与工作相关的肌肉骨损伤的住院并发症
Win Wah1, Janneke Berecki-Gisolf2, Karen Walker-Bone1
1Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, 553St Kilda road, Melbourne, Victoria 3004, Australia.
Injury
|November 20, 2023
概括
住院并发症影响6.3%的与工作相关的肌肉骨损伤 (MSK),老年患者,女性和头部/部/体受伤患者的风险更高. 需要采取预防策略.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与工作相关的肌肉骨 (MSK) 损伤是全球重要的健康问题,往往导致住院治疗.
- 在医院获得的并发症是常见的,昂贵的,在很大程度上是可以预防的,需要更好的数据进行干预.
- 识别与这些并发症相关的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定与工作相关的MSK损伤后的住院并发症的发生率.
- 确定与这些并发症相关的患者,伤害和医院相关因素.
主要方法:
- 来自维多利亚州住院病例数据库 (2016-2022) 的与工作相关的MSK住院数据的分析.
- 使用ICD-10-AM代码和医院获得诊断分类 (CHADx) 识别并发症.
- 应用负二项式和逻辑回归模型来识别相关因素.
主要成果:
- 住院并发症在6.3%的与工作相关的MSK伤害病例中被观察到.
- 与并发症相关的因素包括年龄较大 (≥45岁),女性性别,区域级的劣势,公立医院住院,并发症,急诊入院和全身麻醉.
- 头部,部和干受伤以及累积的肌肉神经系统疾病的并发症率较高,与四肢受伤和急性疾病相比.
- 最常见的并发症是心血管,胃肠道和不良药物事件.
结论:
- 患者,伤害和医院特征与与工作有关的MSK伤害的医院内并发症有关.
- 调查结果可以为医疗保健提供者和工人赔偿计划的预防策略和风险评估提供信息.
- 即使在相对年轻和健康的人群中,并发症率也很高.
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