Duración de la incapacidad temporal por contingencia común por grupos diagnósticos
Year: 2010
Type: article
Study design: Observational Study
Abstract: espanolOBJETIVOS. Describir la duracion de los episodios de incapacidad temporal por contingencia comun (ITcc) por grupos diagnosticos. METODOS. Cohorte retrospectiva de 258.751 episodios de ITcc de duracion prolongada (>15 dias en trabajadores del regimen general, >3 dias en trabajadores autonomos) iniciados entre 2002 y 2006, gestionados por una mutua de ambito estatal en Espana, y seguidos hasta su alta. Se examino la distribucion de los episodios por el diagnostico medico al alta, segun la duracion mediana (DM), los percentiles 25 y 75, la media y desviacion estandar. RESULTADOS. La DM fue de 73 dias para aquellos casos en los que constaba un diagnostico clinico (n=148.588, 57,4%); los percentiles 25 y 75 fueron de 41 y 143 dias, respectivamente. Las patologias mas frecuentes fueron las osteoarticulares (22,2%), seguidas por las traumatologicas (16,7%) y psiquiatricas (12,3%). Las neoplasias presentaron la mayor DM (201 dias), seguidas por los trastornos psiquiatricos (117 dias), reumatologicos (103 dias) y neurologicos (102 dias), aumentando esta con el sexo femenino, una mayor edad y ser trabajador autonomo. CONCLUSIONES. En las ITcc de duracion prolongada hay importantes diferencias en la duracion de los procesos segun la patologia. Duracion que se ve modulada por el sexo, la edad y el regimen de la seguridad social. Estos datos pueden servir de guia para mejorara la gestion clinica de los procesos que conllevan una incapacidad temporal por contingencia comun. EnglishOBJECTIVES. To describe the typical duration of episodes of nonoccupational temporary sickness absence (SA) by diagnostic groups. METHODS. Retrospective cohort study of 258,751 episodes of temporary SA (lapsing >15 days in employed, >3 days in selfemployed workers) initiated between 2002 and 2006, managed by a Spanish national insurance company and followed until case closure. Distribution of the duration of SA episodes by medical diagnosis at the time of case closure, by median, 25th and 75th percentiles, mean and standard deviation were obtained. RESULTS. Median duration of SA was 73 days for cases where there was a medical diagnosis (n=148,588, 57.4%); the 25th and 75th percentiles were 41 and 143 days, respectively. The most frequent pathologies were musculoskeletal (22.2%), followed by trauma (16.7 %) and psychiatric disorders (12.3%). Neoplasms had the longest median duration (201 days), followed by psychiatric (117 days), rheumatologic (103 days) and neurological disorders (102 days). Duration was greater among women, older age groups and self-employed workers. CONCLUSIONS. In prolonged SA, there are significant differences in duration by clinical diagnosis. This duration is further affected by sex, age and social security scheme. These results, despite their limitations, could be useful to improve the clinical management of the process of sickness absence.
Authors: George L. Delclos, Manuel Plana, Silvia García, Dolors Vila, Juan Carlos López, Fernando G. Benavides, Maite Sampere, Consol Serra
Institution: Texas Medical Center
Language: Spanish
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W196437670