Airaksinen et al reported a model for predicting work disability following injury. The authors are from the Finnish Institute of Occupational Health, University of Helsinki, University of Turku, Harvard University and University College London.
Patient selection: injured worker
Outcome: work disability in 10 years
Parameters:
(1) age of the patient
(2) self-rated health
(3) number of sickness absences in previous year
(4) socioeconomic position
(5) number of chronic diseases
(6) difficulty falling asleep
(7) body mass index (BMI) in kg per square meter
(8) smoking
Parameter |
Finding |
Points |
age of the patient |
< 35 years |
0 |
|
35 to 39 |
7.5 |
|
40 to 44 |
14 |
|
45 to 49 |
28.6 |
|
50 to 54 |
41.7 |
|
>= 55 |
50 |
self-rated health |
good |
0 |
|
rather good |
7.5 |
|
moderate |
50 |
|
rather poor |
102 |
|
poor |
137.5 |
number of work absences |
0 |
0 |
|
1 |
14 |
|
2 |
24 |
|
3 |
36.7 |
socioeconomic position |
manager |
0 |
|
senior specialist |
1.4 |
|
specialist |
10.2 |
|
office worker |
10.24 |
|
service worker |
17.6 |
|
process worker |
17 |
|
other |
21.4 |
number of chronic diseases |
0 |
0 |
|
1 |
7.2 |
|
2 |
14.3 |
|
3 |
17.2 |
BMI |
< 18.5 |
5.5 |
|
18.5 to 24.9 |
0 |
|
25 to 29.9 |
2.1 |
|
>= 30 |
5.6 |
smoking |
no |
0 |
|
yes |
5.3 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 192.7
value of X =
= (0.04445 * (score)) - 5.037
probability of work disability at 10 years =
= 1 / (1 + EXP((-1) * X))
Performance:
• The area under the ROC curve is 0.84.
Specialty: Sports Medicine & Rehabilitation