Impact of Work-Related Injury on the Recovery of Health-Care Workers after Surgery for Thoracic Outlet Syndrome
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View abstract on PubMed
Summary
This summary is machine-generated.Work-related injuries in healthcare workers (HCW) with thoracic outlet syndrome (TOS) did not significantly impact return to work or symptom resolution compared to non-work-related injuries. Outcomes improved for all HCW regardless of injury cause.
Area Of Science
- Orthopedics
- Occupational Health
- Surgical Outcomes
Background
- Thoracic outlet syndrome (TOS) can result from injuries, with work-related (WR) injuries historically linked to poorer outcomes.
- Assessing the impact of WR injuries on healthcare workers (HCW) with TOS is crucial for understanding occupational health disparities.
- This study investigates the outcomes of TOS surgery in HCW, comparing WR injuries to non-work-related (NWR) injuries.
Purpose Of The Study
- To evaluate the impact of work-related (WR) injuries on health-care workers (HCW) diagnosed with thoracic outlet syndrome (TOS).
- To compare surgical outcomes for TOS between HCW with WR injuries and those with non-work-related (NWR) injuries.
Main Methods
- A prospective database of 1,800 TOS cases was reviewed to identify HCW who underwent TOS decompression surgery.
- HCW with WR injuries were compared to a contemporary group with NWR injuries, analyzing demographics, work activities, and injury types.
- Outcomes assessed included return to work, symptom resolution, and standardized metrics (Somatic Pain Score, QuickDASH, Derkash scores).
Main Results
- Forty-five HCW (23 WR, 22 NWR) underwent surgery; nurses comprised a larger proportion of WR injuries (69.6%) compared to NWR (22.7%).
- No significant differences were observed in TOS subtypes, coexisting pathologies, return to work rates (68% WR vs. 71% NWR), or symptom resolution (84% WR vs. 95% NWR).
- Physicians demonstrated higher return-to-work rates (93%) compared to nurses (61%) and allied health professionals (43%); all groups showed postoperative improvement in standardized metrics.
Conclusions
- Contrary to expectations, WR injuries did not lead to significantly poorer TOS outcomes in HCW compared to NWR injuries.
- HCW successfully returned to work and experienced symptom resolution irrespective of the injury mechanism.
- Discrepancies in return-to-work rates among physician, nursing, and allied health professionals may be linked to occupation-specific physical demands.
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