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Post-traumatic Stress Disorder

Post-traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...

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Updated: May 21, 2025

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Return to work after major trauma: a systematic review.

Anne Neubert^1,2, Sebastian Hempe³, Dan Bieler³

¹Department of Orthopaedics and Traumatology, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Duesseldorf, Germany. anne.neubert@med.uni-duesseldorf.de.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

|March 18, 2025

Summary

Return to work after major trauma is influenced by many factors, with age, education, and hospital stay duration showing the strongest evidence. Understanding these elements is key for successful recovery and reintegration.

Keywords:

Ability to work Major trauma Polytrauma Prediction Return to work Systematic review

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Area of Science:

Trauma rehabilitation
Occupational health
Prognostic factors

Background:

Major trauma survivors often experience lasting physical, psychological, and cognitive impairments.
Return to work (RTW) is a critical indicator of successful reintegration and recovery, not solely health-dependent.

Purpose of the Study:

To systematically review and identify factors influencing return to work (RTW) after major trauma.

Main Methods:

Systematic review of 12 studies involving 6907 adult major trauma patients (Injury Severity Score ≥ 16).
Data were qualitatively analyzed, assessing factors based on the strength of evidence.
Risk of bias was evaluated using the 'Quality in Prognostic studies' tool.

Main Results:

Numerous factors identified, including physical (injury location), personal (age), and environmental (preinjury income) aspects.
Only age, educational level, intensive care unit (ICU) stay, and length of hospital stay (LOS) demonstrated moderate or strong evidence.
High risk of bias was noted in 'study confounding' across included studies.

Conclusions:

Limited evidence currently supports most identified factors affecting RTW post-major trauma.
Younger age, higher educational attainment, and shorter ICU and hospital LOS are associated with better RTW prospects.
Further research is needed to strengthen the evidence base for RTW factors.