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A Future Consideration in Occupational Health Assessments?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "209" "paginaFinal" => "210" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Javier Egea Santaolalla, Felix del Campo Matias" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Carlos Javier" "apellidos" => "Egea Santaolalla" "email" => array:1 [ 0 => "carlosegeasantaolalla@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Felix" "apellidos" => "del Campo Matias" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Unidad Funcional de Sueño, Hospital Universitario Araba, Vitoria-Gasteiz, Araba, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Ciber de Enfermedades Respiratorias (CibeRes)" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Universidad País Vasco, UDM, Vitoria-Gasteiz-Araba, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "S. Respiratorio, Hospital Universitario Rio Ortega, Valladolid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Valladolid, Valladolid, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Accidentes laborales, absentismo y productividad en pacientes con apneas del sueño. ¿Futuro condicionante del puesto de trabajo?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Current scientific evidence shows that obstructive sleep apnea–hypopnea syndrome (OSAHS) impacts negatively on most aspects of sufferers’ daily lives, in both the short and long term. Its association with cardiovascular and metabolic diseases, relationship with impaired cognitive function and its impact on accident rates, particularly traffic accidents, have been widely described in the literature.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The effects of OSAHS may lead to poorer quality of life, decreased motivation to maintain a healthy lifestyle, and possible lower compliance with treatment for comorbid conditions.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Despite the economic repercussions, however, the effects of OSAHS in the workplace have not been studied in depth.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2–4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The consequences of OSAHS on widely varying aspects of working life have been reported: temporary sick leave, disability assessments, diminished productivity, stress, dissatisfaction in the workplace, burn-out, and the risk of workplace accidents.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,5</span></a> Although not all studies are consistent in their conclusions, OSAHS patients have been found to be less efficient in their work and are more likely to suffer a work-related accident.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The magnitude of the problem is underlined in a prospective Finnish study, which estimated that OSAHS could double the risk of absenteeism in both women and men.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Jurado-Gamez et al.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> recently found that patients with OSAHS took more sick leave periods of longer than 30 days and had a higher level of psychological distress, although there was no evidence of more workplace accidents.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Assessment of the work-related implications of OSAHS is challenging, given the variety and complexity of the issues. Firstly, intrinsic problems derived from the negative connotations of absenteeism need to be addressed. These issues may originate from a wide range of interrelated factors, such as social problems, job dissatisfaction or the presence of comorbidities. Absenteeism is also so closely linked with macroeconomic indicators, that a fall in the indicators themselves has resulted in a notable drop in absenteeism in recent years.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Secondly, these types of studies often encounter the problem of how to evaluate absenteeism objectively. Indeed, long-term sick leave is not clearly defined in non-work-related accident or illness insurance plans in Spain. In Spanish legislation, long-term leave is defined as twice the standard leave time, although this differs for each disease. Moreover, official data on diagnoses, the duration of leave and the type of event that necessitated the sick leave are very hard to obtain. Consequently, the evaluation of these aspects is often subjective, with an obvious loss of consistency. The duration of sick leave has also been related with multiple factors: professional status vs lower educational level, stress and lack of motivation, type of contract (temporary or permanent), and if the subject has dependent children.</p><p id="par0035" class="elsevierStylePara elsevierViewall">A further difficulty is the methodologies used in the studies themselves, since many fail to describe the techniques used for diagnosis, and do not consider confounding factors. Very few studies report the situation that required the sick leave, and differences between sexes have barely been addressed.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Another largely ignored area is the impact of OSAHS absenteeism on health economics, and the indirect costs generated by the use of CPAP in OSAHS patients of working age are rarely calculated. Yet if these patients were to receive appropriate treatment, specifically with CPAP, productivity would improve and work-related accidents would be reduced.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">One of the OSAHS symptoms that has been most extensively studied in the workplace is excessive daytime sleepiness and its effects on both occupational limitations and the increased risk of accidents, either work-related or while driving. Although daytime sleepiness is a key element in the assessment of disability for work, and can be a reason for granting temporary or permanent incapacity, its effect on suitability for work is determined by only 3, often poorly evaluated factors, namely severity of somnolence, response to treatment and the characteristics of the job.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">In conclusion, convincing scientific evidence and guidelines on OSAHS are sparse, but screening for this disorder could become part of initial and periodical occupational health assessments in the near future.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Egea Santaolalla CJ, Del Campo Matias F. Accidentes laborales, absentismo y productividad en pacientes con apneas del sueño. ¿Futuro condicionante del puesto de trabajo? Arch Bronconeumol. 2015;51:209–210.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep-disordered-breathing and mortality; eighteen-year follow-up of Wisconsin Sleep Cohort" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T. Young" 1 => "L. Finn" 2 => "P. Peppard" 3 => "M. Szklo-Coxe" 4 => "D. Austin" 5 => "J. 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2018 September | 21 | 11 | 32 |
2018 May | 10 | 2 | 12 |
2018 April | 50 | 9 | 59 |
2018 March | 38 | 6 | 44 |
2018 February | 65 | 13 | 78 |
2018 January | 212 | 10 | 222 |
2017 December | 143 | 8 | 151 |
2017 November | 16 | 6 | 22 |
2017 October | 36 | 9 | 45 |
2017 September | 21 | 13 | 34 |
2017 August | 32 | 14 | 46 |
2017 July | 18 | 14 | 32 |
2017 June | 33 | 18 | 51 |
2017 May | 50 | 22 | 72 |
2017 April | 36 | 15 | 51 |
2017 March | 24 | 31 | 55 |
2017 February | 30 | 9 | 39 |
2017 January | 13 | 6 | 19 |
2016 December | 33 | 13 | 46 |
2016 November | 45 | 13 | 58 |
2016 October | 39 | 12 | 51 |
2016 September | 50 | 20 | 70 |
2016 August | 43 | 6 | 49 |
2016 July | 32 | 10 | 42 |
2016 March | 2 | 0 | 2 |
2016 February | 1 | 0 | 1 |
2015 December | 2 | 0 | 2 |
2015 October | 40 | 1 | 41 |
2015 September | 17 | 6 | 23 |
2015 August | 52 | 23 | 75 |
2015 July | 1 | 1 | 2 |
2015 June | 0 | 1 | 1 |
2015 May | 2 | 0 | 2 |
2015 April | 2 | 1 | 3 |