Postgraduate School in Occupational Medicine, Unit of Occupational Medicine, University of Trieste, Via Della Pietà 2/2, 34129, Trieste, Italy.
Unit of Occupational Medicine, University of Trieste, 34129, Trieste, Italy.
Int Arch Occup Environ Health. 2023 Aug;96(6):883-889. doi: 10.1007/s00420-023-01976-7. Epub 2023 May 10.
To estimate the incidence of shoulder disorders in a cohort of Health Care Workers (HCWs).
4406 workers employed from 2009 to 2020, were included in the study. Occupational risk factors and jobs were assessed according to working history. Incident cases were defined in case of shoulder pain associated with functional limitations during the medical examination. The Cox regression model was used to calculate the Hazard Ratio (HR) for different work activities, adjusted for age, sex, body mass index, and previous musculoskeletal injuries, using clerks as the reference category.
The incidence rates of shoulder musculoskeletal disorder for men and women were 13.1 for 1000 person-years (CI 95% 10.6-16.3) and 20.1 for 1000 person-years (CI 95% 17.8-22.6) respectively. The adjusted HR was significantly increased with age (1.06, CI 95% 1.05-1.07), outpatient health activities (2.82, CI 95% 1.89-4.219), and wards health activity (2.37, CI 95% 1.68-3.33).
HCWs with high biomechanical risk such as nurses and healthcare assistants had a higher incidence of shoulder disorders. Actions are needed for better prevention in health care assistance.
评估医疗保健工作者（HCW）队列中肩部疾病的发病率。
纳入 2009 年至 2020 年期间就业的 4406 名工作人员。根据工作经历评估职业危险因素和工作岗位。如果在体检过程中出现与功能受限相关的肩部疼痛，则将其定义为病例。使用 Cox 回归模型计算不同工作活动的风险比（HR），调整年龄、性别、体重指数和先前的肌肉骨骼损伤，以文员为参考类别。
男性和女性肩部肌肉骨骼疾病的发病率分别为 13.1/1000 人年（95%CI 95%10.6-16.3）和 20.1/1000 人年（95%CI 95%17.8-22.6）。调整后的 HR 随年龄显著增加（1.06，95%CI 95%1.05-1.07）、门诊卫生活动（2.82，95%CI 95%1.89-4.219）和病房卫生活动（2.37，95%CI 95%1.68-3.33）。
具有高生物力学风险的 HCW，如护士和医疗助理，肩部疾病的发病率更高。需要采取行动，更好地预防医疗保健方面的疾病。
