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Rafaela B. Nava-Piñeiro 1, Amós A. Santiago-Santos 2, Clara L. Varela-Tapia 3, Daniel Martínez-Barro 4
1 Servicio de Salud en el Trabajo del Hospital General de Zona 15, Instituto Mexicano del Seguro Social (IMSS), Reynosa, Tamaulipas, México; 2 Servicio de Rehabilitación Laboral de la Unidad de Medicina Física y Rehabilitación Norte, Unidad Médica de Alta Especialidad (UMAE) de Traumatología, Ortopedia y Rehabilitación Dr. Victorio de la Fuente Narváez, IMSS, Ciudad de México, México; 3 Subdirección Médica de la Unidad de Medicina Física y Rehabilitación Norte, UMAE de Traumatología, Ortopedia y Rehabilitación Dr. Victorio de la Fuente Narváez, IMSS, Ciudad de México, México; 4 Servicio de Rehabilitación del Hospital General Regional No. 6 Ignacio García Téllez, IMSS, Ciudad Madero, Tamaulipas, México
Rafaela B. Nava-Piñeiro, Amós A. Santiago-Santos, Clara L. Varela-Tapia, Daniel Martínez-Barro
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*Correspondence: Daniel Martínez-Barro. Email: danielll.777@hotmail.com
Objective: To determine the risk factors associated with prolonged temporary work disability (TWD) in patients with COVID-19 in a rehabilitation unit. Methods: A cross-sectional, descriptive, and analytical study was carried out. Records of patients with TWD for work secondary to COVID-19 were included. Those who were above the 80th percentile (203 days) was considered prolonged TWD. Clinical and demographic variables were compared between groups of patients with prolonged and non-prolonged TWD. The significant variables were included in a binary logistic regression model; p < 0.05 was considered significant. Results: Systemic arterial hypertension (OR: 1.66; 95% CI: 1.66-4.72; p < 0.01), severity of COVID-19 (OR: 1.82; 95% CI: 1.06-3.14; p = 0.02), dependence on activities of daily living (OR: 3.34; 95% CI: 1.4-7.98; p < 0.01), type of occupational risk insurance (OR: 2.03; 95% CI: 1.02-4.05; p = 0.04) and the consequences of COVID-19 (OR: 1.87; 95% CI: 1.41-2.47; p < 0.01) are risk factors for prolonged ITT. Conclusions: Monitoring the risk factors for prolonged TWD in working patients recovered from COVID-19 will be of vital importance to document its impact in the medical, legal, economic, administrative, and social field in the medium and long term.
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