Identification of risk factors for fatigue and pain when performing surgical interventions

Alessandra Rodigari, Maurizio Bejor, Ettore Carlisi, Claudio Lisi, Carmine Tinelli, Elena Dalla Toffola

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Evaluation of fatigue and pain following surgical activities. Methods: Cross-sectional study. We distributed a self-evaluation questionnaire to 180 surgeons to investigate working postures and fatigue and/or pain following working activities. Results: 100 surgeons replied (74 male), mean age 40.1 (SD 10.85; 26-65). Multivariate analysis suggests that the highest risk factor for developing muscle fatigue whilst performing surgical operations is standing compared to sitting (OR: 4.92; 95% CI: 1.32-18.33), followed by the ability to alternate between the two postures (OR: 3.46:95% CI: 1.26-9.52). Surgeons who complain of intense fatigue when standing have 16 times the risk of developing musculoskeletal pain than surgeons who complain of light fatigue when standing (OR: 15.77; 95% CI: 1.51-164.37). The ability to adjust the height of the operating table before each operation reduces the risk of developing musculoskeletal pain by 83% (OR: 0.17; 95% CI: 0.03-0.87); 90.9% of surgeons who rest their forearms for less than half the duration of an operation reported pain. Conclusions: Fatigue and pain associated with performing surgical interventions could be managed more effectively by: controlling the working posture, being able to rest forearms, being able to regulate the height of the operating table, and possibly by applying the ergonomic guidelines.

Original languageEnglish
Pages (from-to)432-437
Number of pages6
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume34
Issue number4
Publication statusPublished - Oct 2012

Fingerprint

Fatigue
Pain
Posture
Operating Tables
Musculoskeletal Pain
Aptitude
Forearm
Muscle Fatigue
Diagnostic Self Evaluation
Human Engineering
Multivariate Analysis
Cross-Sectional Studies
Surgeons
Guidelines

Keywords

  • Fatigue
  • Pain
  • Posture
  • Surgery

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{61988a7e603546c5b4aa66d3e89e95ba,
title = "Identification of risk factors for fatigue and pain when performing surgical interventions",
abstract = "Objective: Evaluation of fatigue and pain following surgical activities. Methods: Cross-sectional study. We distributed a self-evaluation questionnaire to 180 surgeons to investigate working postures and fatigue and/or pain following working activities. Results: 100 surgeons replied (74 male), mean age 40.1 (SD 10.85; 26-65). Multivariate analysis suggests that the highest risk factor for developing muscle fatigue whilst performing surgical operations is standing compared to sitting (OR: 4.92; 95{\%} CI: 1.32-18.33), followed by the ability to alternate between the two postures (OR: 3.46:95{\%} CI: 1.26-9.52). Surgeons who complain of intense fatigue when standing have 16 times the risk of developing musculoskeletal pain than surgeons who complain of light fatigue when standing (OR: 15.77; 95{\%} CI: 1.51-164.37). The ability to adjust the height of the operating table before each operation reduces the risk of developing musculoskeletal pain by 83{\%} (OR: 0.17; 95{\%} CI: 0.03-0.87); 90.9{\%} of surgeons who rest their forearms for less than half the duration of an operation reported pain. Conclusions: Fatigue and pain associated with performing surgical interventions could be managed more effectively by: controlling the working posture, being able to rest forearms, being able to regulate the height of the operating table, and possibly by applying the ergonomic guidelines.",
keywords = "Fatigue, Pain, Posture, Surgery",
author = "Alessandra Rodigari and Maurizio Bejor and Ettore Carlisi and Claudio Lisi and Carmine Tinelli and {Dalla Toffola}, Elena",
year = "2012",
month = "10",
language = "English",
volume = "34",
pages = "432--437",
journal = "Giornale Italiano di Medicina del Lavoro ed Ergonomia",
issn = "1592-7830",
publisher = "Tipografia PI-ME Editrice Srl",
number = "4",

}

TY - JOUR

T1 - Identification of risk factors for fatigue and pain when performing surgical interventions

AU - Rodigari, Alessandra

AU - Bejor, Maurizio

AU - Carlisi, Ettore

AU - Lisi, Claudio

AU - Tinelli, Carmine

AU - Dalla Toffola, Elena

PY - 2012/10

Y1 - 2012/10

N2 - Objective: Evaluation of fatigue and pain following surgical activities. Methods: Cross-sectional study. We distributed a self-evaluation questionnaire to 180 surgeons to investigate working postures and fatigue and/or pain following working activities. Results: 100 surgeons replied (74 male), mean age 40.1 (SD 10.85; 26-65). Multivariate analysis suggests that the highest risk factor for developing muscle fatigue whilst performing surgical operations is standing compared to sitting (OR: 4.92; 95% CI: 1.32-18.33), followed by the ability to alternate between the two postures (OR: 3.46:95% CI: 1.26-9.52). Surgeons who complain of intense fatigue when standing have 16 times the risk of developing musculoskeletal pain than surgeons who complain of light fatigue when standing (OR: 15.77; 95% CI: 1.51-164.37). The ability to adjust the height of the operating table before each operation reduces the risk of developing musculoskeletal pain by 83% (OR: 0.17; 95% CI: 0.03-0.87); 90.9% of surgeons who rest their forearms for less than half the duration of an operation reported pain. Conclusions: Fatigue and pain associated with performing surgical interventions could be managed more effectively by: controlling the working posture, being able to rest forearms, being able to regulate the height of the operating table, and possibly by applying the ergonomic guidelines.

AB - Objective: Evaluation of fatigue and pain following surgical activities. Methods: Cross-sectional study. We distributed a self-evaluation questionnaire to 180 surgeons to investigate working postures and fatigue and/or pain following working activities. Results: 100 surgeons replied (74 male), mean age 40.1 (SD 10.85; 26-65). Multivariate analysis suggests that the highest risk factor for developing muscle fatigue whilst performing surgical operations is standing compared to sitting (OR: 4.92; 95% CI: 1.32-18.33), followed by the ability to alternate between the two postures (OR: 3.46:95% CI: 1.26-9.52). Surgeons who complain of intense fatigue when standing have 16 times the risk of developing musculoskeletal pain than surgeons who complain of light fatigue when standing (OR: 15.77; 95% CI: 1.51-164.37). The ability to adjust the height of the operating table before each operation reduces the risk of developing musculoskeletal pain by 83% (OR: 0.17; 95% CI: 0.03-0.87); 90.9% of surgeons who rest their forearms for less than half the duration of an operation reported pain. Conclusions: Fatigue and pain associated with performing surgical interventions could be managed more effectively by: controlling the working posture, being able to rest forearms, being able to regulate the height of the operating table, and possibly by applying the ergonomic guidelines.

KW - Fatigue

KW - Pain

KW - Posture

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=84875773153&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875773153&partnerID=8YFLogxK

M3 - Article

C2 - 23477110

AN - SCOPUS:84875773153

VL - 34

SP - 432

EP - 437

JO - Giornale Italiano di Medicina del Lavoro ed Ergonomia

JF - Giornale Italiano di Medicina del Lavoro ed Ergonomia

SN - 1592-7830

IS - 4

ER -