Functional recovery following musculoskeletal injury in hospital workers.
Occup Med (Lond)
; 60(7): 532-9, 2010 Oct.
Article
in En
| MEDLINE
| ID: mdl-20682740
ABSTRACT
BACKGROUND:
Hospital workers are at high risk of work-related musculoskeletal disorders (WRMSDs), but outcomes following such injuries have not been well studied longitudinally.AIMS:
To ascertain functional recovery in hospital workers following incident WRMSDs and identify predictors of functional status.METHODS:
Cases (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.RESULTS:
The 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.CONCLUSIONS:
Baseline 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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Personnel, Hospital
/
Accidents, Occupational
/
Health Status
/
Occupational Health
/
Musculoskeletal Diseases
/
Recovery of Function
Type of study:
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Patient_preference
Limits:
Humans
Language:
En
Journal:
Occup Med (Lond)
Year:
2010
Document type:
Article