4.2 Article

The Economic Impact of Electric Saw Injuries to the Hand

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JOURNAL OF HAND SURGERY-AMERICAN VOLUME
卷 34A, 期 5, 页码 886-889

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W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jhsa.2009.02.002

关键词

Hand injury; economic; electric saw; trauma

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Purpose Injuries from electric saws cause considerable hand trauma. This study is designed to provide information detailing the costs of these injuries. Methods The study was performed in a tertiary referral academic medical center. The records of patients injured by electric table saws were reviewed. Information regarding demographics, injury severity, medical expense, and time lost from work was analyzed. The patients were stratified by injury severity for further analysis. The mean wage for the region was used to estimate costs of time away from work. The Consumer Protection Agency's review was used to estimate the nationwide burden of these injuries. Results The study group included 134 patients. Of these patients, 126 were male and 8 were female. The dominant hand was injured in 20; the nondominant, in 114. The mean age was 47.0 years. The mean time lost from work was 64 days. The mean cost of medical expenses for all patients was $22,086, with $8,668 in lost wages, for a total of $30,754 mean cost per injury. The total economic burden for the injuries in this study is $4,121,097. These injuries represent a spectrum of severity, with minor injuries incurring lower hospital fees and requiring less time off work as compared to more involved injuries. Conclusions Electric saws cause a wide spectrum of injuries that result in not only tremendous physical and emotional pain but also substantial economic impact as well. Technologies that would prevent such injuries would be a socioeconomic advancement. Federal mandates to implement such technologies should be encouraged. (J Hand Surg 2009;34A:886-889. Copyright (C) 2009 by the American Society for Surgery of the Hand. All rights reserved.)

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