Aurrekoetxea Agirre Juan José, Sanzo Ollakarizketa Juan Manuel, Zubero Oleagoitia Eskame, Alamillo Gascón Enrique
Inspección Médica de Donostia-San Sebastián, Departamento de Sanidad, Gobierno Vasco, San Sebastián, Guipúzcoa, España.
Aten Primaria. 2009 Aug;41(8):439-45. doi: 10.1016/j.aprim.2008.11.002. Epub 2009 Jun 28.
To find out the recurrence of absence due to sick leave from the perspective of diagnosing the disease-causing absenteeism.
Case-control study.
workers who only had only been on sick leave once.
workers with repeated sick leave. CASES with 2, 3, 4 or more absences due to sick leave were analysed separately.
Guipuzcoa, from 2001 to 2005.
There were 7,313 sick leave procedures collected from a Mutual Company with the medical reason, age and gender were duly registered and coded. Of the 6,030 workers who took some time off work, 5,016 had a single sick leave procedure, and were considered as controls and there were 1,014 cases that had two or more sick leave procedures.
We calculated the odds ratio (OR) and 95% confidence intervals, adjusting for age and stratified by gender, using a logistic regression model. The slope of sick leave repeats was evaluated.
An increase in the risk of recurrent sick leave was observed for both genders over the age of 45, with a significant slope. There was an increase in the risk of recurrent sick leave in the most common diseases, musculoskeletal, external causes, mental and gastrointestinal in males, and pregnancy, musculoskeletal, mental and external causes in females.
An alternative method for verifying the correct prescribing of sick leave would be to just study diseases that occur most often. This would focus on those workers who had recurrent absences due to sick leave.
从诊断导致缺勤的疾病角度探究病假缺勤的复发情况。
病例对照研究。
仅请过一次病假的工人。
多次请病假的工人。因病假缺勤2次、3次、4次或更多次的病例分别进行分析。
吉普斯夸省，2001年至2005年。
从一家互助公司收集了7313份病假手续，其中医疗原因、年龄和性别均已妥善登记和编码。在6030名请假的工人中，5016人只有一次病假手续，被视为对照，1014人有两次或更多次病假手续，被视为病例。
我们使用逻辑回归模型计算比值比（OR）和95%置信区间，对年龄进行调整并按性别分层。评估病假复发率的斜率。
45岁以上的男女病假复发风险均增加，且斜率显著。男性中最常见的疾病（肌肉骨骼疾病、外部原因、精神疾病和胃肠道疾病）以及女性中（妊娠、肌肉骨骼疾病、精神疾病和外部原因）的病假复发风险增加。
验证病假正确开具的另一种方法是只研究最常发生的疾病。这将聚焦于那些因病假而反复缺勤的工人。
