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A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

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Barriers to return to work after burn injuries.

Peter C Esselman¹, Shelley Wiechman Askay, Gretchen J Carrougher

¹Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA. esselman@u.washington.edu

Archives of Physical Medicine and Rehabilitation

|December 6, 2007

Summary

Most burn injury patients return to work within a year. Physical limitations and work conditions are key barriers, but psychosocial factors significantly impact long-term recovery and return to work.

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Area of Science:

Burn injury rehabilitation
Occupational health
Psychosocial impact of injury

Background:

Return to work after major burn injury is a critical aspect of patient recovery.
Understanding patient-identified barriers is essential for effective rehabilitation strategies.

Purpose of the Study:

To identify patient-reported barriers to returning to work following major burn injury.
To analyze the impact of these barriers over a one-year period.

Main Methods:

A prospective cohort study involving 154 patients with major burn injuries.
Telephone interviews and surveys were conducted up to one year post-discharge.
Barriers were identified using a return-to-work survey and rated for impact.

Main Results:

79.7% of patients returned to work within one year.
Early barriers included physical and wound issues.
Long-term disability was associated with working conditions and psychosocial factors like appearance concerns and trauma-related symptoms.

Conclusions:

The majority of patients successfully return to work after burn injury.
While physical and environmental factors are significant, addressing psychosocial barriers is crucial for optimizing return to work.
Integrated care addressing physical, environmental, and psychosocial needs is recommended.