Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

OBJECTIVES: This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. METHODS: The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire i...

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Main Authors: Lars L Andersen, Alex Burdorf, Nils Fallentin, Roger Persson, Markus D Jakobsen, Ole Steen Mortensen, Thomas Clausen, Andreas Holtermann
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2014-01-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3382
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author Lars L Andersen
Alex Burdorf
Nils Fallentin
Roger Persson
Markus D Jakobsen
Ole Steen Mortensen
Thomas Clausen
Andreas Holtermann
author_facet Lars L Andersen
Alex Burdorf
Nils Fallentin
Roger Persson
Markus D Jakobsen
Ole Steen Mortensen
Thomas Clausen
Andreas Holtermann
author_sort Lars L Andersen
collection DOAJ
description OBJECTIVES: This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. METHODS: The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire in 2005 and 2006, respectively. Using logistic regression, the odds for occupational back injury (ie, sudden onset episodes) in 2006 from patient transfers in 2005 was modeled. RESULTS: In the total study population, 3.9% experienced back injury during follow-up, of which 0.5% were recurrent events. When adjusting for lifestyle (body mass index, leisure-time physical activity, smoking), work-related characteristics (seniority and perceived influence at work), and history of back pain and injury, daily patient transfers increased the risk for back injury (trend, P=0.03): odds ratio (OR) 1.75 [95% confidence interval (95% CI) 1.05–2.93] for 1–2 transfers per day, OR 1.81 (95% CI 1.14–2.85) for 3–10 transfers per day, and OR 1.56 (95% CI 0.96–2.54) for >10 transfers per day, referencing those with <1 patient transfer on average per day. The population attributable fraction of daily patient transfer for back injury was estimated to be 36%. Among those with daily patient transfer (N=3820), using an assistive device decreased the risk for back injury for “often” and “very often” use [OR 0.59 (95% CI 0.36–0.98) and OR 0.62 (95% CI 0.38–1.00), respectively] referencing those who “seldom” use assistive devices. CONCLUSION: Daily patient transfer was associated with increased risk for back injury among healthcare workers. Persistent use of an assistive device was associated with reduced risk for back injury among healthcare workers with daily patient transfers.
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spelling doaj.art-b7f605ec14b24cdf9659c71c9edb572e2022-12-21T23:40:28ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2014-01-01401748110.5271/sjweh.33823382Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workersLars L Andersen0Alex BurdorfNils FallentinRoger PerssonMarkus D JakobsenOle Steen MortensenThomas ClausenAndreas HoltermannNational Research Centre for the Working Environment, Lersø Parkalle 105, DK 2100 Copenhagen Ø, Denmark.OBJECTIVES: This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. METHODS: The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire in 2005 and 2006, respectively. Using logistic regression, the odds for occupational back injury (ie, sudden onset episodes) in 2006 from patient transfers in 2005 was modeled. RESULTS: In the total study population, 3.9% experienced back injury during follow-up, of which 0.5% were recurrent events. When adjusting for lifestyle (body mass index, leisure-time physical activity, smoking), work-related characteristics (seniority and perceived influence at work), and history of back pain and injury, daily patient transfers increased the risk for back injury (trend, P=0.03): odds ratio (OR) 1.75 [95% confidence interval (95% CI) 1.05–2.93] for 1–2 transfers per day, OR 1.81 (95% CI 1.14–2.85) for 3–10 transfers per day, and OR 1.56 (95% CI 0.96–2.54) for >10 transfers per day, referencing those with <1 patient transfer on average per day. The population attributable fraction of daily patient transfer for back injury was estimated to be 36%. Among those with daily patient transfer (N=3820), using an assistive device decreased the risk for back injury for “often” and “very often” use [OR 0.59 (95% CI 0.36–0.98) and OR 0.62 (95% CI 0.38–1.00), respectively] referencing those who “seldom” use assistive devices. CONCLUSION: Daily patient transfer was associated with increased risk for back injury among healthcare workers. Persistent use of an assistive device was associated with reduced risk for back injury among healthcare workers with daily patient transfers. https://www.sjweh.fi/show_abstract.php?abstract_id=3382 backergonomicscohort studynursepatient transferoccupational risk factorback injuryprospective cohort studylongitudinaleldercare workerhealthcare workerassistive devicelow-back painmusculoskeletal disorder
spellingShingle Lars L Andersen
Alex Burdorf
Nils Fallentin
Roger Persson
Markus D Jakobsen
Ole Steen Mortensen
Thomas Clausen
Andreas Holtermann
Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
Scandinavian Journal of Work, Environment & Health
back
ergonomics
cohort study
nurse
patient transfer
occupational risk factor
back injury
prospective cohort study
longitudinal
eldercare worker
healthcare worker
assistive device
low-back pain
musculoskeletal disorder
title Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
title_full Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
title_fullStr Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
title_full_unstemmed Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
title_short Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers
title_sort patient transfers and assistive devices prospective cohort study on the risk for occupational back injury among healthcare workers
topic back
ergonomics
cohort study
nurse
patient transfer
occupational risk factor
back injury
prospective cohort study
longitudinal
eldercare worker
healthcare worker
assistive device
low-back pain
musculoskeletal disorder
url https://www.sjweh.fi/show_abstract.php?abstract_id=3382
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