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与工作相关的摔倒伤害流行病学导致住院治疗:个人和工作风险因素和严重程度
Win Wah1, Janneke Berecki-Gisolf2, Karen Walker-Bone2
1Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia win.wah1@monash.edu.
在工作场所跌倒是很常见的,并导致严重的伤害. 年长的女性面临更高的风险,同等水平的跌倒,而在建筑男性面临更高的风险从高处跌倒,需要有针对性的预防策略.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 伤害预防 预防伤害
背景情况:
- 工作场所的伤害,特别是跌倒,对个人和雇主来说是一个巨大的负担.
- 有限的流行病学研究存在的风险因素与工作场所下降伤害需要住院治疗.
研究的目的:
- 为了确定患者,工作和伤害特定的因素,与因在澳大利亚维多利亚州工作中摔倒而导致的住院伤害相关.
- 为了区分风险因素相同水平的跌落与从高度跌落.
主要方法:
- 从维多利亚州入院病例数据集 (2017年7月~2022年6月) 分析了与工作有关的住院伤害病例.
- 使用国际疾病分类和相关健康问题,第十版澳大利亚修改 (ICD-10-AM) 代码和补偿状态.
- 多变量逻辑回归用于识别与同一水平下降和从高度下降相关的因素.
主要成果:
- 在42,176例入院病例中,有8,669例 (20.6%) 是与跌倒有关的.
- 高度下跌在男性 (0.44/1000雇员) 中比女性 (0.08/1000雇员) 更为普遍.
- 同等程度的跌倒在女性 (0.21/1000受雇者) 比男性 (0.18/1000受雇者) 更常见,与年龄较大,慢性疾病,内损伤,内脏器官损伤,骨折和更长的住院时间有关,特别是在建筑工人中.
结论:
- 与工作相关的跌倒是频繁和严重的,由于老年女性在劳动力中的日益增长的人口结构,同等水平的跌倒事件的发生率越来越高.
- 伴随性疾病是同级跌倒的重要危险因素.
- 建议针对同一水平的落和从高度的落制定特定行业的防摔策略,以减轻工作场所的伤害负担.
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