Prävalenz muskuloskelettaler Beschwerden bei Ärztinnen und Ärzten der Gefäßchirurgie – eine Querschnittsstudie
摘要
In medical settings, lead-lined aprons provide protection from ionizing radiation but also result in physical strain that can lead to musculoskeletal complaints (MSC). This study aimed to assess the 12-month prevalence of MSC among vascular surgeons and to investigate potential occupational and sociodemographic confounding factors.
MethodsThe data of this cross-sectional survey were collected between December 2023 and February 2024 using the German version of the Nordic Musculoskeletal Questionnaire. The 12-month prevalence of MSC in the cervical and lumbar spine, shoulder joints and upper arms was recorded. A descriptive and univariate analysis as well as a multivariate logistic regression analysis (odds ratio, OR; 95% confidence interval, CI) were carried out.
ResultsA total of 439 questionnaires were evaluated. Of the participants 89% reported that they had regularly worn a lead-lined apron as part of their work. Depending on the body region, the prevalence of MSC was between 54% and 81%. A significant correlation was identified between awkward postures and MSCs in all body regions. The use of two-piece lead-lined aprons had a protective effect on MSB in shoulder joints and upper arms (OR = 0.56; 95% CI = 0.33–0.95).
ConclusionThis study revealed that MSCs are prevalent among vascular surgeons, particularly those affecting the lumbar and cervical spine. Awkward postures at work had a significant impact on MSCs in all body regions, whereas wearing two-piece lead-lined aprons reduces MSC in the shoulder joints and upper arms. Additional research is needed to identify stressful activities and develop targeted preventive measures.