Determinants of return to work following non life threatening acute orthopaedic trauma: a prospective cohort study

To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma. Prospective cohort study. One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up. Baseline data were obtained by surve...

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2010-02, Vol.42 (2), p.162-169
Main Authors: Clay, Fiona J, Newstead, Stuart V, Watson, Wendy L, McClure, Roderick J
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Adult
Cohort Studies
Employment
Female
Follow-Up Studies
Humans
Injury Severity Score
Lower Extremity - injuries
Male
Middle Aged
Orthopaedics
Pain Measurement
Physical trauma
Prospective Studies
Psychosocial factors
Recovery of Function
Rehabilitation, Vocational
Return to work
Upper Extremity - injuries
Work attitudes
Work Capacity Evaluation
Wounds and Injuries - diagnosis
Wounds and Injuries - psychology
Wounds and Injuries - rehabilitation
Young Adult
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Summary:To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma. Prospective cohort study. One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up. Baseline data were obtained by survey and medical record review. Participants were further surveyed at 2 weeks, 3 and 6 months post-injury. Logistic regression was used to examine the association between potential predictors and first return to work by these 3 time-points. Sixty-eight percent of participants returned to work within 6 months. Those who sustained isolated upper extremity injuries were more likely to return to work early. Significant positive determinants of return to work included a strong belief in recovery, the presence of an isolated injury, education to university level and self-employment. Determinants associated with non-return to work included the receipt of compensation, older age, pain attitudes and blue-collar work. The primary reason given for return to work was financial security. Demographic, injury, occupation and psychosocial factors were significant predictors of return to work. The relative importance of factors at different time-points suggests that return to work is a multifactorial process that involves the complex interaction of many factors in a time-dependent manner.
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-0495