{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:15:46Z","timestamp":1783656946989,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Occupational injuries in adolescents and young adults are a significant public health burden. This study aims to evaluate the clinical characteristics, injury patterns, and outcomes of young workers presenting to a pediatric emergency department in Ankara, the capital of T\u00fcrkiye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study analyzed 192 young workers (aged 14\u201321 years) who presented to the emergency department between January 1, 2023 and January 1, 2025. Injuries were classified according to the Occupational Injury and Illness Classification System (OIICS), ILO hazardous work criteria, and \u201csevere injury\u201d definitions. Statistical analysis compared adolescent workers (14\u201317 years) and young adult workers (18\u201321 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median age of the cases was 18 years (IQR 16\u201320), and 156 (81.3%) were male. The most common types of injury were soft tissue damage (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944, 22.9%) and blunt\/penetrating trauma (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943, 22.4%). The most common anatomical sites of injury were the hand\u2010wrist (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200972, 37.5%) and eye (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937, 19.3%) regions. A total of 43 (22.3%) cases worked in occupations that were not age\u2010appropriate and 39 (20.3%) patients met the criteria for \u201csevere injury.\u201d Surgical intervention was performed on 32 patients (16.7%), while permanent sequelae developed in 25 cases (13%). Notably, despite the need for medical intervention, no official work accident report was found in 69 (35.9%) cases, and 48 (25%) patients had recorded follow\u2010up presentations for occupational injuries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Occupational injuries in young workers are a serious public health problem with high morbidity and surgical requirement rates. The reporting gap between clinical reality and official records indicates that these cases are under\u2010recognized. Pediatric emergency departments are critical monitoring points for documenting these injuries, developing preventive policies, and identifying hazardous working conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.70100","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:56:46Z","timestamp":1780473406000},"page":"666-673","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Under\u2010Recognized Burden: Occupational Injuries in Adolescents and Young Adults Presenting to Emergency Care in T\u00fcrkiye"],"prefix":"10.1002","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6871-0119","authenticated-orcid":false,"given":"Bilge","family":"Akkaya","sequence":"first","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6805-7262","authenticated-orcid":false,"given":"Caner","family":"Cebeci","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5789-9622","authenticated-orcid":false,"given":"Emine","family":"Sarcan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8781-3068","authenticated-orcid":false,"given":"Fatma \u015eule","family":"Erdem","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-8888","authenticated-orcid":false,"given":"Ahmet Serkan","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3155-540X","authenticated-orcid":false,"given":"Orkun","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8000-3599","authenticated-orcid":false,"given":"Bet\u00fcl","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4139-3480","authenticated-orcid":false,"given":"Ali","family":"G\u00fcng\u00f6r","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5359-4215","authenticated-orcid":false,"given":"Nilden","family":"Tuygun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine Ankara Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdy018"},{"key":"e_1_2_15_3_1","volume-title":"World Report on Child Injury Prevention","author":"Peden M.","year":"2008"},{"key":"e_1_2_15_4_1","volume-title":"Child Labour: Global Estimates 2020, Trends and the Road Forward","author":"International Labour Organization, UNICEF","year":"2021"},{"key":"e_1_2_15_5_1","first-page":"25134","volume-title":"Labour Law No. 4857","author":"Republic of T\u00fcrkiye","year":"2003"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3985498"},{"key":"e_1_2_15_7_1","volume-title":"The Second Decade: Improving Adolescent Health and Development","author":"WHO","year":"2001"},{"key":"e_1_2_15_8_1","volume-title":"Guidelines on Occupational Safety and Health Management Systems (ILO\u2010OSH 2001)","author":"International Labour Organization","year":"2001"},{"key":"e_1_2_15_9_1","volume-title":"Worst Forms of Child Labour Convention, 1999 (ILO Convention No. 182), Article 3(d)","author":"International Labour Organization","year":"1999"},{"key":"e_1_2_15_10_1","volume-title":"Promotional Framework for Occupational Safety and Health Convention","author":"International Labour Organization","year":"2006"},{"key":"e_1_2_15_11_1","unstructured":"Association for the Advancement of Automotive Medicine \u201cAbbreviated Injury Scale (AIS) \u201d AAAM."},{"key":"e_1_2_15_12_1","unstructured":"H.Hedegaard R. L.Johnson M. F.Garnett andK. E.Thomas The 2020 International Classification of Diseases 10th Revision Clinical Modification Injury Diagnosis Framework for Categorizing Injuries by Body Region and Nature of InjuryNo. 150 (National Health Statistics Reports 2020) 1\u201327."},{"key":"e_1_2_15_13_1","volume-title":"Occupational Injury and Illness Classification System (OIICS) Manual. Version 2.01","author":"U.S. Bureau of Labor Statistics","year":"2012"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.07.004"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102012005000010"},{"key":"e_1_2_15_16_1","unstructured":"National Research Council (US) and Institute of Medicine (US) Committee on the Health and Safety Implications of Child Labor Protecting Youth at Work: Health Safety and Development of Working Children and Adolescents in the United States(National Academies Press 1998)."},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2004.08.005"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-8-57"},{"issue":"3","key":"e_1_2_15_19_1","first-page":"241","article-title":"Occupational Injuries Admitted to the Emergency Department","volume":"16","author":"Ozkan S.","year":"2010","journal-title":"Ulusal Travma ve Acil Cerrahi Dergisi"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S556838"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-020-00280-z"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700240308"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.9.e10"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6935a3"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-022-01892-2"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15487-0"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002396"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14676-7"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16020235"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.04.058"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-766"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13689-6"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2003.010546"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.70100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ajim.70100","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.70100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:36:00Z","timestamp":1783654560000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.70100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,3]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ajim.70100"],"URL":"https:\/\/doi.org\/10.1002\/ajim.70100","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,3]]},"assertion":[{"value":"2026-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}