Jáuregui-Renaud Kathrine, Velázquez-Ramírez Ismael, Hernández-Tenorio Jetzabel de Jetzenay, Solis-Cruz María Del Carmen, Aguilar-Jiménez Constanza Miriam, Morales-Sánchez Ofelia de Jesús, Rincón-Rojas Milliteotl
Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México C.P. 06720, Mexico.
Coordinación de Salud en el Trabajo, Instituto Mexicano del Seguro Social, Ciudad de México C.P. 06720, Mexico.
Healthcare (Basel). 2023 Apr 13;11(8):1112. doi: 10.3390/healthcare11081112.
Sickness absence from work is a measure of both poor health and social functioning. In order to assess the frequency of sick leave due to ear-related diagnoses, we performed a retrospective analysis on the registry of paid sick leave certificates supplied by the main social security institution in Mexico during the years 2018 and 2019, just prior to the SARS-CoV-2 pandemic. We observed that, in the two years, 22,053 sick leave certificates due to ear-related diagnoses were provided to 18,033 workers. The most frequent ear-related diagnoses were those of vestibular disorders (94.64%); among them, the most common diagnosis was Benign Paroxysmal Positional Vertigo (75.16%), followed by Labrynthitis and Meniere's disease (circa 8% each). A total of 4.63% of the diagnoses were related to external and middle ear disorders, and 0.71% were mainly related to hearing. Consistently, the highest cumulative days of sick leave required were given for the group of diagnoses related to vestibular disorders; although the less frequent diagnoses required the highest cumulative days per case (e.g., ototoxicity). During 2018 and 2019, the most frequent diagnoses of ear-related sick leave were due to vestibular diagnoses (particularly Benign Paroxysmal Positional Vertigo).
因病缺勤既是健康状况不佳的一种衡量指标，也是社会功能状况的一种体现。为了评估因耳部相关诊断导致的病假频率，我们对墨西哥主要社会保障机构在2018年和2019年（即SARS-CoV-2大流行之前）提供的带薪病假证明登记册进行了回顾性分析。我们观察到，在这两年中，18,033名工人获得了22,053份因耳部相关诊断开具的病假证明。最常见的耳部相关诊断是前庭疾病（94.64%）；其中，最常见的诊断是良性阵发性位置性眩晕（75.16%），其次是迷路炎和梅尼埃病（各约8%）。总共4.63%的诊断与外耳和中耳疾病有关，0.71%主要与听力有关。一致的是，前庭疾病相关诊断组所需的累积病假天数最高；尽管不太常见的诊断每例所需的累积天数最高（例如，耳毒性）。在2018年和2019年期间，耳部相关病假最常见的诊断是前庭诊断（特别是良性阵发性位置性眩晕）。
