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Intervertebral Disc Disease of the Lumbar Spine in Health Personnel with Occupational Exposure to Patient Handling—A Systematic Literature Review and Meta-Analysis

Author

Listed:
  • Christofer Schröder

    (Department of Occupational Medicine, Public health and Hazardous Substances, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services, 22089 Hamburg, Germany)

  • Albert Nienhaus

    (Department of Occupational Medicine, Public health and Hazardous Substances, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services, 22089 Hamburg, Germany
    Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), 20246 Hamburg, Germany)

Abstract

Lifting or carrying loads or working while the trunk is in a bent position are well established risk factors for the development of disc disease of the lumbar spine (LDD). Patient handling is associated with certain hazardous activities, which can result in exposure to heavy loads and high pressure for the discs of the lumbar spine of the nurses performing these tasks. The purpose of this review was to examine the occurrence of work-related LDD among health personnel (HP) with occupational exposure to patient handling activities in comparison to un-exposed workers. A systematic literature search was conducted using the following databases: PubMed, CINAHL, Scopus, and Web of Science. A meta-analysis of odds ratios (OR) was conducted by stratifying for various factors. Five studies reported a higher prevalence for LDD among nurses and geriatric nurses (11.3–96.3%) compared to all controls (3.78–76.47%). Results of the meta-analysis showed a significantly increased OR for LDD among HP compared to all controls (OR 2.45; 95% confidence interval (CI) 1.41, 4.26). In particular, the results of this review suggest that nurses have a higher probability of developing disc herniation than office workers.

Suggested Citation

  • Christofer Schröder & Albert Nienhaus, 2020. "Intervertebral Disc Disease of the Lumbar Spine in Health Personnel with Occupational Exposure to Patient Handling—A Systematic Literature Review and Meta-Analysis," IJERPH, MDPI, vol. 17(13), pages 1-20, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4832-:d:380469
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    References listed on IDEAS

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    1. Janice Hegewald & Wera Berge & Philipp Heinrich & Ronny Staudte & Alice Freiberg & Julia Scharfe & Maria Girbig & Albert Nienhaus & Andreas Seidler, 2018. "Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?—A Systematic Review of Intervention Studies," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Philipp Näther & Jan Felix Kersten & Ingmar Kaden & Kemal Irga & Albert Nienhaus, 2022. "Distribution Patterns of Degeneration of the Lumbar Spine in a Cohort of 200 Patients with an Indication for Lumbar MRI," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    2. Nika Zielinski & Johanna Stranzinger & Hajo Zeeb & Jan Felix Kersten & Albert Nienhaus, 2021. "Latent Tuberculosis Infection among Health Workers in Germany—A Retrospective Study on Progression Risk and Use of Preventive Therapy," IJERPH, MDPI, vol. 18(13), pages 1-9, July.

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