人-环境-作业模型在探索与工作相关的创伤性脑损伤的性别特异性原因中的效用：回顾性图表分析。

Utility of Person-Environment-Occupation model in exploring sex-specific causes of work-related traumatic brain injury: a retrospective chart review.

机构信息

Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.

Acquired Brain Injury Research Lab, University of Toronto, Toronto, Canada.

出版信息

Brain Inj. 2023 May 12;37(6):485-493. doi: 10.1080/02699052.2023.2187087. Epub 2023 Mar 15.

DOI:10.1080/02699052.2023.2187087

PMID:36919536

Abstract

BACKGROUND

Work-related traumatic brain injury (wr-TBI) is on the rise. The pre-injury period, a significant consideration for preventive initiatives, is largely unexplored.

OBJECTIVES

To identify Person-Environment-Occupation (PEO) variables associated with wr-TBI to inform sex-specific primary prevention.

METHODS

Retrospective chart review data were analyses. Two-tailed -test and chi-squared tests were used to study sex differences. Multivariate logistic regression models of wr-TBI were fit with a priori defined PEO variables.

RESULTS

The sample comprised 330 consecutive workers with wr-TBI (40.8 ± 11.1 years old, 71% male). Sex differences were observed across PEO variables. In multivariable logistic regression analyses the odds of sustaining a wr-TBI from a fall increased with the presence of a mood disorder and participation in non-labourer occupations (odds ratio (OR) 2.89 (95% CI 1.06-7.89) and OR 2.89 (95% CI 1.06-7.89), respectively) and decreased being a male (OR 0.31 (95% CI 0.17-0.54)). The odds of sustaining a wr-TBI from being striken by an object was greater in workers with prior head injury (OR 2.8 (95% CI 1.24-6.45)). None of the variables studied were associated with wr-TBI sustained from being striken against an object.

CONCLUSIONS

Workers' health status pre-injury is associated with external causes of wr-TBI. Sex differences across PEO categories warrant further study.

摘要

背景

与工作相关的创伤性脑损伤（wr-TBI）正在上升。受伤前时期是预防措施的重要考虑因素，但在很大程度上尚未得到探索。

目的

确定与 wr-TBI 相关的人与环境职业（PEO）变量，为有针对性的初级预防提供信息。

方法

对回顾性图表审查数据进行分析。使用双尾 -检验和卡方检验研究性别差异。使用预先定义的 PEO 变量拟合 wr-TBI 的多变量逻辑回归模型。

结果

样本包括 330 名连续发生 wr-TBI 的工人（40.8±11.1 岁，71%为男性）。在 PEO 变量方面观察到性别差异。在多变量逻辑回归分析中，患有心境障碍和从事非体力劳动者职业的工人发生 wr-TBI 的几率增加（比值比（OR）为 2.89（95%CI 为 1.06-7.89）和 OR 2.89（95%CI 为 1.06-7.89）），而男性的几率降低（OR 为 0.31（95%CI 为 0.17-0.54））。先前头部受伤的工人发生 wr-TBI 的几率更高（OR 为 2.8（95%CI 为 1.24-6.45））。在所研究的变量中，没有一个与因被物体撞击而发生 wr-TBI 相关。