Acil servise başvuran iş kazalarının klinik profili

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.

Anahtar Kelimeler

• İş,kaza,travma

The Clinical Profile Of Occupational Accidents Admitted To Emergency Department

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.

Anahtar Kelimeler

• occupational,accident,trauma

Kaynakça

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