2003 年至 2022 年上肢锯伤的趋势。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2024-10-29 DOI:10.1177/15589447241292658
Joseph G Monir, Jenny Nguyen, Thomas J McQuillan, Eric R Wagner
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引用次数: 0

摘要

目的:锯是上肢受伤的常见原因。为了减少锯伤的发生,商业界和政府都制定了一些安全机制。我们旨在评估过去 20 年中与锯相关的上肢损伤的发生率和影响趋势:方法:从 2003 年 1 月到 2022 年 12 月,我们在国家电子伤害监测系统数据库中查询了由锯子造成的上肢伤害。计算了主要受伤部位和诊断的汇总统计数据。通过线性回归评估受伤人数随时间变化的趋势:结果:2003 年 1 月至 2022 年 12 月期间,急诊科报告的受伤人数(加权)估计为 138 万。患者的平均年龄为 50.5 ± 18.1 岁。大多数损伤发生在手指(82.2%),其次是手部(11.9%)。下臂(3.4%)、手腕(1.66%)、肩部(0.3%)、肘部(0.2%)和上臂(0.2%)受伤较少。在研究期间,锯伤的数量呈下降趋势(R = 0.83,R2 = 0.69,p p = .004)。最常见的诊断为撕裂伤(69.7%)、骨折(12.6%)和截肢(9.9%):结论:在过去 20 年中,上肢锯伤明显减少。结论:上肢锯伤在过去 20 年中明显减少,绝大多数锯伤发生在手指和手部,最常见的是撕裂伤、骨折和截肢:证据等级:IV。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in Upper Extremity Saw Injuries From 2003 to 2022.

Purpose: Saws are a common source of upper extremity injury. There have been several commercial and government-mandated safety mechanisms designed to reduce the number of saw injuries. We aim to assess the trends in the incidence and impact of saw-related upper extremity injuries over the last 2 decades.

Methods: The National Electronic Injury Surveillance System database was queried from January 2003 to December 2022 for upper extremity injuries caused by saws. Summary statistics for primary body part injured and diagnosis were calculated. Linear regression was performed to evaluate trends in the number of injuries over time.

Results: An estimated 1.38 million injuries (weighted) presenting to emergency departments were reported from January 2003 to December 2022. Patients had a mean age of 50.5 ± 18.1. Digits (82.2%) accounted for most injuries, followed by hands (11.9%). The lower arm (3.4%), wrist (1.66%), shoulder (0.3%), elbow (0.2%), and upper arm (0.2%) accounted for fewer injuries. There was a downtrend in number of saw injuries over the study period (R = 0.83, R2 = 0.69, p < .001). Subgroup analysis showed decreases in number of injuries to fingers (R = -0.82, R2 = 0.67, p < .001) and wrists (R = -0.61, R2 = 0.37, p = .004). The most common diagnoses were lacerations (69.7%), fractures (12.6%), and amputations (9.9%).

Conclusions: Upper extremity saw injuries have significantly decreased over the last 20 years. The fingers and hands account for the vast majority of saw injuries, resulting most commonly in lacerations, fractures, and amputations.

Level of evidence: IV.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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