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Return to work after major trauma.

Herman R Holtslag1, Marcel W Post, Chris van der Werken

  • 1University Medical Centre Utrecht, Department of Rehabilitation Medicine and Rudolf Magnus Institute of Neuroscience, PO Box 85500, HP F00.810, 3508 GA Utrecht, The Netherlands. h.r.holtslag@umcutrecht.nl

Clinical Rehabilitation
|July 7, 2007
PubMed
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Approximately 60% of major trauma survivors return to work. Determinants of return to work vary over time, with factors like spinal cord injury and hospital stay influencing early outcomes, while disability and cognitive complaints are key later on.

Area of Science:

  • Traumatology
  • Occupational Health
  • Rehabilitation Medicine

Background:

  • Major trauma significantly impacts an individual's ability to return to work.
  • Understanding return-to-work rates and influencing factors is crucial for patient recovery and societal contribution.

Purpose of the Study:

  • To quantify the prevalence of return to work after major trauma.
  • To identify the key determinants of post-injury work status.

Main Methods:

  • Prospective cohort study of 214 severely injured adults (Injury Severity Score > 16) employed pre-injury.
  • Follow-up assessment at a mean of 15 months post-injury.
  • Multivariate logistic regression analyses to identify determinants of work status.

Main Results:

Related Experiment Videos

  • 58.4% returned to full-time employment, 21.5% to part-time, and 20.1% did not return to work.
  • Early determinants included spinal cord injury, hospital stay duration, discharge destination, and age.
  • Later determinants (at follow-up) included American Medical Association (AMA) impairment, activities of daily living, cognitive complaints, and discharge destination.

Conclusions:

  • Return to work rates after major trauma are substantial but incomplete.
  • Disability at follow-up partially explains return-to-work outcomes.
  • Independent determinants of return to work evolve over time post-injury.