Non-Fatal Construction Industry Fall-Related Injuries Treated in US Emergency Departments, 1998-2005

American Journal of Industrial Medicine (Impact Factor: 1.74). 02/2011; 54(2):128 - 135. DOI: 10.1002/ajim.20880


There is a growing recognition that common occupational injury surveillance systems in the US fail to reflect true injury risk; this failure limits efforts to accurately monitor efforts to prevent work-related injuries on a national level.Methods
Data from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) were used to describe fall-related injuries treated in US emergency departments among workers in the construction industry (1998–2005). These data do not require workers' compensation as the payer in order to be classified as work-related.ResultsBased on NEISS-Work estimates, a total of 555,700 (95% confidence interval (CI): 390,700–720,800) non-fatal work-related injuries among workers in the construction industry were the result of a fall, resulting in an annual rate of 70 (95% CI: 49–91) per 10,000 full-time equivalents. Younger workers had higher rates of falls, whereas older workers were more likely to suffer serious injuries. The majority of the injuries (70%) were precipitated by falls to a lower level from roofs, ladders, and scaffolding.Conclusions
The patterns of fall-related injuries identified in these data are consistent with other reports. In contrast to the declining rates of falls requiring days away from work reported through the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses, construction industry fall-related injury rates estimated through NEISS-Work remained unchanged from 1998 to 2005 providing another perspective on this serious cause of morbidity in the construction industry. Am. J. Ind. Med. 54:128–135, 2011. Published 2010 Wiley-Liss, Inc.

5 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Traumatic injuries are a leading cause of death and disability among US workers, yet state trauma registries are rarely used for occupational research. Many, including the Washington State Trauma Registry, include information about work-relatedness. The objective is to explore and document the Washington State Trauma Registry as a resource for occupational injury surveillance and research. State-designated trauma facilities report traumatic injuries meeting specific inclusion criteria to the Washington State Trauma Registry. This study included 16+ year-olds injured in Washington during 1998 to 2008. Of 125,625 injuries, 7.3% were work related. We found no evidence of downward trends in traumatic occupational injuries (2003 to 2008). Capturing industry and occupation would enhance utility for occupational injury surveillance and research. Trauma registry data could contribute to prevention planning/evaluation, improve case ascertainment for severe occupational injuries, and aid identification of high-risk populations and emerging trends.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 11/2011; 53(11):1243-50. DOI:10.1097/JOM.0b013e31822cff63 · 1.63 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The relatively large birth cohort between 1946 and 1964, combined with the economic recession in the first decade of the 21st century, have led to an increase in the proportion of older workers in the US workplace. Understanding the health and safety needs of an aging workforce will be critical, especially in the construction industry, where physical job demands are high. This paper reviews the epidemiologic literature on the impact of age on injury among workers in the construction industry in terms of cause, type, and cost. PubMed was searched by using the following terms: older workers, construction, construction industry, injury, and age. The available studies reported that, among the construction industry workforce, older age at injury was related to higher injury costs but not to number of injuries. The higher injury costs associated with worker age are likely due in part to the severity of the injuries sustained by older workers. Identification of injury trends and subsequent analytical research efforts designed to ascertain factors associated with injury among older construction workers are needed for employers to effectively manage a health and safety program that addresses the needs of the aging worker.
    Epidemiologic Reviews 12/2011; 34(1):156-67. DOI:10.1093/epirev/mxr020 · 6.67 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A startling auditory stimulus (SAS) causes a faster execution of voluntary actions when applied together with the imperative signal in reaction time tasks (the StartReact effect). However, speeding up reaction time may not be the best strategy in all tasks. After a self-initiated fall, the programme for landing has to be time locked to foot contact to avoid damage and, therefore, advanced execution of the programme would not be convenient. We examined the effects of SAS on the landing motor programme in 8 healthy subjects that were requested to let themselves fall from platforms at either 50 or 80 cm high at the perception of a visual imperative signal and land on specific targets. In trials at random, SAS was applied either together with the imperative signal (SAS(IS)) or at an appropriate pre-landing time (SAS(PL)). As expected, the latency of take-off was significantly shortened in SAS(IS) trials. On the contrary, the timing of foot contact was not significantly different when comparing SAS(PL) with control trials. No changes were observed in the size of the EMG bursts in the two experimental conditions with respect to the control condition. Our results indicate that the landing programme after self-initiated fall may in part be organized at take-off and involve precise information on timing of muscle activation. Once launched, the program is protected against interferences by external inputs.
    Journal of Neurophysiology 08/2012; 108(9). DOI:10.1152/jn.01111.2011 · 2.89 Impact Factor
Show more