伤患者相比,高空坠落或触电事故造成的创伤更为严重。(P=0.00)结论:总体而言,男性和体力劳动者的职业事故负担最重,事实上,他们所受的伤害也最严重。此外,大多数伤害都发生在跌倒和割伤上。研究结果表明,有必要制定严肃的政策来减少职业伤害。
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