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首页> 外文期刊>Journal of occupational rehabilitation >Prognostic factors for duration of sick leave due to low-back pain in dutch health care professionals.
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Prognostic factors for duration of sick leave due to low-back pain in dutch health care professionals.

机译：由于荷兰医疗保健专业人员低腰疼痛导致病假持续时间的预后因素。

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Background: Information on prognostic factors for duration of sick leave due to low-back pain (LBP) is growing. In this prospective cohort study prognostic factors for duration of sick leave and course of disability were identified in a very early stage of sick leave due to LBP in an occupational health care setting. Methods: A total of 615 workers calling in sick from work due to LBP at an occupational health service (OHS) of one institution completed a questionnaire. Duration of follow-up was 26 weeks. Prognostic factors were identified by means of Cox regression analysis and multiple linear regression analysis, and explained variance was calculated. Results: Median time to first return to work (RTW) was 5 days (Inter Quartile Range (IQR) = 2-12). Median time to lasting return to work (LRTW) was 6 days (IQR = 3-13). The final model for delayed RTW included self-reported expected duration of sick-leave, treatment by GP or specialist, care-seeking, diminished mobility, and the interaction between care-seeking and diminished mobility. The final model for LRTW included: self-reported expected duration of sick-leave, treatment by GP or specialist, care-seeking, the interaction between the self-reported expected duration of sick-leave and seeking care at OHS, complaints due to job stress, diminished mobility, and the interactions between expected duration of more then 10 days and seeking OP care and diminished mobility. Median total days on sick leave (TDSL) was 6 days (IQR = 3-13 days). The final model for TDSL included: age, expected duration of sick leave, treatment by GP or medical specialist, seeking OP care, complaints due to physical load, and diminished mobility. Explained variance (R(2)) of these models ranged from 30 to 35%. Conclusions: Poor prognosis for duration of sick leave can be identified by means of a simple questionnaire administered on the first day of sick leave. Workers at high risk for longer duration of sick leave (all outcomes) expected to stay off work longer, were already beingtreated by a MD, sought OP care, and had diminished mobility. In case of delayed LRTW workers reported job stress as a possible cause of sick leave. Interactions were found in both RTW and LRTW between care-seeking and diminished mobility and in LRTW between expected duration of sick leave and seeking OP care. Older age increased TDSL with borderline significance.
机译：背景：由于低腰疼痛（LBP），有关持续时间的预后因子的信息（LBP）正在增长。在这一预期队列中，由于职业医疗保健环境的LBP，病假期间的持续时间持续的持续时间持续的因素和残疾的病程。方法：在一个机构的职业卫生服务（OHS）的LBP，共有615名呼唤下班的工作人员完成了调查问卷。随访时间为26周。通过COX回归分析和多元线性回归分析鉴定了预后因素，并计算了解释的方差。结果：第一次返回工作（RTW）的中位时间为5天（四分位数（IQR）= 2-12）。持续返回工作（LRTW）的中位时间为6天（IQR = 3-13）。延迟RTW的最终模型包括自我报告的病假预期持续时间，由GP或专家治疗，寻求追求，减少的行动，以及追求追求和减少的移动性之间的相互作用。 LRTW的最终模型包括：自我报告的预期病假持续时间，通过GP或专家治疗，寻求追求，自我报告的预期休假期间的互动和寻求护理，哦，由于工作，投诉投诉压力，迁移率降低，预期持续时间之间的相互作用，更新10天，并寻求操作护理和减少的流动性。病假（TDSL）的中位数为6天（IQR = 3-13天）。 TDSL的最终模型包括：年龄，病假的预期持续时间，GP或医学专家的治疗，寻求op护理，由于物理负荷而抱怨，以及减少的移动性。这些模型的解释方差（R（2））范围为30％至35％。结论：通过在病假的第一天管理的简单问卷可以识别病假持续时间较差的预后。高风险的工人持续时间较长的病假（所有结果）预计将持续工作更长，在MD，寻求op Care求助，并减少了移动性。如果延迟的LRTW工人报告的工作压力是病假的可能原因。在RTW和LRTW中发现相互作用在追求和减少的流动性和LRTW之间的预期生病假期和寻求op护理之间的LRTW之间。较大的年龄增加TDSL具有边缘意义。

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