Forensic medical evaluation of patients admitted to the emergency department due to the occupational accidents

İş kazası nedeniyle acil servise başvuran olguların adli tıp açısından değerlendirilmesi


Abstract views: 93 / PDF downloads: 43

Authors

  • Kenan Asildag Gaziantep University; Gaziantep University
  • Murat Akbaba Gaziantep University; Gaziantep University
  • Mediha Annac Gaziantep University; Gaziantep University

DOI:

https://doi.org/10.5152/EurJTher.2017.03031

Keywords:

Emergency department, forensic medicine, occupational injury

Abstract

Objective: This study aimed to emphasize the importance of occupational accidents and contribute to the data of our country by forensic medical evaluation of patients admitted to the emergency department.

Methods: All 567 patients admitted to the Gaziantep University Hospital Emergency Department in 2013-2014 were examined based on their sociodemographic characteristics, types of accidents, injury zones, properties of forensic reports, duration of temporary disability, whether patients have health insurance, and whether the accident is life-threatening.

Results: Five hundred and fifty-three (97.5%) patients were males and 14 (2.5%) were females. Accidents were frequently seen in the age group 25-34 (36.2%). Temporary forensic report was held to the 62.6% of the cases. Patients with life-threatening injuries accounted for 6.3% and injuries that were not resolved with simple medical intervention accounted for 57.5%. The most common mechanism for injury was penetrating sharp-object injury with a rate of 25% and fall from height (20%) followed it. Isolated upper extremity injuries were the most common injuries (48.2%). The number of patients discharged after treatment in the emergency service was 393 (68.1%). The overall mortality rate due to occupational accident was 1.2%. The majority of deaths occured by falling from height (71.4%).

Conclusion: Detailed analysis of emergency data would help us understand the real causes of occupational injuries and prevent these accidents by taking simple precautions.

Metrics

Metrics Loading ...

References

Occupational Injuries Statistics From Household Surveys and Establishment Surveys. ILO, 2008. http://www.ilo.org/wcmsp5/groups/public/---dgreports/---stat/documents/publication/wcms_173153.pdf (erişim tarihi: 28.08.2015).

İş Sağlığı ve Güvenliği kanunu. http://www.ttb.org.tr/mevzuat/index.php?option=com_content&view=article&id=923:-salii-ve-guevenl-kanunu&Itemid=28 (erişim tarihi: 27.08.2015).

Kalemoğlu M, Keskin Ö, Yıldırım İ, Erşanlı D. Analysis of traumatic workplace injuries at emergency services. Nobel Med 2006; 2: 21-3.

Çakar İ. İş Kazaları. http://www.csgb.gov.tr/csgbPortal/ShowDoc/WLP+Repository/per/dosyalar/duyurular/iskazalari (erişim tarihi: 26.03.2015).

6331 sayılı İş Sağlığı ve Güvenliği Kanunu. T.C. Çalışma ve Sosyal Güvenlik Bakanlığı İş Sağlığı ve Güvenliği Genel Müdürlüğü. http://www.csgb.gov.tr/csgbPortal/ShowProperty/WLP%20Repository/csgb/dosyalar/kitap/kitap03_6331 (erişim tarihi: 26.03.2015).

Bilge Y, Saltık A, Fişek G. İş Kazaları ve Bilirkişilik Kitabı. http://kitaplar.ankara.edu.tr/dosyalar/pdf/857.pdf (erişim tarihi: 26.03.2015).

Sunay YM, Faruk OI. Evaluation of forensic cases applied to emergency department of Suleyman Demirel University Medical School Hospital between 1999-2001. Adli Tıp Dergisi 2003; 17: 47-53.

Korkmaz T, Kahramansoy N, Erkol Z, Sarıçil F, Kılıç A. Evaluation of the Forensic patients presenting to the emergency department and legal reports. Haseki Tıp Bülteni 2012; 50: 14-20.

Zeren C, Karakuş A, Çelikel A, Çalışkan K, Aydoğan A, Karanfil R, et al. Evaluation of forensic cases in emergency service, Mustafa Kemal University Hospital of Medical Faculty. Mustafa Kemal Üniv Tıp Derg 2011;2: 34-42.

Dağlı B, Serinken M. Occupational ınjuries admitted to the emer gency department. JAEM 2012; 11: 167-70.

Sayhan MB, Sayhan ES, Yemenici S, Oğuz S. Occupational injuries admitted to the emergency department. J Pak Med Assoc 2013; 63: 179-84.

Yavuz MS, Aşırdizer M, Uluçay T, Zeyfeoğlu Y, Erbüyün K, Güllüçayır S. İş kazası sonucu acil servise müracaat eden olgular. 6. Anadolu Adli Bilimler Kongresi, Manisa. Sözel ve Poster Bildiriler Kitabı 2007: 102-7.

Karakurt Ü, Satar S, Açıkalın A, Bilen A, Gülen M, Baz Ü. Analysis of occupational accidents admitted to the emergency medicine department. JAEM 2013; 12: 19-23.

Özkan S, Kılıç Ş, Durukan P, Akdur O, Vardar A, Geyik S, et al. Occupational injuries admitted to the emergency department. Ulus Travma Acil Cerrahi Derg 2010; 16: 241-7.

Mehrdad R, Seifmanesh S, Chavoski F, Aminian O, Izadi N. Epidemiology of occupational accidents in ıran based on social security organisation database. Iran Red Cres Med J 2014; 16: e10359. [CrossRef]

Kekeç Z, Ünalan D, Şenol V, Çetinkaya F. The Evaluation of complicated occupational accidents admitted to the accident and emergency department of Erciyes University Hospital. Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi 2003; 17: 277-83.

Nur B, Sunay YM, Mesut O. The Medico-legal evaluation of occupational injuries. Adli Tıp Dergisi 2001; 15: 14-8.

Seviner M, Kozacı N, Ay MO, Açikalın A, Çökük A, Gülen M, et al. Analysis of judicial cases at emergency department. Çukurova Üniversitesi Tıp Fakültesi Dergisi 2013; 38: 250-60.

Altun G, Azmak D, Yılmaz A, Yılmaz G. The characteristics of the cases which admitted to emergency department of Trakya University Medical Faculty. Adli Tıp Bülteni 1997;2: 62-6. [CrossRef]

Ergör OA, Demiral Y, Piyal YB. A Significant outcome of work life: occupational accidents in a developing country, Turkey. J Occup Health 2003; 45: 74-80. [CrossRef]

Cantürk G, Eşiyok B, Yaşar H, Doğan B, Hancı H. Evaluation of Occupational ınjury cases in the department of forensic medicine, Ankara University Medical Faculty Between 1993-2003. Erciyes Tıp Dergisi 2006; 28: 1-6.

Çelik K, Yılmaz F, Kavalcı C, Özlem M, Demir A, Durdu T, et al. Occupational injury patterns of Turkey. World Journal of Emergency Surgery 2013; 8: 1-6.

Bakhtiyaria M, Delpisheh A, Riahi MS, Latifi A, Zayeri F, Salehif M, et al. Epidemiology of Occupational Accidents Among Iranian Insured Workers. Safety Science 2012; 50: 1480-4. [CrossRef]

Jørgensen K, Laursen B. Absence From Work Due to Occupational and Non-occupational Accidents. Scandinavian Journal of Public Health 2012; 0: 1-7.

İş Kazası ve Meslek Hastalıkları İstatistikleri, 2012. http://www.sgk.gov.tr/wps/portal/tr/kurumsal/istatistikler/sgk_istatistik_yilliklari/ (erişim tarihi: 26.10.2015)

Friedman L, Krupczak C, Brandt-Rauf S, Forst L. Occupational Amputations in Illinois 2000-2007: BLS vs. Data Linkage of Trauma egistry, Hospital Discharge, Workers Compensation Databases and OSHA Citations. Injury 2013; 44: 667-73.

Son HM, Kım SH, Shın SD, Ryoo HW, Ryu HH, Lee JH. Occupational fall ınjuries presenting to the emergency department. Emergency Medicine Australasia 2014; 26: 188-93. [CrossRef]

Downloads

Published

2023-04-27

How to Cite

Asildag, K., Akbaba, M., & Annac, M. (2023). Forensic medical evaluation of patients admitted to the emergency department due to the occupational accidents: İş kazası nedeniyle acil servise başvuran olguların adli tıp açısından değerlendirilmesi. European Journal of Therapeutics, 23(2), 49–54. https://doi.org/10.5152/EurJTher.2017.03031

Issue

Section

Original Articles