Epidemiology of occupational injuries by nationality in Qatar: Evidence for focused occupational safety programmes
Epidemiology of occupational injuries by nationality in Qatar: Evidence for focused occupational safety programmes
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DOI：
10.1016/j.injury.2015.04.023
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发表时间：
2015-09-01
影响因子：
2.5
通讯作者：
Hyder, Adnan A.
中科院分区：
文献类型：
--
作者：
Al-Thani, Hassan;El-Menyar, Ayman;Hyder, Adnan A.
简介：职业伤害是卡塔尔外伤入院的第二大原因。鉴于该国面临风险的移民工人群体具有广泛的多样性，本研究旨在根据居住在卡塔尔的工人国籍来分析和描述这些伤害的流行病学。方法：对职业相关伤害的创伤登记数据进行回顾性分析。该分析包括 2010 年 1 月 1 日至 2013 年 12 月 31 日入住哈马德一级创伤中心的所有患者 [年龄 >= 18 岁]。结果：在 6555 名创伤入院患者中，2015 名 (30.7%) 患者患有职业伤害。每 100 例与工伤相关的外伤入院病例中，入院病死率 (CFR) 为 4.3 例。总体非致命工伤率为每10万名职工37.34人，致命工伤率为每10万名职工1.58人。大多数遭受职业伤害的工人来自尼泊尔（28%）、印度（20%）和孟加拉国（9%）。致命职业伤害主要发生在印度人 (20%)、尼泊尔人 (19%) 和菲律宾人/孟加拉国人（均为 8%）中。菲律宾人的病死率最高，每 100 名外伤入院者中有 8.2 人死亡，其次是印度人和印度尼西亚人（每 100 名外伤入院者有 4.2 人死亡）。在研究期间，尽管卡塔尔境内的工人人数同时增加，但严重职业伤害的发生率却有所下降。几乎四分之一的职业伤害是严重创伤 (ISS >= 16)。尼泊尔和印度工人分别占所有重大创伤病例的 29% 和 18%。结论：非致命职业伤害似乎遵循与致命职业伤害不同的模式。高风险工人群体是指那些具有高入院病死率、经历最严重或致命伤害的工人群体，必须成为有针对性的风险因素分析和职业安全干预措施的重点。 (C) 2015 Elsevier Ltd. 保留所有权利。
Introduction: Occupational injuries are the second leading cause of trauma admission in Qatar. Given the wide diversity of the country's migrant worker populations at risk, this study aimed to analyse and describe the epidemiology of these injuries based on the workers nationality residing in Qatar.Methods: A retrospective analysis of trauma registry data on occupational-related injuries was conducted. The analysis included all patients [aged >= 18 years] admitted to the Level I Hamad Trauma Center, from January 1, 2010 to December 31, 2013.Results: Out of 6555 trauma admissions, 2015 (30.7%) patients had occupational injury. The admitted Case Fatality Rate (CFR) was 4.3 per 100 occupational injury related trauma admissions. Overall non-fatal occupational injury rate was 37.34 per 100,000 workers, whereas fatal injury rate was 1.58 per 100,000 workers. Most of the workers experiencing occupational injuries were from Nepal (28%), India (20%) and Bangladesh (9%). Fatal occupational injuries were predominately among Indians (20%), Nepalese (19%), and Filipinos/Bangladeshis (both 8%). Filipinos had the highest admitted CFR at 8.2 deaths per 100 trauma admissions with the next highest being Indians and Indonesians (4.2 per 100 trauma admissions). During the study period, the incidence of severe occupational injuries decreased despite a simultaneous increase in the worker population within Qatar. Almost one in four occupational injuries was a major trauma (ISS >= 16). Nepalese and Indian workers represented 29% and 18% of all major trauma cases.Conclusions: Non-fatal occupational injuries appear to follow a pattern distinct from fatal ones. High-risk worker populations as defined by those with high admitted CFRs, experiencing the most severe or fatal injuries, must be the focus of targeted risk factor analysis and occupational safety interventions. (C) 2015 Elsevier Ltd. All rights reserved.