TY  - JOUR
PY  - 2018//
TI  - Patterns and predictors of failed and sustained return-to-work in transport injury insurance claimants
JO  - Journal of Occupational Rehabilitation
A1  - Gray, Shannon E.
A1  - Hassani-Mahmooei, Behrooz
A1  - Cameron, Ian D.
A1  - Kendall, Elizabeth
A1  - Kenardy, Justin
A1  - Collie, Alex
SP  - 740
EP  - 748
VL  - 28
IS  - 4
N2  - 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>
LA  - en
SN  - 1053-0487
UR  - http://dx.doi.org/10.1007/s10926-018-9761-2
ID  - ref1
ER  -