Ulus Travma Acil Cerrahi Derg. 2018; 24(4): 302-310 | DOI: 10.5505/tjtes.2016.59020

Güney Çin Foshan ilinde acil servislerde tedavi edilen mesleksel akut el yaralanmalarýnýn epidemiyolojisi

Zhixin Wu¹, Yueming Guo², Junqing Gao², Jianyi Zhou¹, Shufang Li¹, Zhaohui Wang², Shangming Huang¹, Shaojuan Huang¹, Yingying Li¹, Jingli Chen¹, Mingfeng He^1
1Geleneksel Çin Týbbý Foshan Hastanesi, Týbbi Bakým ve Acil Týp Bölümü, Foshan, Çin Halk Cumhuriyeti
²Geleneksel Çin Týbbý Foshan Hastanesi, Ortopedik Cerrahi Bölümü, Foshan, Çin Halk Cumhuriyeti

AMAÇ: Mesleksel el yaralanmalarýnýn kapsamýna raðmen el yaralanmalarýný korunmasýna iliþkin yetkin kýlavuzlar mevcut olmadýðý gibi Güney Çin veya diðer geliþmekte olan alanlarda akut mesleksel el yaralanmalarýnýn epidemiyolojisi az sayýda çalýþmada araþtýrýlmýþtýr. Bu çalýþmada Güney Çin Foshan ilindeki acil servislerde tedavi edilmiþ akut mesleksel el yaralanmalarýnýn epidemiyolojisini araþtýrdýk ve geliþmekte olan benzer alanlarda koruyucu stratejilere iliþkin veriler saðladýk.
GEREÇ VE YÖNTEM: Foshan ilinde beþ büyük hastanenin acil bölümlerinde ileriye yönelik ve çok merkezli çalýþma tasarlanýp yürütüldü. Bu çalýþmada verileri toplamak için özellikle tasarlanmýþ bir adsýz anket formu kullanýldý.
BULGULAR: Akut mesleksel el yaralanmasý olan toplam 2142 denek bir yýllýk çalýþma dönemi içinde anket formlarýný doldurmuþtur. Mesleksel el yaralanmalarýnýn çoðuna makineler neden olmuþtu. El yaralanmasýnýn tipi ve yaralanmanýn yeri yaþ farklýlýklarýyla deðil cinsiyet ve iþin kategorisiyle iliþkiliydi. Acil servislere en çok Temmuz ve Aðustos 2010 aylarýnda en az Ocak ve Þubat 2010 aylarýnda hasta kabulü olmuþtur.
TARTIÞMA: Epidemiyolojik veriler akut mesleksel el yaralanmalara ait bilgimizi artýrmakta ve gelecekte mesleksel el yaralanmalarýnýn engellenmesi ve tedavisinde rol oynayabilir.

Anahtar Kelimeler: Acil bölüm, el; epidemiyoloji; mesleksel yaralanma; travma.

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The epidemiology of acute occupational hand injuries treated in emergency departments in Foshan City, South China

Zhixin Wu¹, Yueming Guo², Junqing Gao², Jianyi Zhou¹, Shufang Li¹, Zhaohui Wang², Shangming Huang¹, Shaojuan Huang¹, Yingying Li¹, Jingli Chen¹, Mingfeng He^1
1Department of Critical Care and Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan, China
²Department of Orthopedic Surgery, Foshan Hospital of Traditional Chinese Medicine, Foshan, China

BACKGROUND: Despite the magnitude of occupational hand injuries, there are no authoritative guidelines for hand injury prevention, and little research has been done to investigate the epidemiology of acute occupational hand injuries in South China or other developing areas. In this study, the epidemiology of acute occupational hand injuries treated in emergency departments (EDs) in Foshan City, South China, was examined and data were supplied to assist with preventive strategies in similar developing regions.
METHODS: A multicenter study was prospectively designed and conducted in 5 large hospital EDs in Foshan City from July 2010 to June 2011. An anonymous questionnaire was designed specifically to collect the data for this study.
RESULTS: A total of 2142 patients with acute occupational hand injury completed the questionnaire within the 1-year study period. Results indicated that most occupational hand injuries were caused by machinery. Hand injury type and site of the injury did not correspond to age, but were related to gender and job category. July and August 2010 were the peak periods of admission to EDs, while January and February 2010 were the trough periods.
CONCLUSION: Epidemiological data enhance our knowledge of acute occupational hand injuries and could play a role in the prevention and treatment of future occupational hand injuries.

Keywords: Emergency department, epidemiology; hand; occupational injury; trauma.

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