Citation

Spreadborough S, Radford K, das Nair R, Brooks A, Duffy M. Clin. Rehabil. 2018; 32(3): 410-418.

Affiliation

1 East Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Copyright

(Copyright © 2018, SAGE Publishing)

DOI

10.1177/0269215517730862

PMID

28929802

Abstract

OBJECTIVE: To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.

DESIGN: Cross-sectional cohort design. SUBJECTS: In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18-70 and discharged between April 2012 and June 2015. MAIN MEASURES: Self-report questionnaire including the Trauma Outcome Profile, the Multiple Sclerosis Neuropsychological Screening questionnaire and questions pertaining to work and education.

RESULTS: Of the 99 patients in full-time work pre-injury, 65 made a complete return to work, 15 made an incomplete return to work and 19 did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. In all, 25 participants scored below the cut-off point on physical disabilities, 46 below the cut-off point on mental functioning and 38 below the cut-off point on social interaction. Reduced anxiety and higher mental functioning were consistently associated with complete return to work.

CONCLUSION: In all, 66% of patients with moderate to severe injuries made a complete return to work. A range of psycho-social, physical and functional health issues were persistent at long-term follow-up.

Language: en

Keywords

Major trauma; health psychology; rehabilitation; return to work