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Return to work following hand burns.

P A Helm, S C Walker, S A Peyton

    Archives of Physical Medicine and Rehabilitation
    |May 1, 1986
    PubMed
    Summary
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    Return to work after hand burns is best predicted by the total body surface area (TBSA) burned, grafting, and hand involvement. Patient age and occupation did not significantly impact return-to-work timelines.

    Area of Science:

    • Burn surgery
    • Rehabilitation medicine
    • Occupational health

    Background:

    • Hand burns significantly impact patient recovery and return to work.
    • Understanding factors influencing return-to-work is crucial for effective case management and economic impact assessment.

    Purpose of the Study:

    • To identify predictors of time to return to work after hand burns.
    • To compare return-to-work data for hand burns with nonburn hand injuries.

    Main Methods:

    • Prospective study of 70 patients with hand burns.
    • Evaluation of variables including total body surface area (TBSA) burned, hand involvement, grafting, patient age, and occupational category.
    • Meta-analysis comparing hand burn data with prior reports on nonburn hand injuries.

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    Main Results:

    • 52 (74%) patients returned to work by 8 months post-discharge.
    • Total body surface area (TBSA) burned was the strongest predictor of return to work, followed by grafting and hand burned status.
    • No significant predictors were found for patient age or occupational category.
    • No significant differences were observed when compared to nonburn hand trauma patients.

    Conclusions:

    • TBSA burned, grafting, and hand burned status are key factors in predicting return to work after hand burns.
    • Findings can inform case management strategies and economic impact evaluations for hand burn injuries.