Analysis of Injuries and Deaths by Trauma Scores due to Occupational Accidents

Abstract

BACKGROUND: This study was aimed to evaluate the injury characteristics, causes, results, and hospital charges in cases of occupational accidents that were reported to judicial authorities using trauma scores. METHODS: The study was performed after obtaining permission from the judicial authorities and approval from the local ethics committee. All occupational accident cases that were reported to the judicial authorities in Bolu Province between 2015 and 2019 were included in the study. The groups were compared with the Chi-Square test, Mann-Whitney U Test, and the Kruskal-Wallis Test. P<0.05 was considered statistically significant. RESULTS: This study included 3599 cases. The majority of the cases (74.70%) were male, with a mean age of 34.90±10.50 years. Occupational accidents occurred most frequently between 8 and 16 h (n=1982; 55.10%), on Friday (n=595, 16.53%), in April (n=356; 9.89%), and in spring (n=971; 26.98%). Occupational accident-related death occurred in 29 cases (0.8%). The most common injury due to occupational accidents occurred in the food industry (n=1256, 34.90%). Blunt object injury (n=1112, 30.90%) was the most common type of occupational accident; and the upper extremity (n=2049, 54.93%) was the most common injury localization. The mean Abbreviated Injury Scale of the cases was 0.94±0.74, the mean Injury Severity Score (ISS) was 1.79±4.47, and the mean New-Injury Severity Score (NISS) was 2.11±5.28. The means of ISS and NISS were statistically significantly higher for males, life-threatening injuries, work accidents in the Construction and Agriculture-Forestry sectors, fall from height, traffic accidents, and caught-in-machinery. The total hospital charge was 1,351,339.10 TL and its average was 380.30±2418.90 TL. The mean of treatment costs was significantly higher in the agriculture-forestry and construction sectors. CONCLUSION: The evaluation of all occupational accidents that are submitted to the jurisdiction on a provincial basis may provide more useful information in the prevention of work accidents. The use of trauma scores in the evaluation of occupational accidents is a useful argument for understanding the sectors and injury types that cause severe trauma. Furthermore, trauma scores may be an important predictor of hospital costs.

Proportional Mortality and Years of Potential Life Lost Due to Liver Diseases among Agricultural Workers, Brazil, 2017 to 2022

“…For instance, among workers in the state of Bahia, the MAoD was 38.9 years for individuals of Brown race, 39.4 for Black individuals, and 40.6 for White individuals 41 . Similarly, a study among Iranian workers found MAoD of 36 years, which was higher than that among Turkish workers, who had MAoD of 34 years 40,49 . Mortality from non-communicable chronic diseases related to work, such as cancers and kidney diseases, typically have higher average age at death than liver disease-related deaths 50,51 .…”

Perfil dos acidentes de trabalho no Brasil entre os anos de 2006 e 2022: um estudo ecológico

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