Early predictors of chronic work disability associated with carpal tunnel syndrome: a longitudinal workers' compensation cohort study.
Early predictors of chronic work disability associated with carpal tunnel syndrome: a longitudinal workers' compensation cohort study.
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与腕管综合症相关的慢性工作残疾的早期预测因素：纵向工人赔偿队列研究。
DOI：
10.1002/ajim.20477
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发表时间：
2007
影响因子：
3.5
通讯作者：
Stover,Bert
中科院分区：
文献类型：
--
作者：
Turner,JudithA;Franklin,Gary;Fulton-Kehoe,Deborah;Sheppard,Lianne;Wickizer,ThomasM;Wu,Rae;Gluck,JeremyV;Egan,Kathleen;Stover,Bert
本研究的目的是确定与腕管综合征（CTS）相关的慢性工作残疾的早期预测因素，并检验来自几个领域（社会人口学、临床、工作相关和社会心理）的变量将增加独特预测信息的假设。方法华盛顿州的工人在提交CTS的新工人赔偿索赔后18天（中位数）接受采访。对至少有1天伤残补偿的工人（N = 899）进行了慢性工作残疾的基线预测指标（在索赔提交后的一年内有≥180天的工作残疾补偿）的检查。结果基线人口统计变量、症状严重程度、功能限制、缺乏工作适应、工作身体需求、工作社会心理状况和工人社会心理特征对慢性残疾有双变量预测。每个变量域都显著增加了对慢性残疾的预测。最终的多变量模型具有相当的区分慢性残疾和非慢性残疾个体的能力（ROC曲线下交叉验证面积= 0.76）。结论：索赔早期的社会人口学、临床、工作相关和工人心理社会因素为预测CTS相关的后续工作残疾提供了独特的信息。点。中华医学杂志，2006,25(5):389 - 398。©2007 Wiley‐Liss, Inc。
BackgroundThe study objectives were to identify early predictors of chronic work disability associated with carpal tunnel syndrome (CTS) and to test the hypothesis that variables from each of several domains (sociodemographic, clinical, work‐related, and psychosocial) would add unique predictive information.MethodsWashington State workers were interviewed 18 days (median) after submitting a new workers' compensation claim for CTS. Baseline predictors of chronic work disability (≥180 days of work disability compensation in the year after claim submission) were examined for workers who had at least 1 day of disability compensation (N = 899).ResultsBaseline demographic variables, symptom severity, functional limitations, lack of job accommodation, job physical demands, job psychosocial conditions, and worker psychosocial characteristics predicted chronic disability bivariately. Each domain of variables added significantly to the prediction of chronic disability. The final multivariable model had fair ability to discriminate individuals with versus without chronic disability (cross‐validated area under the ROC curve = 0.76).ConclusionsSociodemographic, clinical, work‐related, and worker psychosocial factors early in a claim contribute unique information to the prediction of subsequent work disability associated with CTS. Am. J. Ind. Med. 50:489–500, 2007. © 2007 Wiley‐Liss, Inc.