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Published on: February 23, 2024
Return to work after burn injury: a systematic review
Shawn T Mason1, Peter Esselman, Robert Fraser
1Department of Psychiatry, Johns Hopkins Burn Center, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
Summary
Major burn injuries significantly impact employment. This systematic review found that while 72% of survivors return to work, factors like burn severity and psychosocial issues are critical. Further research and interventions are needed to improve return to work (RTW) rates.
Area of Science:
- Burn care and rehabilitation
- Occupational health
- Reconstructive surgery outcomes
Background:
- Major burn injuries frequently result in loss of employment and basic life functions.
- Return to work (RTW) is a critical aspect of recovery and quality of life for burn survivors.
- Understanding factors influencing RTW is essential for comprehensive burn care.
Purpose of the Study:
- To systematically review the burn literature and identify factors influencing return to work (RTW).
- To provide a comprehensive overview of current research on RTW after burn injury.
- To identify predictors and barriers to RTW for burn survivors.
Main Methods:
- A systematic search of peer-reviewed studies published since 1970 in English was conducted.
- Studies investigating predictors and barriers of RTW for individuals with burn injuries were included.
- 26 studies meeting inclusion criteria were analyzed from an initial 216 articles.
Main Results:
- 72.03% of previously employed participants returned to some form of work 3.3 years (41 months) postburn.
- Key factors influencing RTW include burn location, burn size, treatment variables, age, pain, psychosocial status, and job-related elements.
- Nearly 28% of burn survivors do not return to any form of employment.
Conclusions:
- There is a significant need for increased attention to RTW in burn care research.
- The existing literature on RTW requires more consistent and coherent methodological practices, including standardized measurements.
- Interventions aimed at improving survivors' ability to function in an employed capacity are necessary.
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