Citation

Clay FJ, Newstead SV, Watson WL, McClure RJ. J. Rehabil. Med. 2010; 42(2): 162-169.

Affiliation

Monash University, Accident Research Centre Building 70, Clayton Victoria, 3800, Australia. fiona.clay@muarc.monash.edu.au

Copyright

(Copyright © 2010, Foundation for Rehabilitation Information)

DOI

10.2340/16501977-0495

PMID

20140413

Abstract

OBJECTIVE: To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma.

DESIGN: Prospective cohort study. PARTICIPANTS: One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up.

METHODS: Baseline data were obtained by survey and medical record review. Participants were further surveyed at 2 weeks, 3 and 6 months post-injury. Logistic regression was used to examine the association between potential predictors and first return to work by these 3 time-points.

RESULTS: Sixty-eight percent of participants returned to work within 6 months. Those who sustained isolated upper extremity injuries were more likely to return to work early. Significant positive determinants of return to work included a strong belief in recovery, the presence of an isolated injury, education to university level and self-employment. Determinants associated with non-return to work included the receipt of compensation, older age, pain attitudes and blue-collar work. The primary reason given for return to work was financial security.

CONCLUSION: Demographic, injury, occupation and psychosocial factors were significant predictors of return to work. The relative importance of factors at different time-points suggests that return to work is a multifactorial process that involves the complex interaction of many factors in a time-dependent manner.

Language: en