Estimació d'episodis d'incapacitat temporal per contingències comunes relacionats amb un accident de treball previ a Catalunya

catalaObjectiu: Estimar la frequencia d’incapacitats temporals per contingencia comuna (ITcc) derivades d’accidents de treball previs amb (ATB) o sense baixa (ATSB). Metodes: Estudi longitudinal prospectiu. Es van seleccionar els treballadors/ores amb ATB/ATSB notificats al Registre d’accidents de treball de Catalunya l’ultim trimestre de 2009. Es va fer un seguiment durant els sis mesos posteriors a l’alta (ATB) o l’accident (ATSB) segons el sexe i l’ocupacio. Les fonts d’informacio van ser els registres oficials de l’autoritat laboral y sanitaria. Es va definir “ITcc compatible amb AT” si es produia en els sis mesos seguents pel mateix grup diagnostic. Es va calcular la frequencia absoluta i relativa d’ITcc segons el temps transcorregut i durada (dies acumulats, les mesures de tendencia central i la dispersio) segons grup diagnostic o area del cos afectada comparant-lo amb el conjunt de Catalunya. Resultats: Un 2,9% d'ATB (627) va presentar una ITcc compatible amb AT amb diferencies segons diagnostic, sexe i ocupacio i un 2,1%d’ATSB (496). A igual diagnostic la durada dels ATB va ser superior entre els que van presentar una ITcc compatible amb ells i la durada d’aquestes ITcc, superior al conjunt del pais. Conclusions: Una part de la infradeclaracio de patologia laboral correspon a episodis reconeguts com a laborals en un primer moment. La durada de la incapacitat no dependria unicament del proces (diagnostic i curs clinic) sino tambe d’altres criteris de gestio de lesMutues que comportarien que lesions mes complicades serien derivades a l’assistencia publica amb consequencies personals, legals, sanitaries i de cost economic per a tots els implicats. EnglishObjectives: To estimate the frequency of non-work sickness absence (ITcc) related to previous occupational injuries with (ATB) or without (ATSB) sick leave. Methods: Prospective longitudinal study. Workers with ATB or ATSB notified to the Occupational Accident Registry of Catalonia were selected in the last term of 2009. They were followed-up for six months after returning to work (ATB) or after the accident (ATSB), by sex and occupation. Official labor and health authority registries were used as information sources. An “injury-associated ITcc” was defined when the sick leave occurred in the following six months and within the same diagnosis group. The absolute and relative frequency were calculated according to time elapsed and its duration (cumulated days, measures of central trend and dispersion), by diagnosis group or affected body area, as compared to all of Catalonia. Results: 2,9%of ATB (n=627) had an injury-associated ITcc, with differences by diagnosis, sex and occupation; this was also the case for 2,1% of ATSB (n=496).With the same diagnosis, duration of ITcc was longer among those who had an associated injury, and with respect to all of Catalonia. Conclusions: Some of the under-reporting of occupational pathology corresponds to episodes initially recognized as being work-related. Duration of sickness absence depends not only on diagnosis and clinical course, but also on criteria established by the entities managing the case. This could imply that more complicated injuries are referred to the national health system, resulting in personal, legal, healthcare and economic cost consequences for all involved stakeholders.