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Return to work after occupational and non-occupational lower extremity amputation
W S Journeay1,2, T Pauley3, M Kowgier4
1Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Occupational Medicine (Oxford, England)
|June 30, 2018
Summary
Return to work (RTW) after lower extremity amputation is influenced by factors like amputation level and reintegration, not the cause of amputation. Time since amputation and improved daily living predict successful return to work.
Area of Science:
- Occupational rehabilitation
- Amputee rehabilitation
- Prosthetic and orthotic research
Background:
- Understanding factors influencing return to work (RTW) after lower extremity amputation is crucial for effective occupational rehabilitation.
- Previous studies have not clearly distinguished RTW outcomes based on amputation etiology.
Purpose of the Study:
- To compare return to work (RTW) rates in patients with traumatic work-related lower extremity amputations versus those with amputations from other causes.
- To identify predictors of RTW in amputees.
Main Methods:
- Retrospective cohort study design.
- Inclusion criteria: employed at time of amputation and at least 1 year post-discharge from amputee rehabilitation.
- Primary outcome: return to work (RTW).
Main Results:
- 69% of 147 included amputees returned to work.
- Amputation etiology did not significantly impact RTW.
- Trans-femoral amputations were associated with lower RTW likelihood (OR 0.22, P < 0.05).
- Years since amputation (OR 1.20, P = 0.001) and Reintegration to Normal Living Index (OR 1.05, P < 0.001) predicted RTW.
Conclusions:
- Amputation cause does not influence return to work (RTW) outcomes.
- Key predictors for RTW include time since amputation, amputation level, and the Reintegration to Normal Living Index.
- These factors are important for RTW prognosis and rehabilitation planning.
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