Department of Occupational and Environmental Medicine, Dankook University Medical Center, Cheonan, Korea.
J Korean Med Sci. 2013 Nov;28(11):1581-6. doi: 10.3346/jkms.2013.28.11.1581. Epub 2013 Oct 31.
This study examined the association between return-to-work and impairment type. Database of the Korea Workers' Compensation and Welfare Service was used to identify disabled persons; and return-to-work information was obtained from the Korea Employment Information Services database. The study participants were 79,328 persons who received Workers' compensation and who were confirmed as disabled during 2009-2011. Logistic regression was used to analyze the association between return-to-work and impairment type, adjusted by age, sex, impairment severity, pre-injury businesses size, and pre-injury occupational category. Compared to injuries of the upper limbs, the odds ratio of return-to-work was 0.63 (95% CI, 0.60-0.65) for injuries involving the lower limbs, 0.62 (95% CI, 0.59-0.66) for the spine, 0.75 (95% CI, 0.66-0.86) for the eyes, 0.98 (95% CI, 0.77-1.25) for the oral cavity, 0.44 (95% CI, 0.37-0.53) for the ears, 1.02 (95% CI, 0.83-1.25) for the figure, 0.75 (95% CI, 0.72-0.79) for pain, and 0.36 (95% CI, 0.32-0.41) for neuropsychiatric impairment. These findings indicate that impairment type influences return-to-work rates.
本研究旨在探讨与重返工作相关的损伤类型。研究数据来自韩国工人补偿和福利服务数据库中被认定为伤残的人员,以及韩国就业信息服务数据库中的重返工作信息。研究对象为 2009 年至 2011 年间接受工人补偿并被确认为伤残的 79328 人。采用 logistic 回归分析了损伤类型与重返工作之间的关联,调整了年龄、性别、损伤严重程度、受伤前企业规模和受伤前职业类别等因素。与上肢损伤相比,下肢损伤(OR=0.63,95%CI:0.60-0.65)、脊柱损伤(OR=0.62,95%CI:0.59-0.66)、眼部损伤(OR=0.75,95%CI:0.66-0.86)、口腔损伤(OR=0.98,95%CI:0.77-1.25)、耳部损伤(OR=0.44,95%CI:0.37-0.53)、体型损伤(OR=1.02,95%CI:0.83-1.25)、疼痛(OR=0.75,95%CI:0.72-0.79)和神经精神损伤(OR=0.36,95%CI:0.32-0.41)的重返工作几率较低。这些发现表明损伤类型影响重返工作的几率。