Predictors of Time to Return to Work Following Surgical Reconstruction of Upper Limb Injuries in a Cosmopolitan City in Western Nigeria

A I Michael ^1,2, C P Isamah ¹, I C Ugwu ¹

⁰Department of Plastic, Reconstructive, and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria.

Nigerian Journal of Clinical Practice +

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July 31, 2024

View abstract on PubMed

Summary

Return to work after upper limb injury reconstruction is low, taking a mean of 14.3 weeks. Work-related injuries, male gender, and the modified hand injury severity score (MHISS) predict delayed return to work.

Area Of Science

Orthopedic Surgery
Rehabilitation Medicine
Occupational Health

Background

Upper limb injuries are prevalent, impacting daily living and return to work.
The modified hand injury severity score (MHISS) is a known predictor of return to work.
Limited data exists on return-to-work timelines for upper limb injuries in this region.

Purpose Of The Study

To determine the prevalence of return to work after upper limb injury reconstruction.
To identify predictors influencing the time taken to return to work.

Main Methods

A cross-sectional analytic study was conducted from April 2022 to March 2023.
Statistical significance was assessed at P < 0.05 with a 95% confidence interval.
49 patients with upper limb injuries undergoing reconstruction were included.

Main Results

41.9% of patients returned to work, with an average time of 14.3 ± 10.5 weeks.
Work-related injuries, male gender, and higher MHISS scores correlated with delayed return to work.
Multiple logistic regression confirmed work-related injuries, MHISS, and male gender as significant predictors of late return.

Conclusions

The prevalence of returning to work after upper limb injury reconstruction is low.
Work-related injuries, male gender, and MHISS are significant predictors of prolonged return-to-work times.
These factors are crucial for managing patient expectations and rehabilitation strategies.