受伤工作年龄段行人的病假和残疾抚恤金-基于人群的瑞典登记研究。

Sickness absence and disability pension among injured working-aged pedestrians - a population-based Swedish register study.

机构信息

Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77, Stockholm, Sweden.

Division of Vehicle Safety, Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden.

出版信息

BMC Public Health. 2021 Dec 14;21(1):2279. doi: 10.1186/s12889-021-12312-4.

DOI:10.1186/s12889-021-12312-4

PMID:34906115

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8670103/

Abstract

BACKGROUND

The knowledge is scarce about sickness absence (SA) and disability pension (DP) among pedestrians injured in a traffic-related accident, including falls. Thus, the aim was to explore the frequencies of types of accidents and injuries and their association with SA and DP among working-aged individuals.

METHODS

A nationwide register-based study, including all individuals aged 16-64 and living in Sweden, who in 2010 had in- or specialized outpatient healthcare after a new traffic-related accident as a pedestrian. Information on age, sex, sociodemographics, SA, DP, type of accident, injury type, and injured body region was used. Frequencies of pedestrians with no SA or DP, with ongoing SA or full-time DP already at the time of the accident, and with a new SA spell >14 days in connection to the accident were analyzed. Crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for new SA were estimated by logistic regression.

RESULTS

In total, 5576 pedestrians received healthcare due to a traffic-related accident (of which 75% were falls, with half of the falls related to snow and ice). At the time of the accident, 7.5% were already on SA and 10.8% on full-time DP, while 20% started a new SA spell. The most common types of injuries were fractures (45%) and external injuries (30%). The body region most frequently injured was the lower leg, ankle, foot, and other (in total 26%). Older individuals had a higher OR for new SA compared with younger (OR 1.91; 95% CI 1.44-2.53, for ages: 45-54 vs. 25-34). The injury type with the highest OR for new SA, compared with the reference group external injuries, was fractures (9.58; 7.39-12.43). The injured body region with the highest OR for new SA, compared with the reference group head, face, and neck, was lower leg, ankle, foot, and other (4.52; 2.78-7.36).

CONCLUSIONS

In this explorative nationwide study of the working-aged pedestrians injured in traffic-related accidents including falls, one fifth started a new SA spell >14 days. Fractures, internal injuries, collisions with motor vehicle, and falls related to snow and ice had the strongest associations with new SA.

摘要

背景

行人在与交通相关的事故中受伤（包括跌倒），关于他们的病假（SA）和残疾养老金（DP）的知识很少。因此，本研究旨在探讨事故类型和受伤类型的频率，以及它们与工作年龄个体的 SA 和 DP 的关系。

方法

这是一项全国范围内的基于登记的研究，包括所有年龄在 16-64 岁之间、2010 年在瑞典新发生交通相关事故后有门诊或专科门诊医疗的人。使用的信息包括年龄、性别、社会人口统计学、SA、DP、事故类型、受伤类型和受伤身体部位。分析了无 SA 或 DP、事故时已有持续 SA 或全时 DP 以及与事故相关的新 SA 缺勤超过 14 天的行人的频率。通过逻辑回归估计新 SA 的粗和调整比值比（OR）和 95%置信区间（CI）。

结果

共有 5576 名行人因交通相关事故接受医疗（其中 75%为跌倒，其中一半与冰雪有关）。事故时，7.5%已经在休病假，10.8%全时休病假，20%开始新的病假。最常见的受伤类型是骨折（45%）和外伤（30%）。受伤最常见的身体部位是小腿、脚踝、脚和其他部位（共 26%）。与年轻人相比，老年人新 SA 的 OR 更高（年龄：45-54 岁比 25-34 岁，OR 1.91；95%CI 1.44-2.53）。与外部伤害相比，新 SA 的 OR 最高的受伤类型是骨折（9.58；7.39-12.43）。与头部、面部和颈部相比，新 SA 的 OR 最高的受伤身体部位是小腿、脚踝、脚和其他部位（4.52；2.78-7.36）。