A study of factors influencing return to work after wrist or ankle fractures.
A study of factors influencing return to work after wrist or ankle fractures.
复制标题
影响手腕或脚踝骨折后重返工作岗位的因素的研究。
DOI：
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发表时间：
2006
影响因子：
3.5
通讯作者：
J. Beach
中科院分区：
文献类型：
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作者：
Karen Seland;N. Cherry;J. Beach
背景
除了背部伤害之外，与返回工作时间相关的因素对于职业伤害知之甚少。
方法
加拿大艾伯塔省工人赔偿委员会持有的行政数据中发现了 1998 年 1 月 1 日至 2002 年 12 月 31 日期间与工作有关的手腕或脚踝骨折索赔的匿名数据。使用双变量和 Cox 回归分析来确定与重返工作岗位相关的因素。
结果
暂时性残疾 (TD) 持续时间的延长与年龄较大、女性、从事建筑和建筑贸易服务工作、公司规模较小、行业索赔率较高、从高处跌落/跳下、脚踝骨折以及受伤后 30 天内较高的医疗救助费用（用作严重程度的代表）有关。
结论
与较长时间下班相关的因素与背部受伤后报告的因素基本一致。踝关节骨折后返回工作的中位时间比手腕骨折要长。尽管工人赔偿委员会 (WCB) 的管理数据提供了可用于确定影响重返工作岗位的因素的信息，但有关伤害严重程度的更好信息将大大增强其研究潜力。
BACKGROUND
Factors associated with time to return to work are poorly understood for occupational injuries, other than those to the back.
METHODS
Anonymized data on claims for work-related wrist or ankle fracture between 1/1/1998 and 12/31/2002 were identified in administrative data held by the Workers Compensation Board in Alberta, Canada. Bivariate and Cox regression analyses were used to identify factors associated with return to work.
RESULTS
Increased duration of temporary disability (TD) was associated with older age, female gender, work in construction and construction trade services, smaller company size, higher industry claim rates, a fall/jump from a height, ankle fracture, and greater medical aid costs in the 30 days following injury (used as a proxy for severity).
CONCLUSIONS
Factors associated with longer time off work were largely consistent with those reported following back injury. Median time to return to work was longer following ankle than wrist fracture. Although Workers' Compensation Board (WCB) administrative data provided information that could be used to identify factors affecting return to work, better information on injury severity would considerably enhance their research potential.