Patterns and Predictors of Return to Work After Major Trauma

Collie, Alex; Simpson, Pamela; Cameron, Peter; Ameratunga, Shanthi; Ponsford, Jennie; Lyons, Ronan A; Braaf, Sandra; Nunn, Andrew; Harrison, James Edward; Gabbe, Belinda

doi:10.1097/sla.0000000000002666

Cited by 60 publications

(31 citation statements)

References 33 publications

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“…A previous study on RTW in major trauma patients also found comorbidities, pre-injury disability, and presence of spinal cord injury as prognostic factors for no RTW [40]. They also stated that older age was a prognostic factor for no RTW, in contrast to our results.…”

Section: Rtwcontrasting

confidence: 95%

Prognostic factors for medical and productivity costs, and return to work after trauma

et al. 2020

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The aim of this study was to determine prognostic factors for medical and productivity costs, and return to work (RTW) during the first two years after trauma in a clinical trauma population. Methods This prospective multicentre observational study followed all adult trauma patients (�18 years) admitted to a hospital in Noord-Brabant, the Netherlands from August 2015 through November 2016. Health care consumption, productivity loss and return to work were measured in questionnaires at 1 week, 1, 3, 6, 12 and 24 months after injury. Data was linked with hospital registries. Prognostic factors for medical costs and productivity costs were analysed with log-linked gamma generalized linear models. Prognostic factors for RTW were assessed with Cox proportional hazards model. The predictive ability of the models was assessed with McFadden R 2 (explained variance) and c-statistics (discrimination). Results A total of 3785 trauma patients (39% of total study population) responded to at least one follow-up questionnaire. Mean medical costs per patient (€9,710) and mean productivity costs per patient (€9,000) varied widely. Prognostic factors for high medical costs were higher age, female gender, spine injury, lower extremity injury, severe head injury, high injury severity, comorbidities, and pre-injury health status. Productivity costs were highest in males, and in patients with spinal cord injury, high injury severity, longer length of stay at the hospital and patients admitted to the ICU. Prognostic factors for RTW were high educational level, male gender, low injury severity, shorter length of stay at the hospital and absence of comorbidity.

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Section: Rtwcontrasting

confidence: 95%

Prognostic factors for medical and productivity costs, and return to work after trauma

et al. 2020

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“…Several studies have been published on return to work after trauma; however, the overall public health perspective tended to be restricted owing to small sample sizes, or focus on selected groups of patients with specific injuries or specific mechanisms of injury. Two large population‐based studies from the Victorian State Trauma Registry in Australia reported long‐term follow‐up data regarding return to work, but included only the most severely injured patients. To describe the overall consequences of trauma for a population, studies should ideally include all injured patients within a geographical area, within a specified time interval and with complete data capture for follow‐up.…”

Section: Introductionmentioning

confidence: 99%

Population-based analysis of the impact of trauma on longer-term functional outcomes

Uleberg

Pape

Kristiansen

et al. 2019

Journal of British Surgery

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“…The issue of compensation as a predictor of not returning to work and failed RTW attempts is well published [1,[37][38][39]. While our study only focused on workers with injuries who returned to work, it highlights the positive role insurers can play in RTW.…”

Section: Discussionmentioning

confidence: 92%

“…However, the views of people who returned to work more than 3-years after injury, or who did not RTW for reasons unrelated to their injury, or who RTW but were not working at 3-years after injury are not included. Previously published work from the RESTORE cohort has highlighted a range of personal, occupational, injury, health, and compensation system factors that are associated with RTW patterns that include early and sustained; delayed; failed; and no RTW [37]. Additionally, people who were not employed pre-injury, but gained employment post-injury were not included.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Exploration of Return to Work in the First 3-Years After Serious Injury

Braaf

Collie

Ameratunga

et al. 2019

Journal of Occupational &Amp; Environmental Medicine

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Objective: To explore how people with serious injuries returned to paid employment in the first 3-years after injury.Methods: Fifty-four adult survivors of serious injuries were interviewed at 3-years postinjury, all of whom had returned to work and were currently employed. A framework analysis approach was undertaken.Results: Participant decisions and actions taken to return to work (RTW) were influenced by their resilience, approach to adjusting goals, priorities and plans, and how social connections and relationships were used and maintained. The environment in which these decisions and actions were taken shaped opportunities for work in meaningful, appropriate and sustained employment.Conclusions: Our study of 54 people who RTW indicated the importance of personal adjustments and resources, positive social relations, and advanced planning aligning with responsive employers, insurers and health professionals for successful RTW.

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Patterns and Predictors of Return to Work After Major Trauma

Abstract: A range of personal, occupational, injury, health, and compensation system factors influence RTW patterns after serious injury. Early identification of people at risk for delayed, failed, or no RTW is needed so that targeted interventions can be delivered.

Cited by 60 publications

References 33 publications

Prognostic factors for medical and productivity costs, and return to work after trauma

Prognostic factors for medical and productivity costs, and return to work after trauma

Population-based analysis of the impact of trauma on longer-term functional outcomes

A Qualitative Exploration of Return to Work in the First 3-Years After Serious Injury

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