Epidemiological profile of work-related injuries in Lombardy: Insights from Emergency Department data
Keywords:
Occupational Injuries, Workplace Safety, Emergency Department, Epidemiology, LombardyAbstract
Background and aim: Occupational injuries represent a major public health challenge, impacting workforce productivity and healthcare systems worldwide and Lombardy region, one of the most industrialized area in Europe, is a key region to monitor the phenomenon of work-related injury.
Methods: This retrospective observational study analyzed 69,187 work-related injuries reported to Emergency Departments (EDs) across Lombardy, Italy, in 2023. Data were extracted from the Emergency-Urgency Online System (EUOL) and categorized into demographic, temporal, geographic, and clinical variables.
Results: Results showed that 69.9% of cases involved male workers, with the highest injury rates among individuals aged 50–55 years (13.4%). Injuries peaked in May and July, with a daily peak at 12:00. Most cases (88.1%) were classified as low severity (green triage). Trauma was the predominant injury type (95.9%), and 91.6% of patients were discharged home.
Conclusions: Despite legislative advancements, including Law No. 85/2023, occupational injuries remain a significant issue. Findings highlight the need for enhanced workplace safety measures, targeted interventions for high-risk groups, and improved prevention strategies. Future research should integrate employment data and injury mechanisms to refine risk assessment. Strengthening safety culture and training initiatives is crucial to reducing the burden of occupational injuries in industrialized regions.
References
1. Occupational safety and health in public health emergencies. World Health Organization and the International Labour Office;
2. A call for safer and healthier working environments. International Labour Organization; 2023.
3. Dyreborg J, Lipscomb HJ, Nielsen K, et al. Safety interventions for the prevention of accidents at work: A systematic review. Campbell Syst Rev. 2022;18(2):e1234. Published 2022 Jun 1. doi:10.1002/cl2.1234
4. D.Lgs. 9 Aprile 2008, n. 81. TESTO UNICO SULLA SALUTE E SICUREZZA SUL LAVORO.
5. La sicurezza per studenti e personale delle scuole nella legge n. 85/2023 | Ministero del Lavoro e delle Politiche Sociali [Internet]. [citato 4 febbraio 2025]. Disponibile su: https://www.lavoro.gov.it/notizie/pagine/la-sicurezza-studenti-e-personale-delle-scuole
5. Bondebjerg A, Filges T, Pejtersen JH, et al. Occupational health and safety regulatory interventions to improve the work environment: An evidence and gap map of effectiveness studies. Campbell Syst Rev. 2023;19(4):e1371. Published 2023 Dec 11. doi:10.1002/cl2.13716. Il Giorno [Internet]. 2024 [citato 4 febbraio 2025]. Lombardia, morti sul lavoro: nel 2023 tre vittime a settimana. Disponibile su: https://www.ilgiorno.it/economia/morti-lavoro-2023-lombardia-d127exxr
7. INAIL OPENDATA [Internet]. [citato 28 gennaio 2025]. OPENDATA | Home. Disponibile su: https://www.inail.it
8. Marchetti A, Mantovani J, Di Lallo, et al. D. Epidemiologia degli infortuni sul lavoro nella Regione Lazio / Epidemiology of work-related accidents in the Lazio Region Epidemiology of work-related accidents in the Lazio Region. Med Lav [Internet]. 2011 Nov. 2 [cited 2025 Feb. 9];102(6):473-8.
9. InSic R. Infortuni e malattie professionali: gli Open Data INAIL di novembre 2024 [Internet]. InSic. 2025 [citato 4 febbraio 2025]. Disponibile su: https://www.insic.it/sicurezza-sul-lavoro/infortuni-e-malattie-professionali-in-aumento-gli-open-data-di-inail-luglio-2024/
10. Stirparo G, Oradini-Alacreu A, Signorelli C, Sechi GM, Zoli A, Fagoni N. Smart-working policies during COVID-19 pandemic: a way to reduce work-related traumas?. Intern Emerg Med. 2022;17(8):2427-2430. doi:10.1007/s11739-022-03076-9
11. Semeraro F, Polcini C, Forbice E, Monfardini A, Costagliola C, Apostoli P. Work- and non-work-related eye injuries in a highly industrialized area in northern Italy: comparison between two three-year periods (1994-1996 and 2005-2007) / Traumi oculari occupazionali e non occupazionali registrati in un’area altamente. Med Lav [Internet]. 2013 Nov. 21 [cited 2025 Feb. 9];104(6).
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Copyright (c) 2025 Giulia Cocciolo, Giovanni Gaetti, Elena Maria Ticozzi, Annalisa Bodina, Gabriele Perotti, Giuseppe Stirparo

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