Forensic medical evaluation of non-fatal occupational accidents: the case of Eskişehir

Authors

DOI:

https://doi.org/10.17986/blm.1751

Keywords:

Forensic medicine, Forensic report, Clinical forensic medicine, Trauma scoring, Occupational accident

Abstract

Objective: Occupational accidents are forensic cases that represent a significant public health issue across all countries. This study retrospectively evaluated non-fatal occupational injury cases referred to our forensic medicine clinic for trauma-related assessment. The aim was to share the demographic and incident-related characteristics of these cases in light of the existing literature.  

Method: The cases of non-fatal occupational accidents admitted to Eskişehir Osmangazi University Faculty of Medicine, Department of Forensic Medicine between the years 2019-2024 were evaluated retrospectively. Demographic data, injury types, injury severity and forensic report contents of the cases were evaluated. The data were uploaded to SPSS programme and evaluated. Frequency, standard deviation, median, mode, minimum and maximum values were used and chi-square test was applied. Statistical significance was accepted as p<0.05.

Results: During the study period, forensic reports were prepared for 132 cases of occupational accidents in our department. It was found that 88.6% (n=117) of the cases were male, the mean age was 32.15±7.9 years, the most common injuries occurred in summer months (n=59, 44.7%), the most common injuries occurred in the form of falling from height (n=35, 26.5%), and the most common injuries occurred in the upper extremities (n=45, 34.1%).

Conclusion: It is thought that injury characteristics should be known for measures to prevent occupational accidents. It was determined that the data in this study were generally compatible with the literature. 

Downloads

Download data is not yet available.

References

Asildag K, Akbaba M, Annaç M. İş kazası nedeniyle acil servise başvuran olguların adli tip acısından değerlendirilmesi. Eur J Ther 2017;23:49-55. https://doi.org/10.5152/EurJTher.2017.03031 DOI: https://doi.org/10.5152/EurJTher.2017.03031

Kılıç S, Adıyaman S, Sezer F, Cantürk G. İş Kazası Sonucu Maluliyet Tayinine Konu Olan Üst Ekstremite Yaralanmaları: Üç Olgu Sunumu. Adli Tıp Bülteni 2017;22:72-5. https://doi.org/10.17986/blm.2017127145 DOI: https://doi.org/10.17986/blm.2017127145

Dağlı B, Serinken M. Acil Servise Başvuran İş Kazalarına Bağlı Yaralanmalar. JAEM 2012;11(3):167-70.

Çiçek Ö, Öçal M. Dünyada ve Türkiye’de İş Sağlığı ve İş Güvenliğinin Tarihsel Gelişimi. Hak İş Uluslararası Emek ve Toplum Dergisi. 2016;5(11):106-29.

Teker T, Gençdoğan D. Türkiye’de Kaynakçılık Mesleğinde Meydana Gelen İş Kazaları ve Güvenlik Önlemleri. Adıyaman Üniversitesi Mühendislik Bilimleri Dergisi, 2020;7(12):34-44.

Şimşek S, Ağseren S, Şimşek H. Evaluation Of Sensor In Occupational Health And Safety Applications İstanbul Aydın Üniversitesi Dergisi, 2020;12(1):41-53. DOI: https://doi.org/10.17932/IAU.IAUD.m.13091352.2020.1/45.41-53

Mustafa Ö. İş Kazalarında Hukuki, Cezai ve İdari Sorumluluk. Ankara Barosu Dergisi. 2015;2:215-53.

International Labour Organization (ILO). Safety and health at work [Internet]. Genève: International Labour Organization; [cited 2025 May 12]. Available from: https://www.ilo.org/topics-and-sectors/safety-and-health-work

Aydemir A. Types and Causes of Possible Occupational Accidents in Schools. International Journal of Social Sciences 2022;6(25):209-225. https://doi.org/10.52096/usbd.6.25.13 DOI: https://doi.org/10.52096/usbd.6.25.13

Temel İ, Asal Ö. Relation between contracts for works and services and work accidents, and rudiments regarding the material compensation arising from work accidents. Gazi İktisat ve İşletme Dergisi, 2021;7(1):83-94. https://doi.org/10.30855/gjeb.2021.7.1.006 DOI: https://doi.org/10.30855/gjeb.2021.7.1.006

Orhan Ç, Çakmak F, Akdeniz YS, İpekçi A, İkizceli İ. Analysis of occupational accidents admitted to the Department of Emergency Medicine. J For Med 2022;36(3):139-144.

Kadıoğlu E, Karaman S, Arık Ö. Demographic Analysis of Patients Applying to the Emergency Department Due to Workplace Accident. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi. 2016;8(3):163-73.

Oğuzlar FÇ, Armağan HH, Bedel C, Tomruk Ö, Beceren NG. Occupational accidents presenting to the emergency department. Genel Tip Dergisi. 2021;31(1):12-17.

Guerin RJ, Reichard AA, Derk S, Hendricks KJ, Menger-Ogle LM, Okun AH. Nonfatal Occupational Injuries to Younger Workers — United States, 2012-2018. MMWR Morbidity and Mortality Weekly Report. 2020;69(35):1204-1209. https://doi.org/10.15585/mmwr.mm6935a3 DOI: https://doi.org/10.15585/mmwr.mm6935a3

Izadi N, Aminian O, Esmaeili B. Occupational Accidents in Iran: Risk Factors and Long Term Trend (2007–2016). Journal of research in health sciences. 2019;19(2):e00448.

Acara AÇ, Yanturalı S, Canacık Ö, Bolatkale M. Evaluations of Occupational Injuries Presented to the Emergency Department; Mechanisms, Causes, Features of Accidents, From the Injured Workers Perspective. Kafkas Journal of Medical Sciences. 2021;11(50):184-9. DOI: https://doi.org/10.5505/kjms.2021.43410

Bayram S. Şantiyelerde yaşanan güncel iş kazaları, çalışan farkındalıkları ve eğitim seviyeleri arasındaki ilişki. Çukurova Üniversitesi Mühendislik-Mimarlık Fakültesi Dergisi, 2018;33(1):241-252. https://doi.org/10.21605/cukurovaummfd.420738. DOI: https://doi.org/10.21605/cukurovaummfd.420738

López Arquillos A, Rubio Romero JC, Gibb A. Analysis of construction accidents in Spain, 2003-2008. Journal of Safety Research. 2012;43(5-6):381-88. https://doi.org/10.1016/j.jsr.2012.07.005 DOI: https://doi.org/10.1016/j.jsr.2012.07.005

Ulutaşdemir N, Tanır F, Dokur M, Uysal E. Analysis of the Patients Admitted to Emergency Department of a Private Hospital Due to Work Accidents. Sakarya Medical Journal. 2015;5(4):193-8. http://dx.doi.org/10.5505/sakaryamedj.2015.27928 DOI: https://doi.org/10.5505/sakaryamedj.2015.27928

Erdemli H, Erdemli DS, Kocalar ÜG. Analysis of work related injuries admitted patient to emergency department. J Surg Arts (Cer San D), 2017(2):26-33.

Avınca Ö, Dursun R, Taş M, Üstündağ M, Orak M, Güloğlu C. Demographic Analysis of The Occupational Injuries In Diyarbakir, Factors Affecting Mortality And Morbidity. Dicle Medical Journal. 2020;47(3):645-55. http://dx.doi.org/10.5798/dicletip.800057 DOI: https://doi.org/10.5798/dicletip.800057

Ghanbari M, Ashtarian H, Yarmohammadi H. An investigation of the frequency of the occupational accident in Kermanshah, Iran (2009-2013). Annals of Tropical Medicine & Public Health. 2017;10(5):1306-11. http://dx.doi.org/10.4103/atmph.atmph_114_17 DOI: https://doi.org/10.4103/ATMPH.ATMPH_114_17

Dean LA, Aaronson EL, Wittels K, Wilcox SR. Fall From Height. J Emerg Med. 2019;57(2):241-244. http://dx.doi.org/10.1016/j.jemermed.2019.04.002. DOI: https://doi.org/10.1016/j.jemermed.2019.04.002

Kusior ME, Pejka K, Knapik M, Sajuk N, Kłaptocz S, Konopka T. Analysis of the nature of injuries in victims of fall from height. Archives of Forensic Medicine and Criminology, 2016;66(2):106-124. http://dx.doi.org/10.5114/amsik.2016.64709 DOI: https://doi.org/10.5114/amsik.2016.64709

Terayama T, Toda H, Nagamine M, Tanaka Y, Saitoh D, Yoshino A. (2023). Association between length of hospital stay and fractures in the spine, pelvis, and lower extremity among patients after intentional fall from a height: an analysis of the Japan Trauma Databank. Trauma Surgery & Acute Care Open, 2023;8(1):e000988. http://dx.doi.org/10.1136/tsaco-2022-000988 DOI: https://doi.org/10.1136/tsaco-2022-000988

Gulati D, Aggarwal AN, Kumar S, Agarwal A. Skeletal injuries following unintentional fall from height. Ulus Travma Acil Cerrahi Derg, 2012;18(2):141-6. https://doi.org/10.5505/tjtes.2012.12058 DOI: https://doi.org/10.5505/tjtes.2012.12058

Serinken M, Türkçüer İ, Dağlı B, Karcıoğlu Ö, Zencir M, Uyanık E. Work-related injuries in textile industry workers in Turkey. Ulus Travma Acil Cerrahi Derg 2012;18 (1):31-36 https://doi.org/10.5505/tjtes.2012.54376 DOI: https://doi.org/10.5505/tjtes.2012.54376

Özkan S, Kılıç Ş, Durukan P, Akdur O, Vardar A, Geyik S, İkizceli İ. Acil servise gelen iş kazalarına bağlı yaralanmalar. Ulus Travma Acil Cerrahi Derg 2010;16 (3):241-247. DOI: https://doi.org/10.4170/jaem.2009.54254

Artar A. Evaluation of occupational accident-related forensic cases admitted to Cumhuriyet University Emergency Department between 2011-2015 [Specialty thesis]. Sivas, Turkey: Cumhuriyet University; 2017.

Fröhlich, M., Lefering, R., Probst, C., Paffrath, T., Schneider, M. M., Maegele, M., ... & Wafaisade, A. (2014). Epidemiology and risk factors of multiple-organ failure after multiple trauma: an analysis of 31,154 patients from the TraumaRegister DGU. Journal of Trauma and Acute Care Surgery, 76(4), 921-928. DOI: https://doi.org/10.1097/TA.0000000000000199

Rungruangsak, K., & Poriswanish, N. (2021). Pathology of fatal diffuse brain injury in severe non-penetrating head trauma. Journal of forensic and legal medicine, 82, 102226. DOI: https://doi.org/10.1016/j.jflm.2021.102226

T.C. Resmî Gazete. Çocuk ve Genç İşçilerin Çalıştırılma Usul ve Esasları Hakkında Yönetmelik. Yayımlanma Tarihi: 06.04.2004; Sayı: 25425. Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=7223&MevzuatTur=7&MevzuatTertip=5

International Labour Organization (ILO). Minimum Age Convention, 1973 (No. 138). Available from: https://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO::P12100_ILO_CODE:C138

International Labour Organization (ILO). Worst Forms of Child Labour Convention, 1999 (No. 182). Available from: https://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO::P12100_ILO_CODE:C182

Downloads

Published

2025-08-30

Issue

Section

Research Article

How to Cite

1.
Şimşek Ümit, Kılıboz T, Karbeyaz K. Forensic medical evaluation of non-fatal occupational accidents: the case of Eskişehir. Bull Leg Med [Internet]. 2025 Aug. 30 [cited 2025 Sep. 6];30(2):124-30. Available from: https://www.adlitipbulteni.com/index.php/atb/article/view/1751