Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018

Purpose This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who...

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Main Authors: Juni Song, Yang Bin Jeon, Jae Ho Jang, Jin Seong Cho, Jae Yeon Choi, Woo Sung Choi
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-03-01
Series:Journal of Trauma and Injury
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Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0057.pdf
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author Juni Song
Yang Bin Jeon
Jae Ho Jang
Jin Seong Cho
Jae Yeon Choi
Woo Sung Choi
author_facet Juni Song
Yang Bin Jeon
Jae Ho Jang
Jin Seong Cho
Jae Yeon Choi
Woo Sung Choi
author_sort Juni Song
collection DOAJ
description Purpose This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-depth Surveillance (2011–2018) database, were included. Patients’ demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020–1.028) and using a grinder (OR, 2.073; 95% CI, 1.877–2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40–1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639–2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297–0.781). Conclusions Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.
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spelling doaj-art-a659fe201a6640b9b8a32fa0e3c63d162025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-01361323810.20408/jti.2021.00571182Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018Juni Song0Yang Bin Jeon1Jae Ho Jang2Jin Seong Cho3Jae Yeon Choi4Woo Sung Choi5 Department of Emergency Medicine, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon Univeristy Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPurpose This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-depth Surveillance (2011–2018) database, were included. Patients’ demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020–1.028) and using a grinder (OR, 2.073; 95% CI, 1.877–2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40–1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639–2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297–0.781). Conclusions Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.http://jtraumainj.org/upload/pdf/jti-2021-0057.pdfhead injuriespersonal protective equipmentindustrial accidentoccupational injuries
spellingShingle Juni Song
Yang Bin Jeon
Jae Ho Jang
Jin Seong Cho
Jae Yeon Choi
Woo Sung Choi
Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
Journal of Trauma and Injury
head injuries
personal protective equipment
industrial accident
occupational injuries
title Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
title_full Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
title_fullStr Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
title_full_unstemmed Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
title_short Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
title_sort severity of grinder injuries and related factors compared with other high rotation cutting tool injuries a multicenter retrospective study from 2011 to 2018
topic head injuries
personal protective equipment
industrial accident
occupational injuries
url http://jtraumainj.org/upload/pdf/jti-2021-0057.pdf
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