Functional recovery following musculoskeletal injury in hospital workers.
Functional recovery following musculoskeletal injury in hospital workers.
复制标题
医院工作人员肌肉骨骼损伤后的功能恢复。
DOI：
10.1093/occmed/kqq110
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Blanc,PD
中科院分区：
文献类型：
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作者：
Gillen,M;Cisternas,MG;Yen,IH;Swig,L;Rugulies,R;Frank,J;Blanc,PD
BackgroundHospital workers are at high risk of work-related musculoskeletal disorders (WRMSDs), but outcomes following such injuries have not been well studied longitudinally.AimsTo ascertain functional recovery in hospital workers following incident WRMSDs and identify predictors of functional status.MethodsCases (incident WRMSD) and matched referents from two hospitals were studied at baseline and at 2 year follow-up for health status [SF-12 physical component summary (PCS)], lost workdays, self-rated work effectiveness and work status change (job change or work cessation). Predictors included WRMSD and baseline demographics, socio-economic status (SES), job-related strain and effort–reward imbalance. Logistic regression analysis tested longitudinal predictors of adverse functional status.ResultsThe WRMSD-associated risk of poor (lowest quartile) PCS was attenuated from a baseline odds ratio (OR) of 5.2 [95% confidence interval (CI) 3.5–7.5] to a follow-up OR of 1.5 (95% CI 1.0–2.3) and was reduced further in multivariate modelling (OR = 1.4; 95% CI 0.9–2.2). At follow-up, WRMSD status did not predict significantly increased likelihood of lost workdays, decreased effectiveness or work status change. In multivariate modelling, lowest quintile SES predicted poor PCS (OR = 2.0; 95% CI 1.0–4.0) and work status change (OR = 2.5; 95% CI 1.1–5.8). High combined baseline job strain/effort–reward imbalance predicted poor PCS (OR = 1.7; 95% CI 1.1–2.7) and reduced work effectiveness (OR = 2.6; 95% CI 1.6–4.2) at follow-up.ConclusionsBaseline functional deficits associated with incident WRMSDs were largely resolved by 2 year follow-up. Nonetheless, lower SES and higher combined job strain/effort–reward imbalance predicted adverse outcomes, controlling for WRMSDs.
