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Médecine du travail du personnel hospitalier

Identification of risk factors for fatigue and pain when performing surgical interventions

Auteur     Alessandra Rodigari
Auteur     Maurizio Bejor
Auteur     Ettore Carlisi
Auteur     Claudio Lisi
Auteur     Carmine Tinelli
Auteur     Elena Dalla Toffola
Résumé     OBJECTIVE: Evaluation of fatigue and pain following surgical activities. METHODS: Cross-sectional study. We distributed a self-evaluation questionnaire to 180 surgeons to investigate working postures and fatigue and/or pain following working activities. RESULTS: 100 surgeons replied (74 male), mean age 40.1 (SD 10.85; 26-65). Multivariate analysis suggests that the highest risk factor for developing muscle fatigue whilst performing surgical operations is standing compared to sitting (OR: 4.92; 95% CI: 1.32-18.33),followed by the ability to alternate between the two postures (OR: 3.46: 95% CI: 1.26-9.52). Surgeons who complain of intense fatigue when standing have 16 times the risk of developing musculoskeletal pain than surgeons who complain of light fatigue when standing (OR: 15.77; 95% CI: 1.51-164.37). The ability to adjust the height of the operating table before each operation reduces the risk of developing musculoskeletal pain by 83% (OR: 017; 95% CI: 0.03-0.87); 90.9% of surgeons who rest their forearms for less than half the duration of an operation reported pain. CONCLUSIONS: Fatigue and pain associated with performing surgical interventions could be managed more effectively by: controlling the working posture, being able to rest forearms, being able to regulate the height of the operating table, and possibly by applying the ergonomic guidelines.
Publication     Giornale italiano di medicina del lavoro ed ergonomia
Volume     34
Numéro     4
Pages     432-437
Date     2012 Oct-Dec

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