scholarly journals O5A.3 Injured at work: factors predictive of further work-related injuries – a prospective study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A41.2-A41
Author(s):  
Helen Harcombe ◽  
Ari Samaranayaka ◽  
Emma H Wyeth ◽  
Gabrielle Davie ◽  
Ian D Cameron ◽  
...  

BackgroundWork-related injuries can have a large impact on employees, employers and wider society. Preventing subsequent work-related injuries from occurring among those who have already had a work-related injury has the potential to reduce the burden of work-related injuries. However, predictors of subsequent work injuries must first be understood.This study investigates New Zealand participants from the Prospective Outcomes of Injury Study (POIS) with a substantial work-related injury (the ‘sentinel’ injury) and examines subsequent work-related injury events occurring during the following 24 months. Objectives are to: 1) describe the nature of sentinel and subsequent work-related injuries, and 2) examine work-related predictors of subsequent work-related injuries.MethodsOf the 2856 POIS participants, 754 were recruited following a substantial work-related injury. Data were combined from: 1) participant interviews approximately 3 months following their sentinel injury, 2) administrative claims data from New Zealand’s universal no-fault injury insurer (the Accident Compensation Corporation), and 3) hospital discharge data to 24 months. Predictors of subsequent work-related injuries were examined using multivariable analyses.ResultsWork-related sentinel injury events most commonly involved spine dislocations/sprains/strains (25%) with ‘lifting/loading/pulling’ the most common work task involved. One third (34%; n=258) went on to have at least one subsequent work-related injury in the following 24 months. Of those whose sentinel work-related injury was related to ‘lifting/loading/pulling’, 19% had at least one subsequent work-related injury event also related to this type of task. Predictors examined included pre-sentinel injury job strain, social support from colleagues and supervisors, physical work tasks, job security and job satisfaction.ConclusionA substantial proportion of participants with a work-related sentinel injury had further work-related injuries in the following 24 months. The identification of factors that predict those at risk of subsequent work-related injuries could provide a useful focus for those involved in the rehabilitation of people with work-related injuries.

2020 ◽  
Vol 77 (12) ◽  
pp. 839-846
Author(s):  
Helen Harcombe ◽  
Ari Samaranayaka ◽  
Emma H Wyeth ◽  
Gabrielle Davie ◽  
Ian D Cameron ◽  
...  

ObjectivesPeople who have experienced a work-related injury can experience further work injuries over time. This study examines predictors of subsequent work-related injuries over 24 months among a cohort of injured workers.MethodsParticipants were those recruited to the earlier Prospective Outcomes of Injury Study (POIS) who had a work-related injury (the ‘sentinel’ injury). Data from POIS participant interviews were combined with administrative data from the Accident Compensation Corporation (New Zealand’s no-fault universal injury insurer) and hospital discharge data. Modified Poisson regression modelling was used to examine whether presentinel injury sociodemographic and health, sentinel injury or presentinel injury work-related factors predicted subsequent work-related injuries.ResultsOver a third of participants (37%) had at least one subsequent work-related injury in 24 months. Factors associated with an increased risk of work-related subsequent injury included being in a job involving carrying or moving heavy loads more than half the time compared with those in jobs that never involved such tasks (RR 1.42, 95% CI 1.01 to 2.01), having an inadequate household income compared with those with an adequate household income (RR 1.33, 95% CI 1.02 1.74) and being aged 50–64 years compared with those aged 30–49 years (RR 1.25, 95% 1.00 to 1.57).ConclusionSubsequent work-related injuries occur frequently, and presenting with a work-related injury indicates a potentially important intervention point for subsequent injury prevention. While the strength of associations were not strong, factors identified in this study that showed an increased risk of subsequent work-related injuries may provide a useful focus for injury prevention or rehabilitation attention.


2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A66.2-A66
Author(s):  
Trang Khieu ◽  
Michelle Poland ◽  
Kirsten Lovelock

In New Zealand about 10% of workers are harmed every year, with approximately 2 00 000 claims made to Accident Compensation Corporation (ACC) to cover the cost of injury and illness. Work-related injury and illness outcomes differ between ethnic groups. M&_x0101;ori (indigenous population) workplace fatality rates are 19% higher by industry and 10% higher by occupation than for non-M&_x0101;ori. According to Statistics New Zealand from 2002–2017, M&_x0101;ori were more likely to have higher rates of work-related claims than non-M&_x0101;ori. This study currently underway has used the Integrated Data Infrastructure (IDI) to look at different injury types and explore injury distribution between M&_x0101;ori and non- M&_x0101;ori in terms of age, sex, industry and occupation. WorkSafe applied to Statistics New Zealand (Stats NZ) for access to microdata in the IDI in July 2018 and was granted access in September 2018. In this study, data for people with accepted work-related ACC claims has been linked to 2013 Census to identify the industry that ACC claimants have worked in and their occupations. This data has then been linked to data on sex, age and ethnicity as recorded for the IDI population. Confidentiality of data in this study has followed Stats NZ’s output rules including random rounding to base 3, suppression and aggregation.


2013 ◽  
Vol 57 (2) ◽  
pp. 172-183 ◽  
Author(s):  
Nearkasen Chau ◽  
Dominique Dehaene ◽  
Lahoucine Benamghar ◽  
Eve Bourgkard ◽  
Jean-Marie Mur ◽  
...  

2021 ◽  
Vol 27 (Suppl 1) ◽  
pp. i3-i8
Author(s):  
Ashley M Bush ◽  
Terry L Bunn ◽  
Madison Liford

IntroductionEmergency department (ED) visit discharge data are a less explored population-based data source used to identify work-related injuries. When using discharge data, work-relatedness is often determined by the expected payer of workers’ compensation (WC). In October 2015, healthcare discharge data coding systems transitioned to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). ICD-10-CM’s structure offers potential new work-related codes to enhance work-related injury surveillance. This study identified work-related ED visits using relevant ICD-10-CM work-related injury codes. Cases identified using this method were compared with those identified using the WC expected payer approach.MethodsState ED visit discharge data (2016–2019) were analysed using the CDC’s discharge data surveillance definition. Injuries were identified using a diagnosis code or an external cause-of-injury code in any field. Injuries were assessed by mechanism and expected payer. Literature searches and manual review of ICD-10-CM codes were conducted to identify possible work-related injury codes. Descriptive statistics were performed and assessed by expected payer.ResultsWC was billed for 87 361 injury ED visits from 2016 to 2019. Falls were the most frequent injury mechanism. The 246 ICD-10-CM work-related codes identified 36% more work-related ED injury visits than using WC as the expected payer alone.ConclusionThis study identified potential ICD-10-CM codes to expand occupational injury surveillance using discharge data beyond the traditional WC expected payer approach. Further studies are needed to validate the work-related injury codes and support the development of a work-related injury surveillance case definition.


1998 ◽  
Vol 3 (4) ◽  
pp. 6-6
Author(s):  
Marc T. Taylor

Abstract This article discusses two important cases that involve the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). First, in Vargas v Industrial Com’n of Arizona, a claimant had a pre-existing non–work-related injury to his right knee as well as a work-related injury, and the issue was apportionment of the pre-existing injury. The court held that, under Arizona's statute, the impairment from the pre-existing injury should be subtracted from the current work-related impairment. In the second case, Colorado courts addressed the issue of apportionment in a workers’ compensation claim in which the pre-existing injury was asymptomatic at the time of the work-related injury (Askey v Industrial Claim Appeals Office). In this case, the court held that the worker's benefits should not be reduced to account for an asymptomatic pre-existing condition that could not be rated accurately using the AMA Guides. The AMA Guides bases impairment ratings on anatomic or physiologic loss of function, and if an examinee presents with two or more sequential injuries and calculable impairments, the AMA Guides can be used to apportion between pre-existing and subsequent impairments. Courts often use the AMA Guides to decide statutorily determined benefits and are subject to interpretation by courts and administrative bodies whose interpretations may vary from state to state.


2011 ◽  
Vol 1 (2) ◽  
pp. 13-17
Author(s):  
Sanjith S ◽  
◽  
Ramesh Kumar P ◽  

REVISTA FIMCA ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. 1-6
Author(s):  
Pâmela Gomes Artioli ◽  
Natiely Souza Lima ◽  
Camila Silva

Introdução: Com o passar dos anos, além de doenças laborais físicas, surge um novo cenário de doenças emocionais que vem afetando gradativamente profissionais da área da docência a pesquisa em questão visou identificar os transtornos mentais que mais provocam afastamento de docentes em instituições de ensino superior, (com ênfase no transtorno bipolar), onde contribuiu para se aprofundar a análise de fatores relacionados a esse tipo de transtorno. Objetivos: os objetivos deste estudo, são de realizar análise crática e reflexiva quanto ao número elevado de professores de ensino superior com o Transtorno Afetivo Bipolar, e a relação dos fatores associados a este impedimento dos profissionais, destacar também questões relativas à saúde mental, e identificar quais são as consequências que implicam na rotina de trabalho desses professores e o aumento de docentes com diagno?stico de Transtorno Bipolar. Materiais e Métodos: Quanto à fundamentação teórica, trata-se de um referencial bibliográfico ao passo que utiliza de literaturas científicas disponibilizadas por meio eletrônico. Utilizando-se como técnica de análise de dados a análise de conteúdo interpretativa. Os critérios de inclusão que foram usados são: publicações em português, entre os anos de 2000 a 2018 disponíveis na íntegra. Conclusão: Por fim chegou-se ao entendimento de que além da sobrecarga os docentes remanescentes, o adoecimento crescente dos profissionais da educação compromete a qualidade de vida desses profissionais. Introduction: Over the years, in addition to physical work-related illnesses, a new scenario of emotional diseases emerges that has gradually affected professionals in the teaching area. The research in question aimed at identifying the mental disorders that cause the most withdrawal of teachers in higher education institutions, (with emphasis on bipolar disorder), where it contributed to deepen the analysis of factors related to this type of disorder. Objectives: The objectives of this study are to perform a critical and reflexive analysis regarding the high number of teachers of higher education with Bipolar Affective Disorder, and the relation of the factors associated with this impediment of the professionals, also highlight issues related to mental health, and identify what are the consequences that imply in the work routine of these teachers and the increase of teachers diagnosed with Bipolar Disorder. Materials and Methods: Regarding the theoretical basis, it is a bibliographical reference while using scientific literatures made available electronically. The analysis of interpretive content was used as data analysis technique. The inclusion criteria that were used are: publications in Portuguese, between the years 2000 to 2018 available in full. Conclusion: Finally, it was understood that in addition to overloading the remaining teachers, the growing sickness of education professionals compromises the quality of life of these professionals.


2021 ◽  
pp. 140349482199366
Author(s):  
Rahman Shiri ◽  
Aapo Hiilamo ◽  
Tea Lallukka

Objective: This narrative review summarizes the available indicators for working life expectancy and years of working life lost (YWLL) and their determinants. Methods: We searched PubMed and Embase databases from their inception until August 2020 and screened all studies proposing an indicator for working life expectancy or YWLL. We also reviewed studies focusing on sociodemographic, lifestyle and work-related determinants of working life expectancy and YWLL. The results were synthesized narratively. Results: We identified 13 different indicators for the length of working life or YWLL. The most frequently used indicators were ‘working life expectancy’, ‘healthy working life expectancy’, and YWLL. Working life expectancy and healthy working life expectancy are longer for men than women. Working life expectancy at the age of 50 has been increasing since the mid-90s, and the increase has been larger for women, reducing the sex difference. Working life is shorter for people with a low level of education, in lower occupational classes, for people exposed to high physical work demands, those living in the most socioeconomically deprived areas, people with overweight or obesity, smokers, people who are inactive during leisure time and in people with a chronic health problem. Conclusions: Despite increasing interest in understanding the determinants of YWLL, only a few studies have simultaneously considered multiple exit routes from the labour market. We propose a new measure for total YWLL considering all relevant exit routes from employment. This comprehensive measure can be used to assess the effect of given policy changes on prolonging working life.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Susanna Toivanen

In adult life, many of the social determinants of health are connected to working life. Yet, our knowledge of the role of work-related factors for the risk of stroke is fairly limited. In contemporary occupational health research, the Demand-Control Model (DCM) is frequently used to measure work stress. Previous literature reviews of the association of work stress and cardiovascular disease (CVD) do not include stroke as a specific outcome. Results regarding work stress and the risk of CVD are less evident in working women. With the focus on working women, the purpose of the present paper was to review the current research into the DCM in relation to stroke and to scrutinize potential gender differences. A literature search was performed and eight studies from three countries were identified. Based on the reviewed studies, there is some evidence that high psychological demands, low job control, and job strain are associated with increased stroke risk in women as well as in men. Any major reduction in deaths and disability from stroke is likely to come from decreasing social inequalities in health, and reducing work stress has a potential to contribute to a reduced risk of stroke in working populations.


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