Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center
<h3>Background</h3><p dir="ltr">Occupational injuries impose a substantial global burden, affecting millions of workers annually, which demands urgent attention to enhance workplace safety and health standards. We aimed to outline the frequency, patterns of <u>injur...
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| مؤلفون آخرون: | , , |
| منشور في: |
2024
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إضافة وسم
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| _version_ | 1864513540450156544 |
|---|---|
| author | Hassan Al-Thani (440106) |
| author2 | Ayman El-Menyar (440103) Mohammad Asim (178880) Ibrahim Afifi (22045346) |
| author2_role | author author author |
| author_facet | Hassan Al-Thani (440106) Ayman El-Menyar (440103) Mohammad Asim (178880) Ibrahim Afifi (22045346) |
| author_role | author |
| dc.creator.none.fl_str_mv | Hassan Al-Thani (440106) Ayman El-Menyar (440103) Mohammad Asim (178880) Ibrahim Afifi (22045346) |
| dc.date.none.fl_str_mv | 2024-12-31T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.injury.2024.111914 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Clinical_patterns_and_outcomes_of_hospitalized_patients_with_grinder-related_neurovascular_injuries_A_decade_of_experience_from_a_Level_I_Trauma_center/30024370 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Health sciences Public health Power-tools Grinder-related injuries Risk factors Management Neurovascular Outcome |
| dc.title.none.fl_str_mv | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Occupational injuries impose a substantial global burden, affecting millions of workers annually, which demands urgent attention to enhance workplace safety and health standards. We aimed to outline the frequency, patterns of <u>injury,</u> and clinical characteristics of patients injured by high-rotation cutting tools (grinders) and to pinpoint the neurovascular (nerves and blood vessels) injuries. </p><h3>Methods</h3><p dir="ltr">A retrospective study was conducted and included all adult patients hospitalized because of grinder-related injuries at the only level I Trauma Center in the country. The characteristics of patients, mechanism of injury, management and outcomes were analyzed based on the anatomical location of injuries. </p><h3>Results</h3><p dir="ltr">127 patients were hospitalized with grinder-related injuries over ten years. The incidence of GRIs showed an increasing trend over the years. All patients were males with a mean (SD) age of 34.9 (9.8) years. The majority were general laborers (66.1 %), injured by portable grinders (86.6 %), and direct blade contact (64.6 %). The median <u>Injury Severity Score</u> (ISS) was 5.0(IQR 4.0–9.0), and the median <u>Glasgow Coma Scale</u> (GCS) at ED was 15 (3–15). The most frequently injured part was the upper extremity (36.2 %), followed by the lower extremity (33.9 %) and the face (27.6 %). One-third of cases had vascular injuries, and 23.6 % had nerve injuries. Suturing was done for all patients; repairs and <u>debridements</u> were performed in 62 % and 58 % of cases, respectively, and 21 % required <u>vascular surgery.</u> Amputations were required in 9.4 % of cases. Thirty patients had nerve injuries involving the median (11 %) and radial (9.4 %) nerves. Among patients who had neurovascular injuries, 30 % (12/40) experienced complications during the hospital stay, while 60 % (24/40) ended up with physical disabilities. </p><h3>Conclusion</h3><p dir="ltr">Individuals affected by power-tool accidents were predominantly young males, mainly general laborers, with a significant proportion being expatriates. The trend of grinder-related injuries increases over time, with portable grinders being a primary source of injuries due to direct contact with the blade. The anatomical injuries mainly include fractures of the upper and lower extremities. Further studies are warranted to understand the cultural aspects and training requirements of workers handling power tools, aiming to achieve sustainable injury prevention effectively.</p><h2>Other Information</h2><p dir="ltr">Published in: Injury<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.injury.2024.111914" target="_blank">https://dx.doi.org/10.1016/j.injury.2024.111914</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_903039b4b87807789358c767df317b3e |
| identifier_str_mv | 10.1016/j.injury.2024.111914 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30024370 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma centerHassan Al-Thani (440106)Ayman El-Menyar (440103)Mohammad Asim (178880)Ibrahim Afifi (22045346)Biomedical and clinical sciencesCardiovascular medicine and haematologyNeurosciencesHealth sciencesPublic healthPower-toolsGrinder-related injuriesRisk factorsManagementNeurovascularOutcome<h3>Background</h3><p dir="ltr">Occupational injuries impose a substantial global burden, affecting millions of workers annually, which demands urgent attention to enhance workplace safety and health standards. We aimed to outline the frequency, patterns of <u>injury,</u> and clinical characteristics of patients injured by high-rotation cutting tools (grinders) and to pinpoint the neurovascular (nerves and blood vessels) injuries. </p><h3>Methods</h3><p dir="ltr">A retrospective study was conducted and included all adult patients hospitalized because of grinder-related injuries at the only level I Trauma Center in the country. The characteristics of patients, mechanism of injury, management and outcomes were analyzed based on the anatomical location of injuries. </p><h3>Results</h3><p dir="ltr">127 patients were hospitalized with grinder-related injuries over ten years. The incidence of GRIs showed an increasing trend over the years. All patients were males with a mean (SD) age of 34.9 (9.8) years. The majority were general laborers (66.1 %), injured by portable grinders (86.6 %), and direct blade contact (64.6 %). The median <u>Injury Severity Score</u> (ISS) was 5.0(IQR 4.0–9.0), and the median <u>Glasgow Coma Scale</u> (GCS) at ED was 15 (3–15). The most frequently injured part was the upper extremity (36.2 %), followed by the lower extremity (33.9 %) and the face (27.6 %). One-third of cases had vascular injuries, and 23.6 % had nerve injuries. Suturing was done for all patients; repairs and <u>debridements</u> were performed in 62 % and 58 % of cases, respectively, and 21 % required <u>vascular surgery.</u> Amputations were required in 9.4 % of cases. Thirty patients had nerve injuries involving the median (11 %) and radial (9.4 %) nerves. Among patients who had neurovascular injuries, 30 % (12/40) experienced complications during the hospital stay, while 60 % (24/40) ended up with physical disabilities. </p><h3>Conclusion</h3><p dir="ltr">Individuals affected by power-tool accidents were predominantly young males, mainly general laborers, with a significant proportion being expatriates. The trend of grinder-related injuries increases over time, with portable grinders being a primary source of injuries due to direct contact with the blade. The anatomical injuries mainly include fractures of the upper and lower extremities. Further studies are warranted to understand the cultural aspects and training requirements of workers handling power tools, aiming to achieve sustainable injury prevention effectively.</p><h2>Other Information</h2><p dir="ltr">Published in: Injury<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.injury.2024.111914" target="_blank">https://dx.doi.org/10.1016/j.injury.2024.111914</a></p>2024-12-31T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.injury.2024.111914https://figshare.com/articles/journal_contribution/Clinical_patterns_and_outcomes_of_hospitalized_patients_with_grinder-related_neurovascular_injuries_A_decade_of_experience_from_a_Level_I_Trauma_center/30024370CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/300243702024-12-31T03:00:00Z |
| spellingShingle | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center Hassan Al-Thani (440106) Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Health sciences Public health Power-tools Grinder-related injuries Risk factors Management Neurovascular Outcome |
| status_str | publishedVersion |
| title | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| title_full | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| title_fullStr | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| title_full_unstemmed | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| title_short | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| title_sort | Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Neurosciences Health sciences Public health Power-tools Grinder-related injuries Risk factors Management Neurovascular Outcome |