Araştırma Makalesi
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Acil servise başvuran iş kazalarının klinik profili

Yıl 2019, Cilt: 4 Sayı: 1, 1 - 6, 01.04.2019

Öz

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.

Kaynakça

  • 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.

The Clinical Profile Of Occupational Accidents Admitted To Emergency Department

Yıl 2019, Cilt: 4 Sayı: 1, 1 - 6, 01.04.2019

Öz

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.

Kaynakça

  • 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.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makale
Yazarlar

Sinem Burul Alp Bu kişi benim

Seda Özkan 0000-0003-1835-8820

Sinan Yıldırım Bu kişi benim

Selim Genç Bu kişi benim

Kadir Dibek Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2019
Kabul Tarihi 1 Nisan 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 4 Sayı: 1

Kaynak Göster

Vancouver Alp SB, Özkan S, Yıldırım S, Genç S, Dibek K. The Clinical Profile Of Occupational Accidents Admitted To Emergency Department. JAMER. 2019;4(1):1-6.