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Immigrant Susceptibility to Hand Injuries in Industrial Work Environments: A Retrospective Analysis

Year 2025, Volume: 35 Issue: 1, 162 - 166, 28.02.2025
https://doi.org/10.54005/geneltip.1585614

Abstract

Abstract
Aims: The aim of this study was to elucidate the prevalence and demographic characteristics of patients admitted to Emergency Departments (EDs) with work-related hand injuries and to determine the factors that contribute to such injuries and have an impact on the severity of injuries.
Methods:The study spanned from January 2021 to January 2022 and involved patients seeking medical attention for hand injuries at a Level-3 ED near an industrial area. Out of a total of 2,153 patients which had hand injuries,946 patients admitted due to work-related injuries were evaluated. Data on demographics, injury severity, the timing of injuries, the data on immigrant status, occupational hand injury prevalence in local and immigrant populations, and basic data on treatment methods were collected and analyzed.
Results:The study revealed that 31.9% of individuals with hand injuries were migrants. Injuries were more prevalent during the last working days of the week and in the 35-50 age group. The 2nd finger exhibited the highest injury rate. Surgical interventions were required for 63.95% of patients, with 32.72% of those identified as immigrants.
Conclusions:The study highlights that hand injuries are more common among immigrants and sheds light on their vulnerability in occupational settings. Factors such as increased risks in industrial jobs, language barriers, and social and cultural adaptation problems contribute to this increased sensitivity. To reduce these inequalities and increase workplace safety, special preventive measures, personal protection method training, as well as frequent repetition of language, social and cultural adaptation training will reduce the severity of hand injuries and injuries due to occupational accidents in the migrant population as well as in the general population.

References

  • 1. de Putter CE, Selles RW, Polinder S, Panneman MJM, Hovius SER, van Beeck E.F. Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J of Bone & J. Surg. 94(9): p e56, May 2, 2012.
  • 2. Sahin F, Akca H, Akkaya N, Zincir ÖD, Işik A. Cost analysis and related factors in patients with traumatic hand injuryJ Hand Surg Eur Vol. 2013 Jul;38(6):673-679.
  • 3. Gauchard GC, Chau N, Touron C, Benamghar L, Dehaene D, Perrin PhP. Individual characteristics in occupational accidents due to imbalance: a case-control study of the employees of a railway company. Occup Environ Med. 2003 May;60(5):330-335.
  • 4. Larsen CF, Mulder S, Johansen AM, Stam C. The epidemiology of hand injuries in The Netherlands and Denmark. Eur J Epidemiol. 2004;19(4):323-327.
  • 5. Leixnering M, Quadlbauer S, Szolarcz C, Schenk C, Leixnering S, Körpert K. Prevention of hand injuries-current situation in Europe. Handchir Mikrochir Plast Chir. 2013 Dec;45(6):339-343.
  • 6. Frazier W. H., Miller M., Fox R. S., Brand D, Finseth F. Hand injuries: incidence and epidemiology in an emergency service. JACEP. 1978 Jul;7(7):265-268.
  • 7. Smith M. E., Auchincloss J. A., Ali S. Causes and consequences of hand injury. J Hand Surg Br. 1985 Oct;10(3):288-292
  • 8. Hemminki K. Immigrant health, our health. Eur J Public Health. 2014 Aug;24 Suppl 1:92-5.
  • 9. Gupta A, Gupta AK, Uppal SK, Mittal RK, Garg R, Aggarwal N. Demographic profile of hand injuries in an industrial town of north India: a review of 436 patients. Indian J Surg. 2013 Dec;75(6):454-461.
  • 10. Aslan A, Aslan İ , Özmeriç A , Atay T, Çaloğlu A, Konya MN. Acil El Yaralanmalarında Deneyimlerimiz: 5 Yıllık Verilerin Epidemiyolojik Değerlendirmesi. TAF Preventive Medicine Bulletin. 2013, Dec;12(5):563.
  • 11. Sorock GS, Lombardi DA, Hauser RB, Eisen EA, Herrick RF, Mittleman MA. Acute traumatic occupational hand injuries: Type, location, and, severity. J Occup Environ Med. 2002 Apr;44(4):345-351.
  • 12. Kleinert HE, Verdan C. Report of the Committee on Tendon Injuries (International Federation of Societies for Surgery of the Hand). J Hand Surg Am. 1983 Sep;8(5 Pt 2):794-798.
  • 13. Oguz AB, Polat O, Eneyli MG. Gulunay B, Eksioglu M, Gurler S. The efficiency of bedside ultrasonography in patients with wrist injury and comparison with other radiological imaging methods: A prospective study. Am J Emerg Med. 2017 Jun;35(6):855-859.
  • 14. de Putter CE, van Beeck EF, Polinder S, Panneman MJM, Burdorf A, Hovius SER. Healthcare costs and productivity costs of hand and wrist injuries by external cause: A population-based study in working-age adults in the period. Injury. 2016 Jul;47(7):1478-1482.
  • 15. Rosberg HE, Carlsson KS, Cederlund RI, Ramel E, Dahlin LB. Costs and outcome for serious hand and arm injuries during the first year after trauma. A prospective study. BMC Public Health. 2013 May 24:13:501.
  • 16. Chau N, Bhattacherjee A, Kunar BM; Lorhandicap Group. Relationship between job, lifestyle, age, and occupational injuries. Occup Med (Lond). 2009 Mar;59(2):114-119.
  • 17. Chow CY, Lee H, Lau J, Yu IT. Transient risk factors for acute traumatic hand injuries: a case-crossover study in Hong Kong. Occup Environ Med. 2007 Jan;64(1):47-52
  • 18. Davas Aksan A, Durusoy R, Ada S, Kayalar M, Aksu F, Bal E. Epidemiology of injuries treated at a hand and microsurgery hospital. Acta Orthop Traumatol Turc. 2010;44(5):352-360.
  • 19. Wu Z, Guo Y, Gao J, Zhou J, Li S, Wang Z. The epidemiology of acute occupational hand injuries treated in emergency departments in Foshan City, South China. Ulus Travma Acil Cerrahi Derg. 2018 Jul;24(4):303-310
  • 20. Sorock GS, Lombardi DA, Hauser R, Eisen EA, Herrick RF, Mittleman MA. A case-crossover study of transient risk factors for occupational acute hand injury. Occup Environ Med. 2004 Apr;61(4):305-311.
  • 21. Hertz RP, Emmett EA. Risk factors for occupational hand injury. J Occup Med. 1986 Jan;28(1):36-41.
Year 2025, Volume: 35 Issue: 1, 162 - 166, 28.02.2025
https://doi.org/10.54005/geneltip.1585614

Abstract

References

  • 1. de Putter CE, Selles RW, Polinder S, Panneman MJM, Hovius SER, van Beeck E.F. Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J of Bone & J. Surg. 94(9): p e56, May 2, 2012.
  • 2. Sahin F, Akca H, Akkaya N, Zincir ÖD, Işik A. Cost analysis and related factors in patients with traumatic hand injuryJ Hand Surg Eur Vol. 2013 Jul;38(6):673-679.
  • 3. Gauchard GC, Chau N, Touron C, Benamghar L, Dehaene D, Perrin PhP. Individual characteristics in occupational accidents due to imbalance: a case-control study of the employees of a railway company. Occup Environ Med. 2003 May;60(5):330-335.
  • 4. Larsen CF, Mulder S, Johansen AM, Stam C. The epidemiology of hand injuries in The Netherlands and Denmark. Eur J Epidemiol. 2004;19(4):323-327.
  • 5. Leixnering M, Quadlbauer S, Szolarcz C, Schenk C, Leixnering S, Körpert K. Prevention of hand injuries-current situation in Europe. Handchir Mikrochir Plast Chir. 2013 Dec;45(6):339-343.
  • 6. Frazier W. H., Miller M., Fox R. S., Brand D, Finseth F. Hand injuries: incidence and epidemiology in an emergency service. JACEP. 1978 Jul;7(7):265-268.
  • 7. Smith M. E., Auchincloss J. A., Ali S. Causes and consequences of hand injury. J Hand Surg Br. 1985 Oct;10(3):288-292
  • 8. Hemminki K. Immigrant health, our health. Eur J Public Health. 2014 Aug;24 Suppl 1:92-5.
  • 9. Gupta A, Gupta AK, Uppal SK, Mittal RK, Garg R, Aggarwal N. Demographic profile of hand injuries in an industrial town of north India: a review of 436 patients. Indian J Surg. 2013 Dec;75(6):454-461.
  • 10. Aslan A, Aslan İ , Özmeriç A , Atay T, Çaloğlu A, Konya MN. Acil El Yaralanmalarında Deneyimlerimiz: 5 Yıllık Verilerin Epidemiyolojik Değerlendirmesi. TAF Preventive Medicine Bulletin. 2013, Dec;12(5):563.
  • 11. Sorock GS, Lombardi DA, Hauser RB, Eisen EA, Herrick RF, Mittleman MA. Acute traumatic occupational hand injuries: Type, location, and, severity. J Occup Environ Med. 2002 Apr;44(4):345-351.
  • 12. Kleinert HE, Verdan C. Report of the Committee on Tendon Injuries (International Federation of Societies for Surgery of the Hand). J Hand Surg Am. 1983 Sep;8(5 Pt 2):794-798.
  • 13. Oguz AB, Polat O, Eneyli MG. Gulunay B, Eksioglu M, Gurler S. The efficiency of bedside ultrasonography in patients with wrist injury and comparison with other radiological imaging methods: A prospective study. Am J Emerg Med. 2017 Jun;35(6):855-859.
  • 14. de Putter CE, van Beeck EF, Polinder S, Panneman MJM, Burdorf A, Hovius SER. Healthcare costs and productivity costs of hand and wrist injuries by external cause: A population-based study in working-age adults in the period. Injury. 2016 Jul;47(7):1478-1482.
  • 15. Rosberg HE, Carlsson KS, Cederlund RI, Ramel E, Dahlin LB. Costs and outcome for serious hand and arm injuries during the first year after trauma. A prospective study. BMC Public Health. 2013 May 24:13:501.
  • 16. Chau N, Bhattacherjee A, Kunar BM; Lorhandicap Group. Relationship between job, lifestyle, age, and occupational injuries. Occup Med (Lond). 2009 Mar;59(2):114-119.
  • 17. Chow CY, Lee H, Lau J, Yu IT. Transient risk factors for acute traumatic hand injuries: a case-crossover study in Hong Kong. Occup Environ Med. 2007 Jan;64(1):47-52
  • 18. Davas Aksan A, Durusoy R, Ada S, Kayalar M, Aksu F, Bal E. Epidemiology of injuries treated at a hand and microsurgery hospital. Acta Orthop Traumatol Turc. 2010;44(5):352-360.
  • 19. Wu Z, Guo Y, Gao J, Zhou J, Li S, Wang Z. The epidemiology of acute occupational hand injuries treated in emergency departments in Foshan City, South China. Ulus Travma Acil Cerrahi Derg. 2018 Jul;24(4):303-310
  • 20. Sorock GS, Lombardi DA, Hauser R, Eisen EA, Herrick RF, Mittleman MA. A case-crossover study of transient risk factors for occupational acute hand injury. Occup Environ Med. 2004 Apr;61(4):305-311.
  • 21. Hertz RP, Emmett EA. Risk factors for occupational hand injury. J Occup Med. 1986 Jan;28(1):36-41.
There are 21 citations in total.

Details

Primary Language English
Subjects Work and Occupational Diseases , Orthopaedics
Journal Section Original Article
Authors

Demet Acar 0009-0000-4748-4733

Emine Kadıoğlu 0000-0003-0950-0477

Publication Date February 28, 2025
Submission Date November 14, 2024
Acceptance Date January 20, 2025
Published in Issue Year 2025 Volume: 35 Issue: 1

Cite

Vancouver Acar D, Kadıoğlu E. Immigrant Susceptibility to Hand Injuries in Industrial Work Environments: A Retrospective Analysis. Genel Tıp Derg. 2025;35(1):162-6.

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