Main Article Content
Abstract
Work-related injury is one of the causes of disability in the employable population in the Russian Federation. Adequate treatment at the stationary and ambulatory stages is the basis the return of injured persons to work.
Objective – to analyze the medical and social parameters of persons with severe work-related injury and the outcomes of their ambulatory rehabilitation.
Material and methods. We analyzed the outcomes of the treatment and rehabilitation of 52 patients with severe work-related injury at the hospitals of the city of Novokuznetsk in 2023-2025.
Results. We found that persons with severe work-related injury were mostly middle-aged men (84.6%) who were workers (80.8%). The main causes of severe work-related injury were multiple and combined injury (57.7%), spinal injury (25.8%) and fractures of tubular bones (11.5%). The longest total duration of treatment and rehabilitation was observed in patients with multiple and combined injury, fractures of tubular bones and spine fractures (6.7 to 7.8 months). The same groups of patients needed a long ambulatory rehabilitation (6.9 months).
Conclusion. After the provision of medical care characterized by long duration, continuity and technological effectiveness, in over 80% of persons with severe work-related injury, as shown by medical and social evaluation, the loss of working ability was less than 60%, i.e., the patients could either go on working at the same place or undergo vocational retraining.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
1. Mironov SP, Eskin NA, Andreyeva TM, Ogryzko EV, Shepeleva EA. Changes in traumatism among the adult population of the Russian Federation. Journal of Traumatology and Orthopedics. 2019; (3): 5-13. Russian (Миронов С.П., Еськин Н.А., Андреева Т.М., Огрызко Е.В., Шелепова Е.А. Динамика травматизма среди взрослого населения Российской Федерации //Вестник травматологии и ортопедии им. Н.Н. Приорова. 2019. № 3. С. 5-13.) doi: 10.17116/vto20190315
2. Bae SW, Jeong I, Yoon J-H, Lee SW, Kim TH, Won J-U. Relationship between workers' return to work, job retention and income in industrial accidents in Korea: A longitudinal study. BMJ Open. 2021; 11(4): e039948. doi: 10.1136/bmjopen-2020-039948
3. Medical and social characteristics of, and rehabilitation results in persons with severe trauma injured at work in Kemerovo Region]. Politravma. 2025; (1): 25-33. Russian (Жестикова М.Г., Васильченко Е.М., Колмогоров А.Г. Медико-социальная характеристика и результаты реабилитации пострадавших на производстве с тяжелой травмой в Кемеровской области – Кузбассе //Политравма. 2025. № 1. С. 25-33.) doi: 10.24412/1819-1495-2025-1-25-33
4. Sevastyanov MA, Vladimirova ON, Bozhkov IA, Bondarev SA. Structure of disability and measures of rehabilitation of persons who sustained industrial injury in the Russian Federation. Journal of the All-Russian Society of Specialists in Medical and Social Evaluation, Rehabilitation and Rehabilitation Industry. 2021; 3: 97-106. Russian (Севастьянов М.А., Владимирова О.Н., Божков И.А., Бондарев С.А. Структура инвалидности и показатели реабилитации пострадавших на производстве в Российской Федерации //Вестник Всероссийского общества специалистов по медико-социальной экспертизе, реабилитации и реабилитационной индустрии. 2021. № 3. С. 97-106.) doi: 10.17238/issn1999-2351.2021.3.97-106
5. Bakirov AB, Karamova LM, Karimova LK, Vlasova NV, Shapoval IV, Basharova GR. Modern problems of fatal occupational injuries. Literature review. Occupational health and human ecology. 2024; 1: 25-48. Russian (Бакиров А.Б., Карамова Л.М., Каримова Л.К., Власова Н.В., Шаповал И.В., Башарова Г.Р. Современные проблемы производственного травматизма со смертельным исходом. Обзор литературы //Медицина труда и экология человека. 2024. № 1. С. 25-48.) doi: 10.24412/2411-3794-2024-10102
6. Shapoval IV, Karimova LK, Tikhonova GI, Churanova AN, Astrelina TN, Fagamova AZ, et al. Fatal industrial injuries in the Republic of Bashkortostan. Russian Journal of Occupational Health and Industrial Ecology. 2023; 63(1): 39-46. Russian (Шаповал И.В., Каримова Л.К., Тихонова Г.И., Чуранова А.Н., Астрелина Т.Н., Фагамова А.З., и др. Производственный травматизм со смертельным исходом в Республике Башкортостан //Медицина труда и промышленная экология. 2023. Т. 63, № 1. С. 39-46.) doi: 10.31089/1026-9428-2023-63-1-39-46