Sinem Burul ALP, Seda ÖZKAN, Sinan YILDIRIM, Selim GENÇ, Kadir DİBEK

Acil servise başvuran iş kazalarının klinik profili

Giriş: Bu çalışmanın amacı; acil servise iş kazaları nedeniyle başvuran hastaların sosyodemografik özelliklerini, yaralanma tiplerini, yaralanma bölgelerini ve hastane maliyetlerini araştırmaktır. Material ve metod: Çalışmaya 1 Nisan 2014-31 mart 2015 tarihleri arasında acil servise iş kazası nedeniyle başvuran 659 hasta dahil edildi. Hastaların demografik verileri, yaralanma tipleri, yaralanma mekanizmaları, travma skorları ve hastane maliyetleri araştırıldı. Bulgular: Olguların %96.3’ünü erkekler oluşturdu. En sık başvuru 26-35 yaşları arasındaydı. En sık başvuru nedeni birşey üzerine düşme idi. Hastaların ikisinde mortalite görüldü. Her iki olguda da birden fazla vücut bölgesinde yaralanma mevcuttu. Hastaneye yatış oranı %7.1 idi. Hastalerın %48.1’inde sadece yumuşak doku yaralanması mevcuttu, bunu %28.2 ile laserasyonlar izledi. Ortalama ISS skoru 1 (1-75), NISS skoru 1 (1-75), RTS skoru 7.84 (1.96-7.84) idi. Ortalama hastane maliyeti 27.9 dolardı (7 - 4744.2 dolar). Sonuç: İş kazaları, eğitim ve kazalara karşı alınacak önlemler ile azaltılabilir; ayrıca işin tehlike sınıfına göre eğitimler düzenli olarak tekrarlanmalıdır.

Anahtar Kelimeler:

İş, kaza, travma

The Clinical Profile Of Occupational Accidents Admitted To Emergency Department

Introduction: The aim of this study was to investigate the the sociodemographic features, injury types, injury regions and hospital costs of the patients who admitted to emergency department due to occupational accidents. Material and methods: This study includes 659 patiens who applied with occupational accident to emergency department between 1st of April 2014-31st of March 2015. The demographic data of patients with injury, types of injury, mechanisms of injury, trauma scores and hospital costs were investigated. Results: 96.3% of the cases were male. The most frequent admission was betwen the ages 26-35. The most frequent cause of admission was “fall over something”. Mortality was observed in two of the patients; there were more than one regional injury in both of the patients. The hospitalization rate was 7.1%. There was only simple soft tissue injury in 48.1% of the patients; following with laceration 28.2%. The median ISS score was 1 (range 1-75), NISS score was 1 (range 1-75), RTS score was 7.84 (1.96-7.84). The median of the hospital cost was 27.9$ (range 7.0$-4744.2$). Conclusion: Occupational injuries could be reduced by education and precautions against accidents; also the educations have to be repeated regularly according to the danger class of the work.

Keywords:

occupational, accident, trauma,

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1. Dağlı B, Serinken M. Occupational Injuries Admitted to the Emergency Department. JAEM. 2012;11:167.
2. Gencler A. Obligations arising from the legislation in the field of occupational health and safety. Journal of Occupational Health and Safety. 2007:16-29.
3. Employment injury and occupational diseases statistics. Social Security Instutition of Turkey; 2012.
4. Employment injury and occupational diseases statistics. Social Security Instutition of Turkey; 2013.
5. Employment injury and occupational diseases statistics. Social Security Instutition of Turkey; 2010.
6. Employment injury and occupational diseases statistics. Social Security Instutition of Turkey; 2011.
7. Bull J. The injury severity score of road traffic casualties in relation to mortality, time of death, hospital treatment time and disability. Accident Analysis & Prevention. 1975;7:249-55.
8. Osler T, Baker SP, Long W. A modification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma. 1997;43:922-5; discussion 5-6. Epub 1998/01/07.
9. Ince H, Ince N, Ozyildirim BA. Occupational accidents and forensic medicine in Turkey. J Clin Forensic Med 2006;13:326-30. Epub 2006/10/07.
10. Barss P, Addley K, Grivna M, Stanculescu C, Abu-Zidan F. Occupational injury in the United Arab Emirates: epidemiology and prevention. Occup Med (Lond). 2009;59:493-8. Epub 2009/07/31.
11. Ozkan S, Kilic S, Durukan P, Akdur O, Vardar A, Geyik S, Ikizceli I. Occupational injuries admitted to the Emergency Department. Ulus Travma Acil Cerrahi Derg. 2010;16:241-7. Epub 2010/06/03.
12. Sayhan MB, Sayhan ES, Yemenici S, Oguz S. Occupational injuries admitted to the emergency department. J Pak Med Assoc 2013;63:179-84. Epub 2013/07/31.
13. Moradinazar M, Kurd N, Farhadi R, Amee V, Najafi F. Epidemiology of work-related injuries among construction workers of ilam (Western iran) during 2006 - 2009. Iran Red Crescent Med J 2013;15:e8011. Epub 2014/04/03.
14. Celik K, Yilmaz F, Kavalci C, Ozlem M, Demir A, Durdu T, Sonmez BM, Yilmaz MS, Karakilic ME, Arslan ED, Yel C. Occupational injury patterns of Turkey. World J Emerg Surg 2013;8:57. Epub 2014/01/01.
15. Frickmann F, Wurm B, Jeger V, Lehmann B, Zimmermann H, Exadaktylos AK. 782 consecutive construction work accidents: who is at risk? A 10-year analysis from a Swiss university hospital trauma unit. Swiss Med Wkly 2012;142:w13674. Epub 2012/09/08.
16. Pfortmueller CA, Kradolfer D, Kunz M, Lehmann B, Lindner G, Exadaktylos A. Injuries in agriculture--injury severity and mortality. Swiss Med Wkly 2013;143:w13846. Epub 2013/08/30.
17. Karakurt Ü, Satar S, Acıkalın A, Bilen A, Gulen M, Baz Ü. Analysis of Occupational Accidents Admitted to the Emergency Medicine Department. JAEM 2013; 12:19-23.
18. Serinken M, Karcioglu O, Sener S. Occupational hand injuries treated at a tertiary care facility in western Turkey. Ind Health. 2008;46:239-46. Epub 2008/06/12.
19. Durdu T, Kavalcı C, Yılmaz F, Yılmaz M, Karakılıç M, Arslan E, Ceyhan M. Analysis of Trauma Cases Admitted to the Emergency Department. 2012. Journal of Clinical and Analytical Medicine 2012; 1:1-4.
20. Thepaksorn P, Pongpanich S. Occupational injuries and illnesses and associated costs in Thailand. Saf Health Work. 2014;5:66-72. Epub 2014/09/03.
21. Tuma MA, Acerra JR, El-Menyar A, Al-Thani H, Al-Hassani A, Recicar JF, Al Yazeedi W, Maull KI. Epidemiology of workplace-related fall from height and cost of trauma care in Qatar. Int J Crit Illn Inj Sci 2013;3:3-7. Epub 2013/06/01.
22. Akdur O, Ozkan S, Durukan P, Avsarogullari L, Koyuncu M, Ikizceli I. Machine-related farm injuries in Turkey. Ann Agric Environ Med 2010;17:59-63. Epub 2010/08/06.
23. Al-Thani H, El-Menyar A, Abdelrahman H, Zarour A, Consunji R, Peralta R, Asim M, El-Hennawy H, Parchani A, Latifi R. Workplace-related traumatic injuries: insights from a rapidly developing Middle Eastern country. J Environ Public Health 2014;2014:430832. Epub 2014/04/16.
24. Sutherland AG, Johnston AT, Hutchison JD. The new injury severity score: better prediction of functional recovery after musculoskeletal injury. Value Health 2006;9:24-7. Epub 2006/01/31.