Research Reports - Traumatic brain injuries from work accidents

Occup Med (Lond). 2013 Apr 18

Salem AM, Jaumally BA, Bayanzay K, Khoury K, Torkaman A

BackgroundThe United Arab Emirates is a rapidly developing country with recent
expansion in construction and manufacturing.AimsTo investigate the occurrence and
outcomes following occupational traumatic brain injury (TBI) requiring hospital
admission.MethodsRecords for all TBI cases admitted to an Abu Dhabi hospital
between 2005 and 2009 were reviewed. Data on mechanisms of occupational injuries,
Glasgow Coma Scale (GCS) on admission and Glasgow Outcome Scale (GOS) on
follow-up, were analysed.ResultsOf 581 TBI cases reviewed, 56 (10%) cases were
reported as occupational by either the patient or the informant accompanying the
patient. All cases were male migrants, and 63% were aged 25-44. Falls accounted
for 63% of cases, falling objects 34% and motor vehicle collisions 4%. Median GCS
score was 13 for all cases. Median hospital stay was 7.5 days. Intensive care
unit admission data were available in 47 cases, of which 34% (16) were admitted
with a median stay of 5 days. GOS data were available in 95% (53) of cases, with
good recovery in 81% cases, moderate-to-severe disability in 11% of cases and
death in 8% (4) cases.ConclusionsOccupational TBI requiring hospitalization is
most frequently due to falls and falling objects, with potentially grave
consequences. This study further highlights the urgent need to implement
preventative measures to improve construction worker safety.

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