Return to work following injury: the role of economic, social, and job-related factors
Autor: | Gregory J. Jurkovich, Marc F. Swiontkowski, Brad M. Cushing, Andrew R. Burgess, Yutaka Yasui, John A. Morris, Ellen J. MacKenzie, Mark P. McAndrew, Barbara J. deLateur |
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Rok vydání: | 1998 |
Předmět: |
Adult
Employment Male medicine.medical_specialty Adolescent Poison control Occupational safety and health Disability Evaluation Fractures Bone Social support Trauma Centers Risk Factors Surveys and Questionnaires Absenteeism Injury prevention Humans Medicine Disabled Persons Prospective Studies Risk factor Prospective cohort study Proportional Hazards Models Proportional hazards model business.industry Public Health Environmental and Occupational Health Social Support Human factors and ergonomics Middle Aged Socioeconomic Factors Physical therapy Female business Leg Injuries Research Article |
Zdroj: | American Journal of Public Health. 88:1630-1637 |
ISSN: | 1541-0048 0090-0036 |
Popis: | OBJECTIVES: This study examined factors influencing return to work (RTW) following severe fracture to a lower extremity. METHODS: This prospective cohort study followed 312 individuals treated for a lower extremity fracture at 3 level-1 trauma centers. Kaplan-Meier estimates of the proportion of RTW were computed, and a Cox proportional hazards model was used to examine the contribution of multiple risk factors on RTW. RESULTS: Cumulative proportions of RTW at 3, 6, 9, and 12 months post-injury were 0.26, 0.49, 0.60, and 0.72. After accounting for the extent of impairment, characteristics of the patient that correlated with higher rates of RTW included younger age, higher education, higher income, the presence of strong social support, and employment in a white-collar job that was not physically demanding. Receipt of disability compensation had a strong negative effect on RTW. CONCLUSIONS: Despite relatively high rates of recovery, one quarter of persons with lower extremity fractures did not return to work by the end of 1 year. The analysis points to subgroups of individuals who are at high risk of delayed RTW, with implications for interventions at the patient, employer, and policy levels. |
Databáze: | OpenAIRE |
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