Evanoff Bradley, Abedin Sakena, Grayson Deborah, Dale Ann Marie, Wolf Laurie, Bohr Paula
Division of General Medical Sciences, Washington University School of Medicine, Campus Box 8005, 660 South Euclid Avenue, St. Louis, Missouri 63110, USA.
J Occup Rehabil. 2002 Sep;12(3):139-50. doi: 10.1023/a:1016838510682.
Existing national data may underreport the full burden of occupational injuries and illnesses. This study sought to provide more complete reporting and to assess disability that persisted following return to work. Workers (n = 205) with a musculoskeletal injury resulting in 5 or more days of lost time or restricted duty were recruited from three employers. Data on work status and functional limitations were derived from multiple sources including administrative records, medical records, and patient interviews at baseline and 6 months. Results indicate that many workers reported continuing difficulties functioning at work following return to full duty. Measures of health-related quality of life improved over 6 months, but bodily pain and physical functioning scores remained lower than expected based on national averages. Sixteen percent of workers were reinjured within a year following initial injury. Following return to work, many workers experienced reinjury or reported persistent limitations in function 6 months following injury. Based on study findings the conclusion is drawn that OSHA logs may provide accurate measures of initial episodes of time loss from work but may under-represent the full magnitude of lost time following work injury.
现有的国家数据可能未充分报告职业伤害和疾病的全部负担。本研究旨在提供更完整的报告，并评估重返工作岗位后持续存在的残疾情况。从三个雇主处招募了205名因肌肉骨骼损伤导致误工或限工5天及以上的工人。工作状态和功能受限的数据来自多个来源，包括行政记录、医疗记录以及基线和6个月时的患者访谈。结果表明，许多工人报告称在全勤返岗后仍存在工作功能方面的持续困难。与健康相关的生活质量指标在6个月内有所改善，但身体疼痛和身体功能得分仍低于基于全国平均水平的预期。16%的工人在初次受伤后的一年内再次受伤。重返工作岗位后，许多工人再次受伤，或在受伤6个月后报告仍存在持续的功能受限。基于研究结果得出结论，职业安全与健康管理局（OSHA）的记录可能能准确衡量工作时间损失的初始事件，但可能无法充分反映工伤后损失时间的全部规模。
