TY - JOUR PY - 2010// TI - Determinants of return to work following non life threatening acute orthopaedic trauma: a prospective cohort study JO - Journal of rehabilitation medicine A1 - Clay, Fiona J. A1 - Newstead, Stuart V. A1 - Watson, Wendy L. A1 - McClure, Roderick John SP - 162 EP - 169 VL - 42 IS - 2 N2 - 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

LA - en SN - 1650-1977 UR - http://dx.doi.org/10.2340/16501977-0495 ID - ref1 ER -