Predictors of rate of return to work after surgery for carpal tunnel syndrome
Predictors of rate of return to work after surgery for carpal tunnel syndrome
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DOI：
10.1002/art.1790110411
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发表时间：
1998-08-01
影响因子：
4.7
通讯作者：
Yelin, E
中科院分区：
文献类型：
--
作者：
Carmona, L;Faucett, J;Yelin, E
目的：探讨患者人口学特征、临床特征和工作相关因素对腕管松解术后恢复工作时间的影响。方法：采用横断面社区研究方法，对59例腕管松解术后患者进行研究。社会人口学、临床和与工作相关的特征和重返工作的时间是通过访谈和医疗记录获得的，暴露于人体工学风险来自独立验证的工作矩阵。术后恢复工作时间采用生存技术进行分析。结果中位恢复工作时间为5周。调整后，手术后每周的相对复工率(RR)下降最大的是收到工人补偿的RR 0.2(95%可信区间[CI]0.1-0.5)，以及术前手弯曲和扭曲的暴露，RR 0.7(95%CI 0.5-0.9)每小时。女性是重返工作岗位的另一个预测因素，RR为0.5(95%CI为0.3~0.8)。结论接受工伤补偿的患者、手腕屈曲和扭曲程度较高的患者以及腕管松解术后的女性重返工作岗位的时间较慢。
Objective, To evaluate the impact of patient demographics, clinical features, and job-related factors on the time until return to work after carpal tunnel release surgery.Methods, We employed a cross-sectional community-based study of 59 patients who had undergone carpal tunnel release surgery. Sociodemographic, clinical, and job-related characteristics and time to return to work were obtained by interview and from medical records, Exposure to ergonomic risk was derived from an independently validated job matrix. Time to return to work after surgery was analyzed by survival techniques.Results, Median time to return to work was 5 weeks. After adjustment, the relative rate (RR) of return to work per week after surgery was most strongly decreased by the receipt of workers' compensation, RR 0.2 (95% confidence interval [CI] 0.1-0.5), and by the exposure to bending and twisting of the hand prior to surgery, RR 0.7 (95% CI 0.5-0.9) per hour. Female gender was another predictor of decreased return to work, RR 0.5 (95% CI 0.3-0.8).Conclusions, Patients receiving workers' compensation, those exposed to higher levels of bending and twisting of their hands and wrists, and women were slower to return to work after carpal tunnel release surgery.