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. 2012 Dec;22(4):532-40.
doi: 10.1007/s10926-012-9369-x.

Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients

Maria Iakova  1 , Pierluigi Ballabeni, Peter Erhart, Nikola Seichert, François Luthi, Olivier Dériaz
Affiliations

Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients

Maria Iakova et al. J Occup Rehabil. 2012 Dec.

Abstract

Purpose: This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation.

Methods: A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied.

Results: In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury.

Conclusion: RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.

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Figures

Fig. 1
Fig. 1
Flow chart
Fig. 2
Fig. 2
Confounder-adjusted odds-ratios (OR) and 95 % confidence intervals for the predictors of the final, multivariable, model (see “Methods”); OR for continuous variables refer to increments of one SD. A value over the unity indicates an increased likelihood to return to work. X-axis in logarithmic scale. N = 411
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