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Gwilliam M, Hendricks S, Socias-Morales C, Burnham B, Gomes H, Reichard A, Stallings H. Comparison of Finger, Hand, and Wrist Injuries in the US Air Force to US Workers. J Occup Environ Med 2023; 65:663-669. [PMID: 37072928 PMCID: PMC10523846 DOI: 10.1097/jom.0000000000002870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
Abstract
OBJECTIVE Fingers, hands, and wrists (FHW) are the most frequently injured body parts in work-related injuries. This study described and compared FHW injuries among enlisted, officer, and civilian US Air Force (USAF) personnel to those in the US workforce. METHODS All work-related, noncombat FHW injuries (≥1 lost workday) and demographics among USAF personnel and US workforce (2008-2018) were included. The USAF FHW injury rates were age adjusted to the US employment and compared by sex, source, event, and nature of the injuries. RESULTS Finger, hand, and wrist injuries were significantly lower among the USAF personnel and among females. In both populations, FHW injuries from falls were higher and increased with age group among females. Males had higher overall FHW injuries from contact with objects and equipment. CONCLUSIONS Prevention efforts should focus on understanding risk factors and sharing successful prevention activities.
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Chang H, Min JY, Yoo D, Lee SU, Hwang SY, Yoon H, Cha WC, Shin TG, Jo IJ, Kim T. National Surveillance of Injury in the Republic of Korea: Increased Injury Vulnerability in the Late Middle Age. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031210. [PMID: 33572916 PMCID: PMC7908217 DOI: 10.3390/ijerph18031210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 01/27/2021] [Accepted: 01/27/2021] [Indexed: 11/24/2022]
Abstract
Surveillance of injury patterns and comparisons among different age groups help develop a better understanding of recent injury trends and early prevention. This study conducted a national surveillance of injury by age group. Data were collected retrospectively from Emergency Department-Based Injury In-Depth Surveillance (EDIIS) in South Korea, between January 2011 and December 2017. Patients were divided into the following four groups by age: Group 1–18 to 34 years, Group 2–35 to 49 years, Group 3–50 to 64 years, and Group 4—≥65 years. A total of 1,221,746 patients were included in the study. Findings revealed that, each year, the injury rate increased in the population aged ≥65 years. The place and mechanism of injury in Group 3 were similar to those in younger age groups, while injury outcomes and injured body parts were similar to those in Group 4. Further, hospital admission rate, ICU admission rate, hospital death, traumatic brain injury, and injury severity increased with an increase in age. In our study, each age group showed diverse characteristics pertaining to the mechanism, place, time, and outcomes of injuries. Interestingly, Group 3, which represented the late middle age, exhibited increased vulnerability to injury, and emerged as a gray zone between the young and old age groups. Therefore, different injury prevention methods are needed for each age group. Specifically, early prevention methods need to be implemented from the late middle age to improve the old age group’s injury outcomes.
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Affiliation(s)
- Hansol Chang
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
- Department of Digital Health, Samsung Advanced Institute for Health Science and Technology (SAIHST), Sungkyunkwan University, Seoul 06355, Korea;
| | - Ji Young Min
- Department of Digital Health, Samsung Advanced Institute for Health Science and Technology (SAIHST), Sungkyunkwan University, Seoul 06355, Korea;
| | - Dajeong Yoo
- Samsung Medical Center, Research Institute of Future Medicine, Seoul 06351, Korea;
| | - Se Uk Lee
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
| | - Sung Yeon Hwang
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
| | - Hee Yoon
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
| | - Won Chul Cha
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
- Department of Digital Health, Samsung Advanced Institute for Health Science and Technology (SAIHST), Sungkyunkwan University, Seoul 06355, Korea;
- Health Information and Strategy Center, Samsung Medical Center, Seoul 06351, Korea
| | - Tae Gun Shin
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
| | - Ik Joon Jo
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
| | - Taerim Kim
- Samsung Medical Center, Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea; (H.C.); (S.U.L.); (S.Y.H.); (H.Y.); (W.C.C.); (T.G.S.); (I.J.J.)
- Correspondence: ; Tel.: +82-2-3410-2053; Fax: +82-2-3410-0049
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Bravo G, Viviani C, Lavallière M, Arezes P, Martínez M, Dianat I, Bragança S, Castellucci H. Do older workers suffer more workplace injuries? A systematic review. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:398-427. [DOI: 10.1080/10803548.2020.1763609] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Gonzalo Bravo
- Facultad de Ciencias de la Salud, Universidad de Las Américas, Chile
| | - Carlos Viviani
- Escuela de Kinesiología, Pontificia Universidad Católica de Valparaíso, Chile
| | - Martin Lavallière
- Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Canada
| | - Pedro Arezes
- School of Engineering, University of Minho, Portugal
| | - Marta Martínez
- Mutual de Seguridad de la Cámara Chilena de la Construcción, Chile
| | - Iman Dianat
- Faculty of Health, Tabriz University of Medical Sciences, Iran
| | - Sara Bragança
- Research Innovation and Enterprise, Solent University, UK
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Effect of Height of Fall on Mortality in Patients with Fall Accidents: A Retrospective Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17114163. [PMID: 32545236 PMCID: PMC7312001 DOI: 10.3390/ijerph17114163] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 06/02/2020] [Accepted: 06/09/2020] [Indexed: 12/03/2022]
Abstract
Background: Accidental falls are a common cause of injury and deaths. Both ground-level falls (GLF) and non-GLF may lead to significant morbidity or mortality. This study aimed to explore the relationship between height of falls and mortality. Method: This is a retrospective study based on the data from a registered trauma database and included 8699 adult patients who were hospitalized between 1 January 2009 and 31 December 2017 for the treatment of fall-related injuries. Study subjects were divided into three groups of two categories based on the height of fall: GLF (group I: < 1 m) and non-GLF (group II: 1–6 m and group III: > 6 m). The primary outcome was in-hospital mortality. The adjusted odds ratio (AOR) of mortality adjusted for age, sex, and comorbidities with or without an injury severity score (ISS) was calculated using multiple logistic regression. Results: Among the 7001 patients in group I, 1588 in group II, and 110 in group III, patients in the GLF group were older, predominantly female, had less intentional injuries, and had more pre-existing comorbidities than those in the non-GLF group. The patients in the non-GLF group had a significantly lower Glasgow Coma Scale (GCS), a higher injury severity score (ISS), worse physiological responses, and required more procedures performed in the emergency department. The mortality rate for the patients in group I, II, and III were 2.5%, 3.5%, and 5.5%, respectively. After adjustment by age, sex, and comorbidities, group II and group III patients had significantly higher adjusted odds of mortality than group I patients (AOR 2.2, 95% CI 1.64–2.89, p < 0.001 and AOR 2.5, 95% CI 1.84–3.38, p < 0.001, respectively). With additional adjustment by ISS, group II did not have significantly higher adjusted odds of mortality than group I patients (AOR 1.4, 95% CI 0.95–2.22, p = 0.082), but group III patients still had significantly higher adjusted odds of mortality than group I patients (AOR 10.0, 95% CI 2.22–33.33, p = 0.002). Conclusion: This study suggested that patients who sustained GLF and non-GLF were distinct groups of patients, and the height of fall did have an impact on mortality in patients of fall accidents. A significantly higher adjusted odds of mortality was found in the GLF group than in the non-GLF group after adjusting for age, sex, and comorbidities.
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Lee H, Kim SH, Lee SC, Kim S, Cho GC, Kim MJ, Lee JS, Han C. Severe Injuries from Low-height Falls in the Elderly Population. J Korean Med Sci 2018; 33:e221. [PMID: 30181730 PMCID: PMC6115694 DOI: 10.3346/jkms.2018.33.e221] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Accepted: 06/14/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Falls from low-height can cause severe injuries in the elderly population. This study was conducted to determine characteristics of injuries from low-height falls. METHODS We retrospectively review surveillance data on injured patients who presented to six emergency departments from January 2011 to December 2015. Study subjects were divided into severe group and non-severe group based on severity of injury. The general and clinical characteristics were compared between the two groups and analyzed factors related with severe injuries. RESULTS Of 1,190 elderly patients, severe group comprised 82 patients (7%). The severe group was 2 years younger than the non-severe group. In the severe group, 61% was men and 34% in the non-severe group. In the non-severe, the injuries more commonly occurred at residential facilities and indoors than those in the severe group. Paid work during injury occurrence was 15%, and the more patients presented with non-alert consciousness in the severe group. The most common regions of major injury were head and neck in the severe group. CONCLUSION Paid work, non-alert consciousness, and major injury to head and neck are relating factors to severe injuries in the elderly population.
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Affiliation(s)
- Hyeji Lee
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sun Hyu Kim
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sang Cheal Lee
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sunpyo Kim
- Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea
| | - Gyu Chong Cho
- Department of Emergency Medicine, Hallym University School of Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea
| | - Min Joung Kim
- Department of Emergency Medicine, College of Medicine, Yonsei University, Seoul, Korea
| | - Ji Sook Lee
- Department of Emergency Medicine, School of Medicine, Ajou University, Suwon, Korea
| | - Chul Han
- Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul, Korea
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Jung HY, Kim SH, Lee SC, Kim S, Cho GC, Kim MJ, Lee JS, Han C. Relating factors to severe injury from outdoor falls in older people. Geriatr Gerontol Int 2017; 18:80-87. [PMID: 28776901 DOI: 10.1111/ggi.13144] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Revised: 06/16/2017] [Accepted: 06/27/2017] [Indexed: 11/30/2022]
Abstract
AIM The aim of the present study was to evaluate the clinical characteristics, including floor characteristics and factors, related to severe injury from outdoor falls in older adults. METHODS Patients were divided into two groups based on injury severity: the severe group and non-severe group. The clinical and general characteristics were compared between the two groups, and factors associated with severe injury were investigated. RESULTS Approximately 5% (364/7635) of older people involved in outdoor falls were classified into severe injury. The proportion of men and the rate of alcohol ingestion were higher in the severe group compared with that in the non-severe group. Falling from stairs was a more frequent mechanism of fall in the severe group compared with that in the non-severe group. Non-slippery floor condition had a higher proportion in the severe group than that in the non-severe group. Head and neck were the predominantly injured regions in both groups. Discharge was the most common result of emergency department treatment in the non-severe group, whereas admission to intensive care unit was the main result in the severe group. Multivariate logistic analysis showed that male sex and falls from stairs rather than slipping down on the same level were associated with severe injury. CONCLUSIONS Floor characteristics did not influence injury severity; however, the risk of severe injury from outdoor falls in older adults was high in men and those who fell from stairs. Geriatr Gerontol Int 2018; 18: 80-87.
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Affiliation(s)
- Hey Youn Jung
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sun Hyu Kim
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sang Cheal Lee
- Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sunpyo Kim
- Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea
| | - Gyu Chong Cho
- Department of Emergency Medicine, School of Medicine, Hallym University, Seoul, Korea
| | - Min Joung Kim
- Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ji Sook Lee
- Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea
| | - Chul Han
- Department of Emergency Medicine, Ewha Womans University, School of Medicine, Seoul, Korea
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