Surveillance of musculoskeletal injuries and disorders in a diverse cohort of workers at a tertiary care medical center.
Surveillance of musculoskeletal injuries and disorders in a diverse cohort of workers at a tertiary care medical center.
复制标题
对三级医疗中心不同人群的肌肉骨骼损伤和疾病进行监测。
DOI：
10.1002/ajim.20572
复制
发表时间：
2008
影响因子：
3.5
通讯作者：
Dement,JohnM
中科院分区：
文献类型：
--
作者：
Pompeii,LisaA;Lipscomb,HesterJ;Dement,JohnM
BackgroundThe的目的，这项研究是调查的发病率与工作有关的肌肉骨骼（MSK）损伤和疾病之间的一个动态队列的卫生保健工作者，包括直接护理提供者和支持服务，在三级医疗center.MethodsHuman资源数据被用来定义队列和时间的风险。工人赔偿（WC）记录（1997-2003）用于识别与工作相关的MSK索赔。Poisson回归被用来产生性别特异性率比和95%的置信区间（CI）的MSK伤害workgroups.ResultsMSK伤害同样导致（每30%）从升降机/推/拉设备，病人处理，滑/绊倒/福尔斯。伤害率及其机制因职业群体、性别和种族而有很大差异。即使随着时间的推移受伤率下降，黑人工人的比率比其他工人高2.5倍，妇女的比率比男子高1.8倍。男性和女性护士的助手，管家，放射技术人员之间的伤害率最高，而失去的工作日率最高的男性和女性护士的助手，女性管家，男性病人transporters.ConclusionsDifferential风险与工作任务在高度隔离的工作人群可以促进健康的差异，我们观察到的模式部分反映了女性和黑人工人高度集中在体力要求较高的职业中。虽然最大的公共卫生影响将通过在高伤害率的大型工作群体中实施预防战略来实现，但公共卫生工作决不能忽视本研究中确定为高风险的较小的、往往被隔离的工作群体。Am. J. Ind. Med. 51：344-356，2008.© 2008 Wiley利斯公司
BackgroundThe purpose of this study was to investigate the incidence of work‐related musculoskeletal (MSK) injuries and disorders among a dynamic cohort of health care workers, including direct care providers and support services, employed at a tertiary care medical center.MethodsHuman resources data were used to define the cohort and time at risk. Workers' compensation (WC) records (1997–2003) were utilized to identify work‐related MSK claims. Poisson regression was used to generate gender specific rate ratios and 95% confidence intervals (CI) of MSK injuries among workgroups.ResultsMSK injuries resulted equally (∼30% each) from lift/push/pull of equipment, patient handling, and slip/trip/falls. Injury rates and their mechanisms varied substantially by occupational group, gender, and race. Even with declining injury rates over time, black workers had rates 2.5 times higher than other workers and women had rates 1.8 times higher than men. Male and female nurses' aides, housekeepers, and radiology technicians had among the highest rates of injury, while lost workdays rates were highest for male and female nurses' aides, female housekeepers, and male patient transporters.ConclusionsDifferential risk associated with work tasks in highly segregated work populations can contribute to disparities in health, and the patterns we observed partly reflect the high concentration of female and black workers in occupations with increased physical demands. While the greatest public health impact will be achieved by implementing prevention strategies among large workgroups with high injury rates, public health efforts must not ignore smaller, often segregated, workgroups identified in this study as high risk. Am. J. Ind. Med. 51:344–356, 2008. © 2008 Wiley‐Liss, Inc.