The Economic Impact of Electric Saw Injuries to the Hand
The Economic Impact of Electric Saw Injuries to the Hand
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DOI：
10.1016/j.jhsa.2009.02.002
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发表时间：
2009-05-01
影响因子：
1.9
通讯作者：
Shin, Alexander Y.
中科院分区：
文献类型：
--
作者：
Hoxie, Samuel C.;Capo, Jason A.;Shin, Alexander Y.
目的 电锯造成的伤害会造成相当大的手部创伤。本研究旨在提供详细说明这些伤害的费用的信息。方法本研究是在三级转诊学术医疗中心进行的。审查了电动台锯受伤患者的记录。分析了有关人口统计、受伤严重程度、医疗费用和误工时间的信息。根据损伤严重程度对患者进行分层以进行进一步分析。该地区的平均工资用于估算休假时间的成本。消费者保护局的审查用于估计全国范围内这些伤害的负担。结果 研究组包括 134 名患者。这些患者中，男性 126 例，女性 8 例。惯用手受伤20；非主导者为 114 岁。平均年龄为 47.0 岁。平均误工时间为 64 天。所有患者的平均医疗费用为 22,086 美元，工资损失为 8,668 美元，每次受伤的平均费用总计为 30,754 美元。本研究中受伤的总经济负担为 4,121,097 美元。这些伤害的严重程度各不相同，与较严重的伤害相比，轻伤所需的住院费用较低，需要的下班时间也较少。 结论 电锯造成的伤害范围很广，不仅会造成巨大的身体和情感痛苦，还会造成巨大的经济影响。防止此类伤害的技术将是社会经济的进步。应鼓励联邦授权实施此类技术。 （J Hand Surg 2009；34A:886-889。美国手外科学会版权所有 (C) 2009。保留所有权利。）
Purpose Injuries from electric saws cause considerable hand trauma. This study is designed to provide information detailing the costs of these injuries.Methods The study was performed in a tertiary referral academic medical center. The records of patients injured by electric table saws were reviewed. Information regarding demographics, injury severity, medical expense, and time lost from work was analyzed. The patients were stratified by injury severity for further analysis. The mean wage for the region was used to estimate costs of time away from work. The Consumer Protection Agency's review was used to estimate the nationwide burden of these injuries.Results The study group included 134 patients. Of these patients, 126 were male and 8 were female. The dominant hand was injured in 20; the nondominant, in 114. The mean age was 47.0 years. The mean time lost from work was 64 days. The mean cost of medical expenses for all patients was $22,086, with $8,668 in lost wages, for a total of $30,754 mean cost per injury. The total economic burden for the injuries in this study is $4,121,097. These injuries represent a spectrum of severity, with minor injuries incurring lower hospital fees and requiring less time off work as compared to more involved injuries.Conclusions Electric saws cause a wide spectrum of injuries that result in not only tremendous physical and emotional pain but also substantial economic impact as well. Technologies that would prevent such injuries would be a socioeconomic advancement. Federal mandates to implement such technologies should be encouraged. (J Hand Surg 2009;34A:886-889. Copyright (C) 2009 by the American Society for Surgery of the Hand. All rights reserved.)