在未经治疗的未破裂内动脉瘤患者中工作状态:一项描述性的纵向研究
Paulina Majewska1,2, Marie Søfteland Sandvei3,4, Sasha Gulati1,2
1Department of Neurosurgery, St. Olav's University Hospital, Trondheim , Norway.
Neurosurgery
|September 23, 2024
概括
在诊断前,未破裂的内动脉瘤 (UIAs) 患者的工作参与率很低,之后进一步下降. 这凸显了UIA诊断对就业和整体功能的影响.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 未破裂的内动脉瘤 (UIA) 往往由于治疗风险而没有得到治疗,导致患者的压力.
- 工作状态可以表明整体功能,包括心理健康和心理负担.
研究的目的:
- 评估在未破裂的内动脉瘤诊断之前和之后的工作状态的变化.
主要方法:
- 在挪威 (2008-2018) 进行了基于全国注册的回顾性全国性研究.
- 包括劳动年龄的UIA患者和没有动脉瘤诊断的匹配对照.
- 比较了诊断前一年和诊断后一年的病缺记录.
主要成果:
- 在UIA患者中,工作参与率从诊断前62.1%下降到诊断后51.3% (P < .001).
- 对照组显示较小的下降 (77.9%到73.4%,P = .001).
- 患有UIA的患者在诊断后工作的几率显著降低 (OR 0.133,P < .001).
结论:
- 与一般人群相比,UIA患者的工作参与率明显较低.
- 诊断UIA导致就业率大幅下降.
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