RESUMO
Antecedentes y objetivo El regreso a un empleo remunerado es uno de los resultados más importantes en cuanto a reintegración social después de una lesión medular traumática y un indicador de éxito de los programas de rehabilitación; a pesar del impacto que tiene, muy pocos estudios en México se han enfocado en medir la reintegración comunitaria de estos pacientes. El objetivo es analizar la situación laboral de los pacientes con medular traumática atendidos en un centro hospitalario en México. Materiales y métodos Estudio descriptivo-transversal. Pacientes trabajadores de 19-55 años con diagnóstico de lesión medular traumática atendidos en un centro hospitalario en México a los cuales se les realizó una encuesta telefónica. Resultados Se incluyeron 18 pacientes (15 hombres, 3 mujeres), con una edad promedio de 38 años (± 10,3). Los niveles de lesión más comunes fueron cervical y torácico; los grados de escala de Asia Impairment Scale más comunes fueron A y E; 17 pacientes recibieron rehabilitación al egreso; la escala Spinal Cord Independence Measure promedio fue de 65,22 (± 35,11). Cinco pacientes fueron recontratados después de la lesión (27,7%), en un periodo medio de tiempo de 7 meses (± 2,9). Principales factores relacionados a la reintegración laboral: edad joven, niveles más bajos de la lesión, ingreso a un programa de rehabilitación, alta puntuación en la escala Spinal Cord Independence Measure y estado civil casado o en unión libre. Conclusiones Este trabajo demuestra la poca reinserción laboral después de una lesión medular traumática, así como los factores que influyen para la misma, destacando la importancia de un programa adecuado de rehabilitación con un enfoque multidisciplinario (AU)
Background and objective One of the most important outcomes regarding social reintegration after a traumatic spinal cord injury is social reinsertion; despite its huge impact, very few studies in Mexico have measured community reintegration in these patients. The objective of this study was to analyse the working situation of patients with traumatic spinal cord injury at a hospital centre in Mexico. Material and methods Cross-sectional descriptive study. Working patients, aged 19-55 years, diagnosed with traumatic spinal cord injury at a hospital centre in Mexico were included; a telephone survey was performed. Results Eighteen patients were included (15 men, 3 women), with a mean age of 38 years (± 10.3). The most common levels of injury were cervical and thoracic; the most common Asia Impairment Scale grades were A and E; 17 patients were included at a rehabilitation programme at discharge; the average Spinal Cord Independence Measure score was 65.22 (± 35.11). Five patients were hired after the injury in a mean period of 7 months (± 2.9). The main factors associated with occupational reintegration were young age, lower injury levels, an adequate rehabilitation programme, high Spinal Cord Independence Measure scale score, and being married or cohabiting. Conclusion This study shows the low return to work rate after a traumatic spinal cord injury, as well as the main factorsa affecting it; highlighting the importance of an adeaquate rehabilitation program with a multidisciplinary approach (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Traumatismos da Medula Espinal/epidemiologia , Retorno ao Trabalho/estatística & dados numéricos , Estudos Transversais , México/epidemiologiaRESUMO
BACKGROUND AND OBJECTIVE: One of the most important outcomes regarding social reintegration after a traumatic spinal cord injury is social reinsertion; despite its huge impact, very few studies in Mexico have measured community reintegration in these patients. The objective of this study was to analyse the working situation of patients with traumatic spinal cord injury at a hospital centre in Mexico. MATERIAL AND METHODS: Cross-sectional descriptive study. Working patients, aged 19-55 years, diagnosed with traumatic spinal cord injury at a hospital centre in Mexico were included; a telephone survey was performed. RESULTS: Eighteen patients were included (15 men, 3 women), with a mean age of 38 years (± 10.3). The most common levels of injury were cervical and thoracic; the most common Asia Impairment Scale grades were A and E; 17 patients were included at a rehabilitation programme at discharge; the average Spinal Cord Independence Measure score was 65.22 (± 35.11). Five patients were hired after the injury in a mean period of 7 months (± 2.9). The main factors associated with occupational reintegration were young age, lower injury levels, an adequate rehabilitation programme, high Spinal Cord Independence Measure scale score, and being married or cohabiting. CONCLUSION: This study shows the low return to work rate after a traumatic spinal cord injury, as well as the main factorsa affecting it; highlighting the importance of an adeaquate rehabilitation program with a multidisciplinary approach.
