An analysis of the spectrum of hand fractures recorded in the emergency department of a tertiary hospital. A comparison of the incidence of hand fractures among Polish and Ukrainian patients before and after the outbreak of the war in Ukraine

Andrzej Żyluk

Abstract


Introduction: Hand fractures are the most common fractures of the upper extremity. Following the outbreak of war in Ukraine, approx. 1.5 million Ukrainians fled to Poland. Many of these individuals quickly integrated into Polish society and found employment, often in manual labor. The objective of this study was to analyze the spectrum of hand fractures recorded in the emergency department of a tertiary hospital and compare the incidence of hand fractures among Polish and Ukrainian patients before (2020) and after (2022) the outbreak of the war in Ukraine.
Materials and methods: The study utilized records from the database of the Emergency Department SPSK 1 in Szczecin from 2020 and 2022, representing the year before and the year of Russia’s invasion of Ukraine.
Results: A total of 344 hand fractures were recorded in 2020 and 437 in 2022. In both periods, the most common injuries were finger and metacarpal fractures, accounting for 74% (2020) and 72% (2022) of all fractures. In 2020, 12 Ukrainians were registered, representing 3.5% of all patients that year, while in 2022, there were 44 Ukrainians, representing 10% of all patients (statistically significant, p = 0.0004). The number of work-related fractures was significantly higher among Ukrainians than among Poles, in both 2020 (6% vs. 58%) and 2022 (8% vs. 61%; statistically significant, p = 0.0001).
Conclusion: The higher incidence of hand injuries among Ukrainians may be due to less attention to work safety compared to Poles and the fact that they often work outside their trained professions, which increases the risk of injury.

Keywords


hand and wrist fractures; work-related injuries; foreign-born workers

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References


Court-Brown CM, Bugler KE, Clement ND, Duckworth AD, McQueen MM. The epidemiology of open fractures in adults. A 15-year review. Injury 2012;43(6):891-7.

Żyluk A, Budzyński T. Treatment of metacarpal and phalangeal fractures: a review. Chir Narzadow Ruchu Ortop Pol 2006;71(4):299-308.

Dominguez-Prado DM, Ferradas-Garcia L, Perez-Alfonso E, Balvis-Balvis P, Lopez-Lopez JA, Castro-Menendez M. Epidemiology of bone fractures in the hand in adult population using the ICD-10 classification. Acta Chir Orthop Traumatol Cech 2022;89(4):252-9.

Weum S, Millerjord S, de Weerd L. The distribution of hand fractures at the university hospital of north Norway. J Plast Surg Hand Surg 2016;50(3):146-50.

Forst L, Avila S, Anozie S, Rubin R. Traumatic occupational injuries in Hispanic and foreign born workers. Am J Ind Med 2010;53(4):344-51.

Zhang X, Yu S, Wheeler K, Kelleher K, Stallones L, Xiang H. Work-related non-fatal injuries among foreign-born and US-born workers: findings from the US National Health Interview Survey, 1997-2005. Am J Ind Med 2009;52(1):25-36.

Cianciara D, Goryński P, Seroka W. Hospitalization of injured immigrants in Poland – demographic profile and diagnosis. Ann Agric Environ Med 2016;23(3):468-71.




DOI: https://doi.org/10.21164/pomjlifesci.1035

Copyright (c) 2024 Andrzej Żyluk

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/