Does the Upper-Limb Work Instability Scale Predict Transitions Out of Work Among Injured Workers?
Arch Phys Med Rehabil
; 96(9): 1658-65, 2015 Sep.
Article
em En
| MEDLINE
| ID: mdl-25969864
ABSTRACT
OBJECTIVE:
To investigate the predictive ability of the Upper-Limb Work Instability Scale (UL-WIS) for transitioning out of work among injured workers with chronic, work-related upper extremity disorders (WRUEDs).DESIGN:
Secondary analysis of a 12-month cohort study with data collection at baseline and 3-, 6-, and 12-month follow-up. Survey questionnaires were used to collect data on an array of sociodemographic, health-related, and work-related variables.SETTING:
Upper extremity specialty clinics.PARTICIPANTS:
Injured workers (N=356) with WRUEDs who were working at the time of initial clinic attendance.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURE:
Transitioning out of work.RESULTS:
Multivariable logistic regression that considered 9 potential confounders revealed baseline UL-WIS (range, 0-17) to be a statistically significant predictor of a subsequent transition out of work (adjusted odds ratio, 1.18; 95% confidence interval [CI], 1.07-1.31; P=.001). An assessment of predictive values across the UL-WIS score range identified cut-scores of <6 (negative predictive value, .81; 95% CI, .62-.94) and >15 (positive predictive value, .80; 95% CI, .52-.96), differentiating the scale into 3 bands representing low, moderate, and high risk of exiting work.CONCLUSIONS:
The UL-WIS was shown to be an independent predictor of poor work sustainability among injured workers with chronic WRUEDs; however, when applied as a standalone tool in clinical settings, some limits to its predictive accuracy should also be recognized.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Avaliação da Capacidade de Trabalho
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Doenças Musculoesqueléticas
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Extremidade Superior
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Doenças Profissionais
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article