Risk factors for fracture by same-level falls among workers across sectors: a cross-sectional study of national open database of the occupational injuries in Japan

Hayashi, Chisato; Ogata, Soshiro; Toyoda, Hiromitsu; Tanemura, Nanae; Okano, Tadashi; Umeda, M.; Mashino, S.

doi:10.1016/j.puhe.2023.02.003

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…The database includes data on the accident status, year, month, time of occurrence, workplace size, type of industry, causal agents, and context. Information regarding the context of an injury is presented as text data (Hayashi et al 2023). The term "causal agent" refers to a machine, device, or any other object or environment that causes a hazard.…”

Section: Database and Variablesmentioning

confidence: 99%

Risks of fracture from same-level falls among workers in the transportation service: A cross-sectional study of the national open database of occupational injuries in Japan

Hayashi,

Okano,

Toyoda

2024

Preprint

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Background: To prevent falls, individual worker factors and work environment factors should be considered. Purpose: This study aimed to determine the risks of fracture from same level falls for occupational accidents in the transport industry, provide necessary interventions. Methods: This study used the national open database of worker deaths and injury reports that was constructed from injury cases requiring four or more days of absence from work due to industrial accidents. We selected all same-level fall injuries from the original database using NVivo software. Results: The average age of the population in the airline industry was 39.0 (standard deviation (SD; 11.6) years, and it was the youngest. In the hired taxi business, the average age of the population was 58.1 (SD; 9.1) years, which was the oldest in the transportation and traffic industry. The occurrence of fractures was 27.8% in hired taxi businesses, 23.0% in general cargo transportation, 21.9% in other road freight forwarding businesses, 18.3% in the railroad and track industry,16.5% in the bus line industry, and 7.5% in the airline industry. After adjusting for age, occurrence time, and number of employees, hired taxi businesses had 1.761 times greater risk of fracture (95% confidence interval [CI]: 1.049-2.956) compared to the railroad and track industry. Conclusion: Taxi drivers were found to be at high risk of serious outcome such as fractures after same-level falls. The present study suggests that not only environmental interventions to prevent falls, but also lifestyle interventions to prevent fractures from occurring in the event of a fall might be needed.

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Section: Database and Variablesmentioning

confidence: 99%

Risks of fracture from same-level falls among workers in the transportation service: A cross-sectional study of the national open database of occupational injuries in Japan

Hayashi,

Okano,

Toyoda

2024

Preprint

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“…Falls are common among older adults (30-50%), often resulting in hospital admissions [ 6 ]. Multifactorial in nature, falls arise from age- and illness-related functional decline, environmental hazards, and adverse drug effects [ 7 ]. Despite extensive research, a significant knowledge gap still needs to be addressed regarding falls among older adults in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

The Changing Incidence and Prevalence of Falls and Its Disability Burden Among the Geriatric Population in Saudi Arabia from 1990 to 2019: A Longitudinal Analysis Using Global Burden of Disease Study Data

Bindawas

2023

Cureus

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Background: Falls represent a significant and growing public health issue among older adults worldwide. This study provides a comprehensive analysis of the trends in the incidence, prevalence, and disability burden of falls among older adults in Saudi Arabia over 29 years, with a focus on gender disparities. Methods: Utilizing the Global Burden of Disease (GBD) Study data, this observational analysis tracked the epidemiology of falls from 1990 to 2019. The study employed ICD-9 and ICD-10 codes to identify falls, analyzing incidence, prevalence, disability-adjusted life years (DALYs), and years lived with disability (YLDs), stratified by gender and reported with 95% uncertainty intervals (UIs). Results: The incidence and prevalence of falls increased for both genders from 1990 to 2019, with males showing a higher relative increase in prevalence rates (57% for males vs. 26% for females). The disability burden, indicated by DALYs, increased by 4% for males and decreased by 10% for females, whereas YLDs saw an increase of 38% for males and 8% for females. The analysis highlights a notable rise in both the frequency of falls and their associated disability, with gender-specific variations emphasizing greater impacts on males. Conclusions: The findings illustrate a significant increase in fall-related incidents and associated disabilities among older adults in Saudi Arabia, with distinct gender differences. These trends call for targeted public health interventions and further research into the underlying causes of falls, risk factors, and effective prevention strategies. Such measures are essential to mitigate the impact of falls, improve health outcomes, and enhance the quality of life for the aging population.

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Epidemiology of work-related fall injuries resulting in hospitalisation: individual and work risk factors and severity

Wah,

Berecki-Gisolf,

Walker-Bone

2024

Occup Environ Med

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ObjectivesInjuries at work are common and costly for individuals and employers. A common mechanism of workplace injury is through falls, but there have been few epidemiological studies of risk factors. This study aimed to identify patient, work and injury factors associated with injuries causing hospitalisation after falling at work in Victoria, Australia.MethodsData came from work-related hospitalised injury admissions, identified by International Classification of Diseases and Related Health Problems, Tenth Revision Australian Modification codes and compensation status, from Victorian Admitted Episodes Dataset between 1 July 2017 and 30 June 2022. Multivariate logistic regression analyses were conducted to identify factors associated with same-level falls and falls from height.ResultsThis study included 42 176 work-related injury admissions: 8669 (20.6%) fall injuries and 33 507 (79.4%) other injuries. Rates of high falls were more common in males than females (0.44 (95% CI: 0.43, 0.46) vs 0.08 (0.08, 0.09) admissions per 1000 employed), while same-level falls were more common in females than males (0.21 (0.20, 0.22) vs 0.18 (0.17, 0.18)). Patients with same-level fall injuries, relative to all other work injuries, were more likely to be older women, and have at least one chronic condition; falls from height were associated with male sex and construction work and more likely to result in intracranial, internal organ injuries and fractures and longer hospital stay than non-fall injuries.ConclusionWork-related falls were common and relatively severe. Same-level falls are relatively likely to occur in older women, the fastest-growing workplace demographic, and therefore the incidence is expected to increase. Comorbidities are an important fall risk factor. Employers could consider industry-relevant high and same-level fall prevention strategies for reducing the workplace injury burden.

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Risk factors for fracture by same-level falls among workers across sectors: a cross-sectional study of national open database of the occupational injuries in Japan

Cited by 3 publications

References 22 publications

Risks of fracture from same-level falls among workers in the transportation service: A cross-sectional study of the national open database of occupational injuries in Japan

Risks of fracture from same-level falls among workers in the transportation service: A cross-sectional study of the national open database of occupational injuries in Japan

The Changing Incidence and Prevalence of Falls and Its Disability Burden Among the Geriatric Population in Saudi Arabia from 1990 to 2019: A Longitudinal Analysis Using Global Burden of Disease Study Data

Epidemiology of work-related fall injuries resulting in hospitalisation: individual and work risk factors and severity

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