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Occupational injury and illness requiring hospitalization.

Authors
Layne-LA; Jackson-LL; Chen-GX
Source
Am J Epidemiol 2001 Jun; 153(11)(Suppl):S76
NIOSHTIC No.
20021361
Abstract
An estimated 3.6 million workers aged >/= 15 sought medical treatment in a hospital emergency department (ED) for an occupational injury or illness in the United States during 1998, as measured by a national probability , sample of hospitals. Ninety-eight percent of the workers were discharged from the ED, while 2% (77,246 +/-19,190, 95% confidence interval) were hospitalized for additional medical care. Workers hospitalized show significant differences (p<0.01) by sex, age, and injury demographics compared to the ED-discharged. Hospitalized patients were 85% male (65,571+/-16,582) and 15% female (11,675+/-3,397), whereas the ED-discharged were 70% male and 30% female. The hospitalized age-specific incident rates were higher among older patients, 10.4/10,000 workers for ages >/= 60 years compared to 6.2 for the <60. The ED-discharged incident rates steadily decreased with age. Injuries to the head, upper trunk/chest, and leg regions among the hospitalized showed more than a 2-fold increase in the proportion of cases, while amputations increased 14-fold, fractures 7-fold, and blunt head trauma 4-fold. By type of incident, falls from height accounted for 19% of the hospitalized cases, with falls from roofs increasing 19-fold, scaffolding 9-fold, and ladders 4-fold. Caught or compressed in equipment accounted for 12% of the hospitalized cases. Atypical chest pain (3%) and pedestrians struck by vehicles (2%) proportionately increased 14- and 7-fold. In conclusion, prevention of hospitalized nonfatal work events should focus in areas such as fall protection and machine guarding, similar to fatal prevention rather than areas dictated by most nonfatal incidents.
Keywords
Injuries; Accident-rates; Accident-analysis; Occupational-hazards; Occupational-accidents; Machine-guarding; Age-factors; Age-groups
CODEN
AJEPAS
Publication Date
20010101
Document Type
Abstract
Fiscal Year
2001
NTIS Accession No.
NTIS Price
Issue of Publication
11
ISSN
0002-9262
NIOSH Division
DSR
Source Name
American Journal of Epidemiology
State
WV
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