Die Chronisch Venöse Insuffizienz und ihr häufiges Vorkommen beim Krankenhauspersonal

Ziegler, Sophie; Eckhardt, Gerald; Stoger, R; Machula, Johann; Rüdiger, H. W.

doi:10.1007/bf03040451

Cited by 44 publications

(69 citation statements)

References 26 publications

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“…The strength of this study is that it provided cumulative incidence of VV risk among physicians and nonphysician HCP that was more specific than a previous study in Austria which reported that chronic venous diseases were present in a total of 70 general hospital employees (34%), predominantly among women [21] . However, that study included all chronic venous diseases and not only VV and it did not depict the individual results of physicians or comparisons with other populations [21] .…”

Section: Discussionmentioning

confidence: 97%

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Standing Posture at Work Does Not Increase the Risk of Varicose Veins among Health Care Providers in Taiwan

Huang

Weng

et al. 2017

Med Princ Pract

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Objective: This study compared the risk of varicose veins (VV) among physicians, nonphysician health care providers (HCP), and the general population. Subjects and Methods: The Taiwan National Health Insurance Research Database was used to identify 28,844 physicians and 26,099 nonphysician HCP and an identical number of age- and sex-matched patients from the general population. Using logistic regression analyses, VV risks between physicians and the general population, nonphysician HCP and the general population, and physicians and nonphysician HCP, and among physician specialists were compared by tracing their medical histories between 2007 and 2011. Results: Physicians and nonphysician HCP had cumulative VV incidences of 0.12% (34/28,844) and 0.13% (33/26,099), respectively, during the 5-year period, compared to that of the general population within the same 5-year period. Physicians and nonphysician HCP did not have a higher VV risk than the general population after adjusting for deep vein thrombosis (DVT) history (adjusted odds ratio [AOR] 0.86; 95% confidence interval [CI] 0.53-1.40, and AOR 1.43; 95% CI 0.82-2.50, respectively). Physicians did not a have higher VV risk than nonphysician HCP (AOR 0.80; 95% CI 0.43-1.51) after adjusting for age, sex, and DVT history. Surgery had the highest incidence (0.22%) while pediatrics and emergency medicine had the lowest incidence (0%) of VV risk among physician specialists; however, the difference was not significant (all p values >0.05). Conclusion: In this study, VV risk did not differ among physicians, nonphysician HCP, and the general population.

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Section: Discussionmentioning

confidence: 97%

“…However, that study included all chronic venous diseases and not only VV and it did not depict the individual results of physicians or comparisons with other populations [21] . Our study used the diagnosis made by physicians as the outcome measurement, which was also more objective than the questionnaire used in the abovementioned study.…”

Section: Discussionmentioning

confidence: 99%

Standing Posture at Work Does Not Increase the Risk of Varicose Veins among Health Care Providers in Taiwan

Huang

Weng

et al. 2017

Med Princ Pract

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“…[2][3][4] Laurika et al found an increased prevalence of self-reported VV among Finnish 40, 50, and 60 year old men and women mainly standing at work (OR 1.6; 95% CI 1.4 to 1.8). 2 In a recent German study, Kroeger et al found that both a predominately sitting posture at work and a standing posture at work were associated with the prevalence of self-assessed and clinically diagnosed VV (OR = 2.2; 95% CI 1.2 to 3.9).…”

mentioning

confidence: 99%

Prolonged standing at work and hospitalisation due to varicose veins: a 12 year prospective study of the Danish population: Table 1

Tüchsen

Hannerz²,

Burr³

et al. 2005

Occup Environ Med

119

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Background: Recent studies suggest that prolonged standing at work is associated with the development of diseases of varicose veins (VV). Aims: To assess the risk of hospitalisation due to VV in the lower extremities prospectively in workers standing or walking at least 75% of their time at work. Methods: A representative random sample of 9653 working age adults was drawn from the Central Population Register of Denmark in 1991. Of these, 8664 accepted to be interviewed by telephone (response rate 90%). Respondents (2939 men and 2708 women) were 20-59 years old and employed in 1990. Risk ratios for VV were estimated by log-linear Poisson regression models separately for men and women with adjustment for smoking status, body mass index (BMI), heavy lifting, and, for females only, number of children at baseline. Results: During 12 years of follow up, 40 hospitalisations due to VV were observed among the men and 71 among the women. For employees with jobs that require prolonged standing or walking compared to all other employees, the relative risk was 1.75 (95% CI 0.92 to 3.34) for men and 1.82 (95% CI 1.12 to 2.95) for women. The pooled estimate of the relative risk was 1.78 (95% CI 1.19 to 2.68). The aetiological fraction of prolonged standing or walking at work was estimated as 22.5% for men and 22.6% for women. Conclusions: This prospective study confirms that prolonged standing at work constitutes an excess risk of hospital treatment due to varicose veins and accounts for more than one fifth of all cases of working age.

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“…Although their population was younger and leaner than the one described here, this mechanism could explain why less walking (more static postures) was associated with symptoms of OI among the participants in this study. The fact that chronic venous insufficiency has been found among hospital workers exposed to prolonged standing, particularly women, (Ziegler et al, 2003) suggest that the symptoms reported in this study may warn of circulatory problems to come.…”

Section: Symptoms Of Orthostatic Intolerancementioning

confidence: 78%

“…The results of the multiple regression show a significant effect of being female in addition to the effect of static standing. Several studies report that OI (Fu et al, 2004;Shoemaker et al, 2001;White et al, 1996), headaches (Lyngberg et al, 2005) and chronic venous insufficiency (White and Ryjewski, 2005;Ziegler et al, 2003) are more common in women. Hypotheses involving hormonal effects on symptoms could be explored.…”

Section: Male-female Differencesmentioning

confidence: 97%

Orthostatic symptoms, blood pressure and working postures of factory and service workers over an observed workday

et al. 2008

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Die Chronisch Venöse Insuffizienz und ihr häufiges Vorkommen beim Krankenhauspersonal

Cited by 44 publications

References 26 publications

Standing Posture at Work Does Not Increase the Risk of Varicose Veins among Health Care Providers in Taiwan

Standing Posture at Work Does Not Increase the Risk of Varicose Veins among Health Care Providers in Taiwan

Prolonged standing at work and hospitalisation due to varicose veins: a 12 year prospective study of the Danish population: Table 1

Orthostatic symptoms, blood pressure and working postures of factory and service workers over an observed workday

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