Epidemiology of injuries treated at a hand and microsurgery hospital

Epidemiology of injuries treated at a hand and microsurgery hospital
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DOI:
10.3944/aott.2010.2372
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发表时间:
2010-09-01
影响因子:
1
通讯作者:
Bal, Emin
Bal, Emin
中科院分区:
医学4区
文献类型:
--
作者:
Davas Aksan, Asli;Durusoy, Raika;Bal, Emin

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目的:评价伊兹密尔某手显微外科医院1992-2005年收治的损伤流行病学。方法:对伊兹密尔市一家手显微外科医院1992-2005年的病历资料进行描述性的回顾性研究。共有8946人受伤,涉及8817名患者。诊断资料按ICD-10进行记录。结果:损伤类型以截肢(32.3%)、骨折(23.7%)、开放性损伤(19.9%)为主。大多数伤害是由男性造成的;28.4%的伤害发生在夏季。按活动划分,76.3%是在有偿工作中受伤,10.4%是在交通运输中受伤,9.1%是在无偿工作中受伤,3.8%是在休闲体育锻炼中受伤。受伤最常见的是在操作机器时。在35岁以下的人、男性、伊兹密尔省以外的人和社会保障机构(SSI)参保的工人中,手受伤的风险增加(p
Objectives: The aim of this study was to evaluate the epidemiology of injuries treated at a hand and microsurgery hospital between 1992 and 2005.Methods: This is a descriptive retrospective study based on medical records of a hand and microsurgery hospital in Izmir for the years 1992-2005. A total of 8,946 injuries involving 8,817 patients were included. Data on diagnosis were recorded according to ICD-10. Intent, activity when injured, mechanism of injury, object/substance producing injury, and place of injury were recoded according to International Classification of External Causes of Injury (ICECI).Results: The most common types of injury were amputations (32.3%), fractures (23.7%), and open wounds (19.9%) of the wrist and hand. Most injuries were sustained by males; 28.4% of injuries occurred during summer. According to activity, 76.3% were injured during paid work, 10.4% during transportation, 9.1% during unpaid work, and 3.8% during leisure time sports and exercise. Injuries most commonly occurred while operating a machine. The risk of hand injury was elevated in those younger than 35 years of age, males, persons outside Izmir province, and in Social Security Instution (SSI) insured workers (p