The Predictive Value of Cardiovascular Disease for Shoulder Injuries in a Retrospective Cohort Study.

Thiese, Matthew S; Claflin, Spencer; Allen, Joseph A; Phillips, Andrew · J Occup Environ Med · 2026

retrospective_cohort · Level III

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Abstract

The aim of the study was to assess predictive relationship that cardiovascular disease (CVD) has on work-related shoulder injuries. This retrospective cohort study quantifies relationships between CVD risk and subsequent incident cases of shoulder-related worker compensation (WC) claims in a large cohort of 34,369 commercial drivers. CVD risk was assessed using an expanded Framingham Risk score. Incident shoulder WC cases were identified. Relative risk (RR), hazard ratio (HR), and their associated 95% confidence intervals (95% CI) were calculated. Significant relationships between CVD risk scores and subsequent shoulder WC claims were observed. Participants in the highest CVD risk were significantly more likely to have a shoulder-related WC claim (RR = 6.70, 95% CI = 2.03, 22.12), after adjustment for age, gender and Body Mass Index. There may be a relationship between CVD risk and shoulder injuries and disorders.

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