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工业中的背部损伤:一项回顾性研究。III. 与员工相关的因素。

Back injuries in industry: a retrospective study. III. Employee-related factors.

作者信息

Bigos S J, Spengler D M, Martin N A, Zeh J, Fisher L, Nachemson A

出版信息

Spine (Phila Pa 1976). 1986 Apr;11(3):252-6. doi: 10.1097/00007632-198604000-00012.

Abstract

To evaluate the impact of back injuries on industry, the authors conducted a retrospective analysis of injuries occurring among a group of 31,200 employees of The Boeing Company, a large industrial manufacturer in Western Washington. They analyzed 4,645 injury claims (including 900 back injuries) made by 3,958 different employees. Two previous articles give an overview of the study, provide a detailed analysis of the costs associated with these back injuries, and analyze the characteristics of the injury. This article focuses on employee-related factors associated with back injuries. Claims were categorized according to severity, as indicated by total incurred cost (TIC), the sum of the medical costs, and indemnity costs. High-cost claims were defined as those with a TIC greater than $10,000 and low-cost claims as those with a TIC less than $10,000. Employees younger than 25 years of age had a statistically significant increased risk of back injury, although their claims tended to be low-cost ones. This finding tends to discredit the premise that back problems are related to aging of the lumbar spine. While older employees had a lower injury rate, they did have a significantly increased risk of incurring high-cost back injury claims. The 31-40-year age group was the most susceptible to high-cost back injuries. Newer employees tended to have a significantly increased risk of back injury. The data show that women had fewer injuries than men but a statistically significant increased risk of becoming a high-cost injury claim.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为评估背部损伤对行业的影响,作者对华盛顿州西部一家大型工业制造商波音公司的31200名员工所发生的损伤进行了回顾性分析。他们分析了3958名不同员工提出的4645起损伤索赔(包括900起背部损伤)。之前的两篇文章对该研究进行了概述,详细分析了与这些背部损伤相关的成本,并分析了损伤的特征。本文重点关注与背部损伤相关的员工因素。索赔根据严重程度进行分类,严重程度由总费用(TIC)表示,即医疗费用和赔偿费用之和。高成本索赔定义为TIC大于10000美元的索赔,低成本索赔定义为TIC小于10000美元的索赔。25岁以下的员工背部受伤风险在统计学上显著增加,尽管他们的索赔往往是低成本的。这一发现倾向于质疑背部问题与腰椎老化有关的前提。虽然年长员工的受伤率较低,但他们发生高成本背部损伤索赔的风险确实显著增加。31至40岁年龄组最容易遭受高成本背部损伤。新员工背部受伤的风险往往显著增加。数据显示,女性受伤人数少于男性,但成为高成本损伤索赔的风险在统计学上显著增加。(摘要截短于250字)

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