İş kazasına bağlı yaralanmalarda alkol kullanımı

İş kazaları çalışma yaşamı ile ilgili sağlık sorunları içinde hem adli durum hem de acil hizmeti gerektirmesi nedeniyle önemli bir konudur. Ülkemizde iş kazalarında alkollü olma sıklığını irdeleyen yeterli çalışma bulunmamaktadır. Yöntem: Bu çalışmada acil servis kayıtlarından sosyal sigorta kurumuna bildirilen iş kazası olgularından (n=1845) dosya kayıtlarında alkollü olma bilgisi bulunanlar (n=1110) geriye dönük olarak değerlendirildi. Sonuçlar: İş kazası olgularının % 7.2'sinin acil servis başvurusu sırasında alkollü olduğu saptandı. Değerlendirme: Bu doğrultuda, iş kazası yaralanmalarında alkol ve ilgili sorunların araştırılması ve kayıtlara yansıtılması ile neden sonuç ilişkilerini aydınlatmaya yönelik çalışmaların önünü açılacaktır.

Alcohol consumption work related occupational injuries

Objective: Occupational injuries are important in workplace because they require emergency health care and they have legal implications. There is not enough research done in our country about work-related injuries that occurred due to alcohol. Method: In this study 1845 occupational injury cases that were reported from emergency wards to the social security authority were evaluated retrospectively. Result: 7.2% of work-related-accident cases were found to have consumed alcohol prior to the accident at the emergency room admission. Discussion: It is necessary to explore and determine alcohol consumption and related problems with occupational injuries and records must be kept accordingly. Thus, helping future studies evaluating causality.

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  • 1- SSK İstatistik Yıllığı 2005. TC Çalışma ve Sosyal Güvenlik Bakanlığı, SSK Sigorta İşleri Genel Müdürlüğü Destek Hizmetleri genel başkanlığı 2005, Ankara.
  • 2- Ergor OA, Demiral Y, Piyal YB.A significant outcome of work life: occupational accidents in a developing country, Turkey. J Occup Health. 2003; 45:74-80.
  • 3- İnce H, İnce N, Ozyildirim BA. Occupational accidents and forensic medicine in Turkey. J Clin Forensic Med. 2006; 13:326-30
  • 4- Raffle PA. Interrelation between alcohol and accidents. J R Soc Med.1989, 82:132-5
  • 5- Seward PJ,. Occupational Stress Ladou J (editor). Occupational & Environmental Medicine Connecticut: Appleton-Lange, 1997: 585-601
  • 6- Blume SB, Alcohol and drug abuse. Stelman JM (editor) Encyclopaedia of Occupational Health and Safety 4th ed. Geneva: ILO 1998: 1572-76
  • 7- SPSS for Windows Release 11.01 Chicago, Illionis. 2001. Customer Number: 114094
  • 8- Hoist S, Stewart IC, Dixon JM, Elton RA, Little K. Alcohol and the emergency service patient. Br Med J 1980; 281:639-40.
  • 9- Walsh ME, MacLeod DAD. Breath alcohol analysis in the Accident and Emergency Department. Injury 1983 ;15:62-6.
  • 10- Yates DW, Hadfield JM, Peters K. Alcohol consumption of patients attending two accident and emergency departments in north-west England. J R Soc Med. 1987 ;80:486-9.
  • 11- Wechsler H, Kasey EH, Thum D, Demone HW. Alcohol level and home accidents. Public Health Rep 1969; 84:1043-50.
  • 12- Shain M: Alcohol, drugs and safety: An updated perspective on problems and their management in the workplace. Accid Anal Preven. 1982; 14:239-246.
  • 13- Giesbrecht N, Gonzales R, Grant M: Drinking and Casualties Accidents, Poisonings and Violence in an International Perspective. London, Tavistoc W Routledge, 1989.
  • 14-Webb G, Redman S, Hennrikus D The relationships between high-risk and problem drinking and the occurrence of work injuries and related abscences. J Stud Alcohol, 1994; 55: 434-446.
  • 15- Hingson R, Lederman R, Walsh D: Employee drinking and accidental injury: A study of four New England States. J Stud Alcohol 1985; 46: 298-303.
  • 16- Hingson R, Howland J: Alcohol as a risk factor for injury or death resulting from accidental falls: A review of the literature. J Stud Alcohol 1987,48:212-219
  • 17- Honkanen R, Smith G: Impact of acute alcohol intoxication on the severity of injury: A cause specific analysis of non-fatal trauma. Injury 1990,21:353-357
  • 18- Stallones L, Kraus J: The occurrence and epidemiologic features of alcohol-related occupational injuries. Addiction 1993, 88:945-951
  • 19- Fullerton L, Olson L, Crandall C, Sklar D, Zumwalt R: Occupational injury mortality in New Mexico. Ann Emerg Med 1995, 26:447-454
  • 20- Lings S, Jensen J, Christensen S, Mooller JT. Occupational accidents and alcohol. Int Arch Occup Environ Health 1984;53:321-9
  • 21- Kendi Ö, Bilge Y. "Alkolün Metabolizması ve Trafik Kazalarındaki Önemi". III. Adli Bilimler Kongresi, 14-17 Nisan 1998, Kuşadası, Poster Sunumu.
  • 22- Katkıcı U, Örsal M, Özkök S. "Trafik Kazası ile Yaralanarak Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesi'ne Başvuran Adli Olgular", C.Ü.Tıp Fakültesi Dergisi,'1993, 15,:221-224
  • 23- Glucksman, E. Alcohol and accidents. British Medical Bulletin 1994, 50:76-84.
  • 24- Brismar, B. & Bergman, B. The significance of alcohol for violence and accidents. Alcoholism: Clinical and Experimental Research, 1998, 22:299-306.