Risk factors of hospitalization for carpal tunnel syndrome among the general working population

Show full item record



Permalink

http://hdl.handle.net/10138/313486

Citation

Hulkkonen , S , Shiri , R , Auvinen , J , Miettunen , J , Karppinen , J & Ryhanen , J 2020 , ' Risk factors of hospitalization for carpal tunnel syndrome among the general working population ' , Scandinavian Journal of Work, Environment & Health , vol. 46 , no. 1 , pp. 43-49 . https://doi.org/10.5271/sjweh.3835

Title: Risk factors of hospitalization for carpal tunnel syndrome among the general working population
Author: Hulkkonen, Sina; Shiri, Rahman; Auvinen, Juha; Miettunen, Jouko; Karppinen, Jaro; Ryhanen, Jorma
Contributor: University of Helsinki, Department of Surgery
University of Helsinki, Finnish Institute of Occupational Health (TTL)
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
Date: 2020
Language: eng
Number of pages: 7
Belongs to series: Scandinavian Journal of Work, Environment & Health
ISSN: 0355-3140
URI: http://hdl.handle.net/10138/313486
Abstract: Objectives Carpal tunnel syndrome (CTS) causes a considerable amount of sick leave and healthcare costs. The etiology of CTS is multifactorial, involving both personal and occupational risk factors. To date, few prospective cohort studies on occupational risk factors of CTS have examined the general working population. Methods The study population consisted of participants from the Northern Finland Birth Cohort of 1966 who attended the 31-year follow-up in 1997 and were working >= 3 days a week in a paid job (N=6326). Information on socio-economic status, weight and height, smoking, exposure to occupational physical factors, and long-term illnesses was collected at baseline in 1997. Data on hospitalizations due to CTS came from the Care Register for Health Care, 1997-2016. Results Between 1997 and 2016, 3.4% of the participants had been hospitalized (attended secondary care) for CTS. After adjusting for confounders, women [hazard ratio (HR) 3.77, 95% confidence interval (CI) 2.70-5.25], overweight/obese participants (HR 1.69, 95% CI 1.29-2.22), smokers (HR 1.48, 95% CI 1.12-1.96), farmers and manual workers (HR 3.02, 95% CI 1.85-4.92 compared with upper clerical workers), lower clerical workers (HR 1.74, 95% CI=1.08-2.80), workers exposed to hand vibration (HR 2.29, 95% CI 1.48-3.54) and participants with physically demanding jobs (HR 1.71, CI 1.06-2.76) were at increased risk of hospitalization for CTS. Physically demanding work increased the risk of hospitalization for CTS for overweight/obese participants at baseline, but not for participants of normal weight. Conclusions Excess body mass and occupational physical factors increase the risk of hospitalization for CTS. Excess body mass potentiates the adverse effects of strenuous work on CTS.
Subject: cohort study
median nerve
musculoskeletal disorder
occupational exposure
overweight
MANUAL WORK
PREVALENCE
INDUSTRIAL
PREDICTORS
DISORDERS
EXPOSURE
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
43_49_hulkkonen_1.pdf 1.140Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record