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Telemedicine-Assisted Work-Related Injuries Among Seafarers on Italian-Flagged Ships: A 13-Year Retrospective Study.

Getu Gamo Sagaro^1,2, Francesco Amenta¹

¹Centro Internazionale Radio Medico (C.I.R.M.), Research Department, 00144 Rome, Italy.

Healthcare (Basel, Switzerland)

|September 27, 2025

Summary

Seafarers experience frequent work-related injuries, particularly to the hand/wrist, often caused by slips/falls. Enhanced safety measures and protective equipment are crucial for preventing accidents at sea.

Keywords:

accidents epidemiology occupational injuries seafarers ships work-related accidents

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Area of Science:

Maritime Occupational Health
Injury Epidemiology
Telemedicine Applications

Background:

Seafarers face high risks of work-related injuries, potentially leading to severe consequences or permanent disabilities.
Understanding injury patterns is vital for effective prevention strategies in the maritime industry.
Telemedicine plays a role in managing seafarer health incidents at sea.

Purpose of the Study:

To determine the frequency and characteristics of telemedicine-assisted work-related injuries among seafarers.
To analyze injury patterns, causes, and affected body regions in this population.
To identify specific risks based on seafarer rank and worksite.

Main Methods:

Retrospective descriptive study analyzing data from the Centro Internazionale Radio Medico (C.I.R.M.) database (2010-2022).
Injuries coded using the International Classification of Diseases (ICD-10).
Extracted and analyzed variables including injury type, demographics, worksite, affected body part, and causes.

Main Results:

793 seafarers with injuries analyzed; average age 39.15 years.
Most common injuries: hand/wrist (33.3%), knee/lower legs (21%), head/eye (19%).
Leading causes: slips/falls (32%), burns/explosions (16.6%), overexertion (14.8%). Deck injuries (35%) often due to slips/falls; engine room (19%) from machinery; catering (32.5%) from burns/explosions.

Conclusions:

Hand/wrist injuries are prevalent, with slips/falls a significant contributing factor.
The findings highlight the need for targeted preventative measures in the marine sector.
Increased use of protective equipment and focus on reducing slips, falls, and overexertion are recommended.