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Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients
Maria Iakova1, Pierluigi Ballabeni, Peter Erhart
1Département de l'appareil locomoteur, Clinique Romande de Réadaptation SUVA Care, Avenue Grand-Champsec 90, 1951, Sion, Switzerland. maria.iakova@crr-suva.ch
Purpose:
This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation.
Methods:
A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied.
Results:
In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury.
Conclusion:
RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.
