MacDonald Kristin, King Deborah
VCA - Animal Care Center of Sonoma County, 6470 Redwood Dr, Rohnert Park, CA 94928, USA.
Department of Exercise and Sport Sciences, Ithaca College, Ithaca, NY, USA.
J Vet Cardiol. 2014 Mar;16(1):27-37. doi: 10.1016/j.jvc.2014.01.001. Epub 2014 Feb 6.
Assess the relationship between work-related musculoskeletal disorders (WRMSDs) and performing echocardiograms (ECHOS) in veterinarians with a cardiology focus.
Prospective study. A survey was submitted to the ACVIM veterinary cardiology list-serve regarding pain associated with performing ECHOS (ECHOPain). Associations of demographic and work habit variables with ECHOPain and WRMSD were evaluated with logistic regression.
Respondents included 198 of 487 (41%) members, evenly divided in gender. Most (69%) were 31-50 years old. Almost all (96%) currently perform ECHOS, usually 4-5 ECHOS/week (74%), every week except vacation (93%). ECHOPain was reported by 87 people (44%), which was classified as mild/occasional in 77%, frequent/moderate in 21%, and frequent/severe in 2%. Of those with ECHOPain, 52% reported ECHOS as the sole cause, 31% reported ECHOS aggravating pain from a pre-existing problem, and 17% reported unrelated pain. The most common areas of pain were neck (54%), shoulder (52%), wrist (42%), and back (35%) with 78% reporting pain at 2 or more sites. Pain impaired job performance in 36%, required sick leave or disability in 12%, required reduction in ECHOS/day in 36%, and affected lifestyle in 22%. Ten percent of people have been diagnosed with WRMSD, of which 21% have a permanent disability. Both gender and weeks/year predicted pain with ECHOS (χ(2)(3) = 11.38, P = 0.01). The odds ratio for females versus males with ECHOPain was 2.23.
ECHOPain is common (44%) in veterinary echocardiographers, is significantly associated with gender, and affects job performance for over one-third of pain sufferers.
评估专注于心脏病学的兽医中与工作相关的肌肉骨骼疾病（WRMSDs）和进行超声心动图检查（ECHOS）之间的关系。
前瞻性研究。向美国兽医内科学会（ACVIM）兽医心脏病学邮件列表发送了一份关于进行超声心动图检查相关疼痛（ECHOPain）的调查问卷。使用逻辑回归评估人口统计学和工作习惯变量与ECHOPain和WRMSD之间的关联。
487名成员中有198名（41%）回复，性别分布均匀。大多数（69%）年龄在31至50岁之间。几乎所有（96%）目前都进行超声心动图检查，通常每周进行4至5次（74%），除假期外每周都进行（93%）。87人（44%）报告有ECHOPain，其中77%被分类为轻度/偶尔，21%为频繁/中度，2%为频繁/重度。在有ECHOPain的人中，52%报告超声心动图检查是唯一原因，31%报告超声心动图检查使既往存在的问题疼痛加重，17%报告为无关疼痛。最常见的疼痛部位是颈部（54%）、肩部（52%）、手腕（42%）和背部（35%），78%报告在两个或更多部位疼痛。36%的人疼痛影响工作表现，12%需要病假或残疾，36%需要减少每天的超声心动图检查次数，22%影响生活方式。10%的人被诊断患有WRMSD，其中21%有永久性残疾。性别和每年工作周数均预测超声心动图检查相关疼痛（χ(2)(3)=11.38，P = 0.01）。有ECHOPain的女性与男性的比值比为2.23。
ECHOPain在兽医超声心动图检查人员中很常见（44%），与性别显著相关，并且影响超过三分之一疼痛患者的工作表现。
