Contacts with general practitioner, sick leave and work participation after electrical injuries: a register-based, matched cohort study

Karin Biering; Jesper Medom Vestergaard; Kent Jacob Nielsen; Ole Carstensen; Anette Kærgaard

doi:10.1136/oemed-2020-106858

Contacts with general practitioner, sick leave and work participation after electrical injuries: a register-based, matched cohort study

Karin Biering^*, Jesper Medom Vestergaard, Kent Jacob Nielsen, Ole Carstensen, Anette Kærgaard

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Arbejdsmedicin, RHG

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

OBJECTIVE: Exposure to electrical current may cause injury with both mental and physiological consequences. This may lead to increased contacts with general practitioners (GP) and the injured person may develop reduced ability to work. We aimed to examine these outcomes in terms of work-participation, long-term sick leave and contacts with GPs.

METHODS: In a matched cohort design, we identified 14 112 electrical injuries in two registries and matched these with both patients with distorsion injuries or eye injuries, and with persons from the same occupation, using year of injury, sex and age for matching. We defined the outcomes based on register information regarding contacts with GPs and public transfer income. After the injury, we determined if the person had a long-term sick leave episode during the first 6, 12 months and 5 years. We calculated work participation during the year and 5 years and the number of GP contacts in the year of the injury, the year after and 5 years after the injury and dichotomised this at twice the mean number of contacts in the study population. The associations were analysed using conditional logistic regression.

RESULTS: We found increased risk for all defined outcomes, with the highest estimates in the occupation match. The risk estimates were similar over time. Adjusting for previous work participation increased the estimates slightly, whereas adjusting for previous contacts with GPs reduced the estimates. Restricting to those with at longer hospitalisation increased the estimates.

CONCLUSION: Electrical injuries increase risk of long-term sick leave, low work participation and increased contacts with GPs.

Originalsprog	Engelsk
Tidsskrift	Occupational & Environmental Medicine
Vol/bind	78
Nummer	1
Sider (fra-til)	54-60
Antal sider	7
ISSN	1351-0711
DOI	https://doi.org/10.1136/oemed-2020-106858
Status	Udgivet - jan. 2021

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10.1136/oemed-2020-106858

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title = "Contacts with general practitioner, sick leave and work participation after electrical injuries: a register-based, matched cohort study",

abstract = "OBJECTIVE: Exposure to electrical current may cause injury with both mental and physiological consequences. This may lead to increased contacts with general practitioners (GP) and the injured person may develop reduced ability to work. We aimed to examine these outcomes in terms of work-participation, long-term sick leave and contacts with GPs.METHODS: In a matched cohort design, we identified 14 112 electrical injuries in two registries and matched these with both patients with distorsion injuries or eye injuries, and with persons from the same occupation, using year of injury, sex and age for matching. We defined the outcomes based on register information regarding contacts with GPs and public transfer income. After the injury, we determined if the person had a long-term sick leave episode during the first 6, 12 months and 5 years. We calculated work participation during the year and 5 years and the number of GP contacts in the year of the injury, the year after and 5 years after the injury and dichotomised this at twice the mean number of contacts in the study population. The associations were analysed using conditional logistic regression.RESULTS: We found increased risk for all defined outcomes, with the highest estimates in the occupation match. The risk estimates were similar over time. Adjusting for previous work participation increased the estimates slightly, whereas adjusting for previous contacts with GPs reduced the estimates. Restricting to those with at longer hospitalisation increased the estimates.CONCLUSION: Electrical injuries increase risk of long-term sick leave, low work participation and increased contacts with GPs.",

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note = "{\textcopyright} Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2021",

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doi = "10.1136/oemed-2020-106858",

language = "English",

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Contacts with general practitioner, sick leave and work participation after electrical injuries: a register-based, matched cohort study. / Biering, Karin ; Vestergaard, Jesper Medom ; Nielsen, Kent Jacob et al.
I: Occupational & Environmental Medicine, Bind 78, Nr. 1, 01.2021, s. 54-60.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Contacts with general practitioner, sick leave and work participation after electrical injuries

T2 - a register-based, matched cohort study

AU - Biering, Karin

AU - Vestergaard, Jesper Medom

AU - Nielsen, Kent Jacob

AU - Carstensen, Ole

AU - Kærgaard, Anette

N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2021/1

Y1 - 2021/1

N2 - OBJECTIVE: Exposure to electrical current may cause injury with both mental and physiological consequences. This may lead to increased contacts with general practitioners (GP) and the injured person may develop reduced ability to work. We aimed to examine these outcomes in terms of work-participation, long-term sick leave and contacts with GPs.METHODS: In a matched cohort design, we identified 14 112 electrical injuries in two registries and matched these with both patients with distorsion injuries or eye injuries, and with persons from the same occupation, using year of injury, sex and age for matching. We defined the outcomes based on register information regarding contacts with GPs and public transfer income. After the injury, we determined if the person had a long-term sick leave episode during the first 6, 12 months and 5 years. We calculated work participation during the year and 5 years and the number of GP contacts in the year of the injury, the year after and 5 years after the injury and dichotomised this at twice the mean number of contacts in the study population. The associations were analysed using conditional logistic regression.RESULTS: We found increased risk for all defined outcomes, with the highest estimates in the occupation match. The risk estimates were similar over time. Adjusting for previous work participation increased the estimates slightly, whereas adjusting for previous contacts with GPs reduced the estimates. Restricting to those with at longer hospitalisation increased the estimates.CONCLUSION: Electrical injuries increase risk of long-term sick leave, low work participation and increased contacts with GPs.

AB - OBJECTIVE: Exposure to electrical current may cause injury with both mental and physiological consequences. This may lead to increased contacts with general practitioners (GP) and the injured person may develop reduced ability to work. We aimed to examine these outcomes in terms of work-participation, long-term sick leave and contacts with GPs.METHODS: In a matched cohort design, we identified 14 112 electrical injuries in two registries and matched these with both patients with distorsion injuries or eye injuries, and with persons from the same occupation, using year of injury, sex and age for matching. We defined the outcomes based on register information regarding contacts with GPs and public transfer income. After the injury, we determined if the person had a long-term sick leave episode during the first 6, 12 months and 5 years. We calculated work participation during the year and 5 years and the number of GP contacts in the year of the injury, the year after and 5 years after the injury and dichotomised this at twice the mean number of contacts in the study population. The associations were analysed using conditional logistic regression.RESULTS: We found increased risk for all defined outcomes, with the highest estimates in the occupation match. The risk estimates were similar over time. Adjusting for previous work participation increased the estimates slightly, whereas adjusting for previous contacts with GPs reduced the estimates. Restricting to those with at longer hospitalisation increased the estimates.CONCLUSION: Electrical injuries increase risk of long-term sick leave, low work participation and increased contacts with GPs.

KW - health and safety

KW - health services research

KW - occupational health practice

KW - public health

KW - sickness absence

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U2 - 10.1136/oemed-2020-106858

DO - 10.1136/oemed-2020-106858

M3 - Journal article

C2 - 33139345

SN - 1351-0711

VL - 78

SP - 54

EP - 60

JO - Occupational & Environmental Medicine

JF - Occupational & Environmental Medicine

IS - 1

ER -

Contacts with general practitioner, sick leave and work participation after electrical injuries: a register-based, matched cohort study

Abstract

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