@article{ref1,
title="Patterns and predictors of failed and sustained return-to-work in transport injury insurance claimants",
journal="Journal of Occupational Rehabilitation",
year="2018",
author="Gray, Shannon E. and Hassani-Mahmooei, Behrooz and Cameron, Ian D. and Kendall, Elizabeth and Kenardy, Justin and Collie, Alex",
volume="28",
number="4",
pages="740-748",
abstract="PURPOSE To determine the incidence of employed people who try and fail to return-to-work (RTW) following a transport crash. To identify predictors of RTW failure. <br><br>METHODS: A historical cohort study was conducted in the state of Victoria, Australia. People insured through the state-based compulsory third party transport accident compensation scheme were included. Inclusion criteria included date of crash between 2003 and 2012 (inclusive), age 15-70 years at the time of crash, sustained a non-catastrophic injury and received at least 1 day of income replacement. A matrix was created from an administrative payments dataset that mapped their RTW pattern for each day up to 3 years' post-crash. A gap of 7 days of no payment followed by resumption of a payment was considered a RTW failure and was flagged. These event flags were then entered into a regression analysis to determine the odds of having a failed RTW attempt. <br><br>RESULTS: 17% of individuals had a RTW fail, with males having 20% lower odds of experiencing RTW failure. Those who were younger, had minor injuries (sprains, strains, contusions, abrasions, non-limb fractures), or were from more advantaged socio-economic group, were less likely to experience a RTW failure. Most likely to experience a RTW failure were individuals with whiplash, dislocations or particularly those admitted to hospital. <br><br>CONCLUSIONS: Understanding the causes and predictors of failed RTW can help insurers, employers and health systems identify at-risk individuals. This can enable earlier and more targeted support and more effective employment outcomes.<p /> <p>Language: en</p>",
language="en",
issn="1053-0487",
doi="10.1007/s10926-018-9761-2",
url="http://dx.doi.org/10.1007/s10926-018-9761-2"
}