Initial patient demographics affecting return to original work after traumatic hand injury in a rural area in Japan: A retrospective single-center study

IF 1.5 4区 医学 Q3 ORTHOPEDICS
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引用次数: 0

Abstract

Background

Time off work after traumatic hand injury not only affects individuals but also has socioeconomic repercussions, becoming a serious problem from the viewpoint of labor shortages. In depopulated rural areas, the impact of labor shortages due to time off work is more serious than in urban areas; however, few studies have examined return to original work in rural areas. The purpose of this study was to investigate the patient demographics at the time of hand injury that affect return to original work in a rural area of Japan.

Methods

We retrospectively examined 246 patients with traumatic hand and/or forearm injuries who were working at the time of injury, and who underwent surgical operations and postoperative rehabilitation in a level II hospital in a rural agricultural area. We examined patients' initial demographic data, including gender, age, occupation (white or blue collar), employment status (self-employed, full-time, or part-time workers), complications other than hand injury, workers’ compensation, dominant hand injury, and injury severity as determined using the modified Hand Injury Severity Score. Multivariate logistic regression analysis examined the association between initial patient demographics and return to original work within 150 days after injury.

Results

In total, 186 patients (76 %) were able to return to original work within 150 days. A multivariate logistic regression analysis showed that three explanatory variables (i.e., severity of injury, complications other than hand injury, and female gender) significantly compromised return to original work.

Conclusions

In the treatment of traumatic hand injury, intensive support should be provided for return to original work for patients who are expected to have difficulty returning to work quickly. In addition, labor shortages can be mitigated by sharing information with the workplace about patients’ prospects of return to original work.

日本农村地区手部创伤后影响恢复原工作的初始患者人口统计:一项回顾性单中心研究。
背景:从劳动力短缺的角度来看,手外伤后的休假不仅影响个人,而且会产生社会经济影响,成为一个严重的问题。在人口减少的农村地区,由于休假造成的劳动力短缺的影响比城市地区更严重;然而,很少有研究考察农村地区的重返原始工作。本研究的目的是调查日本农村地区手部受伤时影响恢复原工作的患者人口统计数据。方法:我们回顾性检查了246名受伤时正在工作的手部和/或前臂创伤患者,在一个农村农业地区的二级医院接受了外科手术和术后康复。我们检查了患者的初始人口统计数据,包括性别、年龄、职业(白领或蓝领)、就业状况(自营职业者、全职或兼职工人)、手部损伤以外的并发症、工人补偿、主要手部损伤和使用修改的手部损伤严重程度评分确定的损伤严重程度。多变量逻辑回归分析检查了初始患者人口统计数据与受伤后150天内恢复原始工作之间的相关性。结果:总共186名患者(76%)能够在150天内恢复正常工作。多变量逻辑回归分析显示,三个解释变量(即损伤的严重程度、手部损伤以外的并发症和女性)显著影响了重返原工作。结论:在外伤性手部损伤的治疗中,对于预计难以快速返回工作岗位的患者,应为其返回原工作岗位提供强化支持。此外,可以通过与工作场所分享有关患者重返原工作前景的信息来缓解劳动力短缺。
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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
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