ABSTRACT
Background: The evaluation of disability is highly relevant for the study and clinical follow-up of pain. Reliable and culturally valid instruments are required for this purpose. Aim: To adapt and to validate the Roland-Morris Disability Questionnaire (RDQ) to measure disability in low back pain Chilean patients and to study the psychometric properties of an abbreviated six item version of this instrument. Material and Methods: The instrument’s original version was translated and back translated into Spanish, and specialists ensured the cultural validation to Chile. Disability mental health using the Goldberg General Health Questionnaire (GHQ-12) and pain using a visual analogue scale (VAS) were evaluated in 206 patients, during a medical appointment due to acute low back pain. Results: The Chilean version of the original 24-item RDQ and the new six item version showed adequate internal consistency. The short version also showed a good convergent validity. It had the same pattern of correlations with VAS and GHQ-12 scales, as the original 24 item scale. Greater disability was associated with higher pain intensity and poorer mental health. The construct validity analysis identified one factor, for both versions of the RDQ. Conclusions: The adapted Chilean version of the original RDQ is a reliable and valid questionnaire, as well as the new abbreviated six items version, which showed adequate psychometric properties.
Subject(s)
Adolescent , Adult , Humans , Middle Aged , Young Adult , Disability Evaluation , Low Back Pain/diagnosis , Surveys and Questionnaires , Translations , Chile , Cross-Cultural Comparison , Disabled Persons , Occupational Diseases/diagnosis , Pain Measurement , PsychometricsABSTRACT
La Ley 16.744 de Accidentes del Trabajo y Enfermedades Profesionales establece que las mutualidades administradoras de la Ley deben proceder a la Evaluación de Incapacidad de todo trabajador beneficiario de dicha Ley, después de terminado su tratamiento, no quedando acciones médicas pendientes y persistiendo secuelas. Para este efecto, la ACHS posee una Comisión Central Evaluadora de Incapacidades y otras 10 comisiones regionales distribuidas a lo largo de todo Chile. Se realiza una descripción de la actividad 2007 de las 11 Comisiones Evaluadoras de Incapacidad para personas con secuelas de Accidentes del Trabajo de la ACHS. Se revisa la totalidad de Resoluciones de Incapacidad emitidas por la Comisión Central de Evaluación de Incapacidad (CCEI) y por las 10 Comisiones Regionales, de la ACHS. En los resultados destaca: 1) Casi el 90 por ciento de los pacientes evaluados son de género masculino, a pesar de que representan alrededor del 65 por ciento de la masa afiliada. 2) Las lesiones principales más frecuentes que son motivo de una Evaluación de Incapacidad son las provocadas por traumatismos de las extremidades superiores. 3) Alrededor del 16 por ciento de los pacientes apela ante la Comisión Médica de Reclamos. Corresponde a un 35 por ciento menos que en años previos. 4) Desde octubre de 2006 la CCEI está aplicando una modalidad de evaluación diferente a la que se utilizó previamente. Esto es, reunirse 2 veces por semana para examinar en persona a todos los pacientes evaluados, entregarles directamente el resultado de la evaluación, explicándoles los fundamentos técnicos en los que se apoya la decisión. De esta manera el paciente queda mucho más tranquilo, se siente mejor evaluado que en la modalidad antigua (no presencial) y agradece la información que se le entrega. Además de quedar satisfechos por realizar un trabajo de mejor calidad técnica, queda demostrado, según la actividad 2007, que se logran disminuir las apelaciones de los pacientes ante la...
Law 16.744 on Work Accidents and Occupational Diseases establishes that Mutual Health Organizations that administer the law must proceed to the evaluation of disability of all workers beneficiary of said law, after his treatment is completed, with no pending medical actions and sequels. To this effect, the ACHS has a Central Disabilities Evaluation Commission and other 10 regional commissions along the country. A description of the activity carried out during year 2007 by the 11 Disability Evaluating Commissions for people with sequels from work accidents of the ACHS is made. The total of the Disability Resolutions issued by the Central Disabilities Evaluation Commission (CCEI) are reviewed as well as those issued by the 10 Regional Commissions of the ACHS. Findings highlight the following: 1) Almost a 90 percent of evaluated patients are males, although they represent around the 65 percent of the affiliated mass. 2) Main more frequent lesions which are subject of Disability Evaluation are produced by upper extremities trauma. 3) Around a 16 percent of patients appeal to the Medical Commission of Claims. This figure is a 35 percent less than in previous years. 4) Since October 2006, the CCEI is applying an evaluation modality that is different from the one used previously. This is, meeting twice a week to examine personally all evaluated patients, giving the result of the evaluation directly to them, explaining the technical grounds on which the decision is based. Thus the patient remains much more relaxed, feels better evaluated than with the former modality (non presential) and he thanks for the information he is given. In addition to being satisfied for performing a better technical quality work, it is shown, according to activity of 2007, that appellations of patients to the Central Disabilities Evaluation Commission (COMERE) decrease.
Subject(s)
Accidents, Occupational , Disability Evaluation , ChileABSTRACT
The post concussion syndrome has been debated in the literatura for many years, particulary with reference to patients suffering mild head injury. Usually the development of symptoms begin inmediatly or in the next three month after head injury. Symptoms are associated wíth cognitive deficits and neurobehavioral manifestations. There is not a specific treatment. The present study pretends to describe the post concussion syndrome and its epidemiological and clinical characteristic in patients with head injury due to work accidents
Subject(s)
Humans , Male , Female , Adult , Accidents, Occupational/statistics & numerical data , Brain Concussion/complications , Neurologic Manifestations , Depression/epidemiology , Headache/epidemiology , Memory Disorders/epidemiology , Sleep Initiation and Maintenance Disorders/epidemiology , Statistics on Sequelae and DisabilityABSTRACT
El síndrome de dolor lumbar (SDL) corresponde a un grupo heterogéneo de cuadros clínicos de diversa etiología que representa un problema creciente tanto a nivel médico como laboral. Se ha establecido alguna asociación entre dolor prolongado y manifestaciones depresivas. En este trabajo retrospectivo se estudió la prevalencia y factores pronósticos de la depresión mayor en un grupo de 335 pacientes con SDL derivados al Servicio de Salud Mental entre los años 1987-1989. La prevalencia de depresión mayor fue 14,3%. Las mujeres constituyeron el 35,4%de la muestra, cifra mayor a la de la población total de pacientes (p < 0,01). Los pacientes con depresión mayor fueron atendidos durante 5,2 meses, recibiendo un promedio de 8 consultas. A todos se les administró psicofármacos. El 31,3 fue derivado después de 6 meses de evolución del SDL. Evolucionó satisfactoriamente el 55,8. La única variable que influyó significativamente en la evolución fue la edad en los varones