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The epidemiology of work-related injury admissions to hospitals in the Midland region of New Zealand

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Authors:
Summary:

These researchers retrospectively reviewed trauma registry records for adults (≥15 years) admitted to 4 hospitals in New Zealand’s Midland Trauma System (MTS) as a result of work-related injuries (WRI) between 1 January 2012 and 31 December 2015. A total of 2,169 WRI trauma admissions were analysed for patterns of injury incidence by demographic characteristics, employment industry, mechanism of injury, body regions injured, injury severity score, month, day and time of injury, duration of hospital stay, domicile District Health Board, and discharge destination. These admissions corresponded to an annualised rate of 205.8 per 100,000 workers or 234.3 per 100,000 full-time employment employees (FTE). The highest injury rates were observed for males (238.0 per 100,000 workers) and those aged 15–24 years (227.1 per 100,000 workers); the rates were lowest for Asians (83 per 100,000 workers). The industries with the highest injury rates included the ‘agriculture/forestry/fishing’, ‘manufacturing’, and ‘transport/postal/warehousing’ industries. The most common mechanism of injury was ‘Contact with machinery’, and the most common body region injured was the ‘extremities or pelvic girdle’. The in-hospital case fatality rate was <0.5%.

Comment:
A good reminder, as we implement Health and Safety regulations in workplaces, that organisations collect accurate ethnicity data consistently. Targeting high-risk industries is likely to have significant benefits for Māori.
Reference: Injury. 2017;48(11):2478-84
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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