Duration Of Temporary Disability Research Articles

Assessment of the length of sick leave in patients with inflammatory bowel disease

IntroductionInflammatory bowel disease (IBD) is a chronic disorder that can lead to periods of work-related temporary disability (TD), which may result in the need for permanent disability. The objective was to assess the impact of IBD on patients' temporary disability by analyzing periods, duration, and causes. It also investigates risk factors influencing the severity, frequency, and duration of flare-ups and associated complications in IBD patients. MethodThe study includes patients aged 18–65, with at least 1 day of TD in 2019 (Pre-COVID), referred or not by UMEVI, due to reasons related to IBD. ResultsA total of 172 patients were included, and in all cases, TD was associated with IBD. TD was higher in patients over 30 years old, with anxious depressive disorder, who required hospitalization and did not receive prednisone treatment (p < 0.05). TD duration was longer in patients belonging to the Special Regime for Self-Employed Workers (RETA): 67 days (IQR: 22–160) versus the General Regime (RG): 33 days (IQR: 8–110), with no statistically significant difference (p = 0.120). The mean cost (€) per worker in this series was €745.5 (IQR: 231–2608.2). ConclusionsIBD has a significant impact on patients' temporary work disability. The duration of TD was longer in patients older than 30 years, with anxious-depressive disorder, who required hospital admission and did not receive steroid treatment.

Evaluación de la duración de la baja laboral en pacientes con enfermedad inflamatoria intestinal

IntroductionInflammatory bowel disease (IBD) is a chronic disorder that can lead to periods of work-related temporary disability (TD), which may result in the need for permanent disability. The objective was to assess the impact of IBD on patients’ temporary disability by analyzing periods, duration, and causes. It also investigates risk factors influencing the severity, frequency, and duration of flare-ups and associated complications in IBD patients. MethodThe study includes patients aged 18 to 65, with at least 1 day of TD in 2019 (Pre-COVID), referred or not by UMEVI, due to reasons related to IBD. ResultsA total of 172 patients were included, and in all cases, TD was associated with IBD. TD was higher in patients over 30 years old, with anxious depressive disorder, who required hospitalization and did not receive prednisone treatment (p<0.05). TD duration was longer in patients belonging to the Special Regime for Self-Employed Workers (RETA): 67 days (IQR: 22-160) versus the General Regime (RG): 33 days (IQR: 8-110), with no statistically significant difference (p=0.120). The mean cost (€) per worker in this series was €745.5 (IQR: 231-2608.2). ConclusionsIBD has a significant impact on patients’ temporary work disability. The duration of TD was longer in patients older than 30 years, with anxious-depressive disorder, who required hospital admission and did not receive steroid treatment.

TOPICAL ISSUES OF MEDICAL REHABILITATION OF PATIENTS WITH THE CONSEQUENCES OF SEVERE TRAUMATIC BRAIN INJURY AT THE MUNICIPAL LEVEL

The article presents the age-sex structure of people who have suffered severe traumatic brain injury on the example of a municipal medical organization providing medical care and medical rehabilitation in outpatient settings. The high prevalence of this type of injury among males of working age has been established. The duration of temporary disability and the timing of referral of this category of people for medical and social examination are reflected. There is a high level of disability among people who have suffered severe traumatic brain injury, and in most cases they are assigned more severe first and second disability groups. The article reflects the personnel problems of a municipal medical organization providing outpatient medical care in the formation of a multidisciplinary rehabilitation team, which require their resolution at the regional level.

Determination of the temporary disability duration in patientswith acute myocardial infarction depending on the body mass index

Prolonged temporary disability in patients with acute myocardial infarction (AMI) is more common in the presence of concomitant abnormalities. Adipokine C1q/TNF-related protein 3 (CTRP-3) is produced by adipose tissue and exhibits anti-inflammatory and cardioprotective properties. The course and prognosis of AMI depend on the presence of comorbid disorders and hence are objects of scientific interest. Aim. To identify risk factors affecting the temporary disability duration in AMI patients depending on body mass index (BMI). Materials and methods. The study involved 189 patients with ST-segment elevation AMI who were divided into 3 groups depending on BMI. The first group included 60 patients with AMI and normal BMI, the second group comprised 68 patients with AMI and excess body weight (EBW) and the third group was composed of 61 AMI patients with obesity. CTRP-3 was determined by enzyme-linked immunosorbent assay. Statistical data were processed using the licensed software package IBM SPPS Statistics (version 27.0). Significance of differences between normally distributed mean values of quantitative variables was assessed by ANOVA with Bonferroni correction for multiple comparisons. The logistic regression method was used to determine the period of temporary disability. The difference was considered significant at a P value ˂ 0.05. Results. In analyzing the studied indicators, a significant decrease in the concentration of CTRP-3 was found in AMI patients with obesity on the first day compared to AMI patients with normal BMI (P &lt; 0.001), which indicated the effect of obesity on the AMI development. The following indicators were determined to construct a model for predicting the duration of temporary disability, namely CTRP-3 on day 1, glucose on day 1, the presence of permanent atrial fibrillation, early complicationsof AMI. Conclusions. The proposed method helped to determine the duration of temporary disability in patients with AMI depending on BMI, which would improve the provision of high-quality diagnostics and treatment of patients by reducing the economic costs of the length of hospital stay.

Cost effectiveness analysis of universal varicella vaccination in the Russian Federation

Varicella is a significant burden on society and the healthcare system.Objective: to analyze the cost effectiveness of universal vaccination of children against varicella.Material and methods. The analysis was carried out from the perspective of the healthcare system and societal perspective, based on epidemiological data for the Russian Federation. The effect was taken into account only in the vaccinated population. The time horizon of the study is 10 years. The amount of direct medical costs for treatment of varicella was calculated based on the rates of compulsory medical insurance in St. Petersburg in 2020. The cost of drug therapy in outpatient settings was calculated based on the weighted average retail price of prescribed drugs. The analysis of direct nonmedical and indirect costs was carried out taking into account statistical data on the Russian Federation and duration of temporary disability of family members of sick children. Costs and quality-adjusted life expectancy were discounted by 3.5% per year.Results. The average cost due to the disease in the Russian Federation is 43,139 rubles / patient, of which 8,5% is direct cost. Vaccination of 100,000 children will prevent 38,551 cases of varicella in 10 years. When analyzing from a social perspective, vaccination provides a reduction in costs compared to no vaccination, and the savings will amount to 10.1 thousand rubles per 1 vaccinated person.If vaccination coverage is 90%, taking into account the fact that the cohort of children in the Russian Federation at the age of 1 year is about 1.9 million people, the cost of vaccination will amount to about 8.1 billion rubles annually. At the same time, already 6 years after vaccination, the volume of averted budgetary costs will exceed the costs of vaccination.Conclusion. Universal varicella vaccination of children will reduce the incidence of the disease and reduce the budget costs associated with this disease.

The use of osteopathic correction in conjunction with radon baths at the sanatorium-resort stage of rehabilitation of patients with dorsopathy

Introduction. Dorsopathy occurs in 90 % of people throughout life, and is in the first place for the duration of temporary disability in people after 45 years. The sanatorium-resort phase of rehabilitation, including usually physiobalneotherapy, is important in the treatment of dorsopathy. Radon therapy is one of the physiobalneotherapy types. However the effectiveness of radon monotherapy is not more than 25–38 % for various forms of dorsopathy. Therefore a combination of balneotherapy with additional methods of infl uencing on the organism is used in modern balneology to increase the effectiveness of therapy and to ensure the achievement of a positive treatment result in a shorter time without pathological balneoreaction and exacerbation. Osteopathic correction can be considered as such an additional method of infl uencing on the organism, because it triggers a cascade of regulatory reactions at the local, regional and global levels, and these reactions have a cumulative and prolonged effect.The goal of research — to substantiate the possibility of osteopathic correction using in conjunction with radon baths at the sanatorium-resort stage of rehabilitation in patients suffering from dorsopathy.Materials and methods. The study involved women aged 25 to 60 years, with a diagnosis of dorsopathy, taking radon therapy. Using the method of simple randomization with a random number generator, the main group (30 people who received radon therapy and osteopathic correction, OC), and the control group (30 people who received only radon therapy) were allocated. At the beginning and the end of treatment the osteopathic status examination of each patient was conducted in parallel with the study of their reactive anxiety level, assessed according to the Spielberger–Hanin scale, the body′s resistance to hypoxia, assessed in the Stange test by the length of breath-holding after inspiration, and the adaptive capacity of the circulatory system, assessed by Coefficient of adaptation L. Kh. Garkavi. The results were processed using nonparametric statistics.Results. It was found that if OC was included in radon balneotherapy, the state of patients suffering from dorsopathy improves statistically significantly (p&lt;0,0001) by the following indicators: the total number of somatic dysfunctions in patients and the number of regional dysfunctions decreased, the level of reactive anxiety decreased, the body′s resistance to hypoxia increased, the adaptive potential of the circulatory system increased. The changes of all indicators in the main group receiving OC in addition to radon therapy were significantly more pronounced than in the control group receiving only radon therapy (p≤0,0001).Conclusion. The results obtained during this study allow recommending the use of osteopathic correction to enhance the effect of the sanatorium-resort treatment.

Microbiological air analysis of industrial premises and photocatalysis efficiency for its disinfection

This article analyzes the reasons of temporary disability of laborers in Agro Industrial Complex, dealing with microbial content in industrial premises. Development and implementation of equipment for correction of microbial content level results in reduction of general morbidity rate and duration of temporary disability among laborers in Agro Industrial Complex. It will help to increase labor efficiency and decrease labor intensity of production. Biofilm resistance against antibacterial agents is a vital problem during disinfection treatments. Increase in bacteria survival potential and reduction in sensitivity to the substances eliminating them, results in need for increased dosing of the latter decreased efficiency of sanitation. This is a stimulus to develop alternative antibacterial compositions and methods of disinfection treatment. The basic difference of the suggested photodynamic treatment from the disinfection methods with application of antimicrobial preparations is the lack of resistibility to destabilizing oxidant – singlet oxygen. Before disinfection treatment, we determined total microbial air contamination according to the original method, providing a possibility to use air medium sampling of the total volume of indoor area. Experimental results have shown a decrease in total microbial contamination by a factor of 5.5 on average.

Do Opioids Help Injured Workers Recover and Get Back to Work? The Impact of Opioid Prescriptions on Duration of Temporary Disability

We estimate the effect of opioid prescriptions on the duration of temporary disability benefits among workers with work‐related low‐back injuries, based on variation in local opioid prescribing patterns, which predict whether injured workers receive opioid prescriptions. More longer term opioid prescribing leads to considerably lengthier durations of temporary disability.

Morbidity with temporary disability among the working population of the Samara region: status and structure analysis

Objectives – to analyze the incidence and structure of morbidity with temporary disability among the working population of the Samara region in the period of 2013–2018. Material and methods.The assessment of the temporary disability was carried out according to the scale " Estimation of morbidity with temporary disability (MTD) rate according to E.L. Notkin", which estimates the "proportion of sick persons" in the total number of working people. Results.The rate of the morbidity with temporary disability was assessed in terms of quality, including the data on the variations of frequency and duration of temporary disability during the study period. Conclusion.The analysis of the incidence rate with temporary disability allows to develop a set of measures for its prevention and reduction, not only in an individual area, but in the whole territory.

Клініко-економічна ефективність проведених симультанних операцій у жінок з поєднаною хірургічною та екстрагенітальною гінекологічною патологією

The article presents data of economic efficiency of simultaneous operations in women with combined surgical and extra-gynecological pathology, allowing rational use of material and technical base of medical institutions, and conducted simultaneous operations leading to significant financial savings, both in hospital and at the outpatient . The objective: to determine the clinical and economic effectiveness of simultaneous operations in women with combined extra-gynecological and surgical pathology operated in the department of operative gynecology control IPOG (Institute of Pediatrics, Obstetrics and Gynecology) NAMS of Ukraine for 2015 and modified using special formulas. Patients and methods. The study laid out a retrospective analysis of the immediate results of surgical treatment of 40 patients department of operative gynecology control IPOG NAMS Ukraine. The calculation was performed on the following parameters: value of preoperative examination, providing perioperative medical support, operational support, anesthesia and postoperative laboratory monitoring. Results. Analysis of the research shows that simultaneous operation in two to three times shortens the patient’s stay in hospital and the duration of temporary disability, three times increases the cost-effectiveness of treatment and improve the quality of life of patients. To increase the profitability of the surgical departments recommended minimum break-even calculate the intensity of operations, which is the base for operational planning department. Conclusion. Conducting simultaneous operations in women with combined extra-gynecological and surgical pathology can effectively reduce the cost of surgical treatment of patients with no significant prolongation of the transaction period and the postoperative period. Simultaneous operations may be performed in specialized hospitals with modern equipment available and a multidisciplinary team of surgeons in identifying women with two or more diseases requiring surgical correction. Key words: simultaneous operation, economic efficiency, combined surgical and gynecological extragenital pathology in women.

ACUTE BACK PAIN IN THE OUTPATIENT SETTING AND ITS TREATMENT WITH MYDOCALM AND MIRLOX

Acute back pain is one of the main reasons for referrals to a polyclinic. Eighty-seven patients aged 18 to 75 years, who had acute back pain, were examined to study the spread of its principal causes of acute back pain in the outpatient setting. Of them, two thirds (60 patients) were found to have muscle pain syndromes; the others (27 patients) had specific diseases (ischemic heart disease, vertebral fractures, neoplasms, herpes zoster) that were prevalent in chest pain. Among 60 patients with nonspecific back pain, 30 patients were treated with mirlox (7,5- 15 mg/day) and 30 patients received mirlox and mydocalm in a dose of 150 mg thrice daily. As a result of therapy, back pain disappeared or diminished in all the patients, their routine activity normalized, as assessed by the Oswestry questionnaire. The duration of temporary disability was 3 days shorter in the group of patients taking a combination of mirlox and mydocalm. The use of mirlox and mydocalm is effective and safe in various (cervical, chest, and lumbar) pains caused by muscle syndromes, this promotes rapider recovery

A study of factors influencing return to work after wrist or ankle fractures

Factors associated with time to return to work are poorly understood for occupational injuries, other than those to the back. Anonymized data on claims for work-related wrist or ankle fracture between 1/1/1998 and 12/31/2002 were identified in administrative data held by the Workers Compensation Board in Alberta, Canada. Bivariate and Cox regression analyses were used to identify factors associated with return to work. Increased duration of temporary disability (TD) was associated with older age, female gender, work in construction and construction trade services, smaller company size, higher industry claim rates, a fall/jump from a height, ankle fracture, and greater medical aid costs in the 30 days following injury (used as a proxy for severity). Factors associated with longer time off work were largely consistent with those reported following back injury. Median time to return to work was longer following ankle than wrist fracture. Although Workers' Compensation Board (WCB) administrative data provided information that could be used to identify factors affecting return to work, better information on injury severity would considerably enhance their research potential.

Incapacidad laboral por patología del aparato locomotor en la Comunidad Foral de Navarra: Aspectos epidemiológicos

Disability produced by locomotor pathology causes a loss in working hours and indirect costs that are increasing at a growing rate. The aims of this study are to estimate the costs in total working hours lost caused by this pathology in two health areas of Navarra with 441,600 inhabitants, to obtain standards for the duration and incidence of sick leave and to study the relation between the average duration of sick leave and variables such as the geographical accessibility of the rehabilitation services, residence in a rural or urban milieu, and between the different health areas. We study all the processes of temporary disability due to pathology of the locomotor system in Health Areas I and III of Navarra in 1997 and 1998, taking different variables into account. We make a descriptive study of the pathologies, counting the working days lost. We calculate the annual incidence of sick leave because of pathologies. We compare average duration with other variables. These represent 221,054 lost working days per year. Low back pain and sprained ankles are the most frequent processes. We find an increase in the incidence of temporary disability due to low back pain and lumbar/sciatica in the basic rural areas of the middle region. There are no statistically significant differences with a p<0.05 in the duration of temporary disability according to Health Area, rural or urban milieu or geographical accessibility to the Rehabilitation Services. A statistically significant fall can be observed in the first year of operation of a temporary disability management program.

Prediction of the duration of temporary disability in a particular patient

The duration of diseases with temporary disability is a complex multifactorial derivative, which reflects sanitary-demographic, socio-hygienic, socio-economic and other characteristics of the phenomenon under study. By its value and dynamics it is possible to judge about the effectiveness and quality of medical care. Correct definition of terms of temporary disability, adequate treatment, rational employment in complex with other therapeutic-health-improving measures act as indispensable condition of patient's recovery and restoration of his ability to work.