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. 2016 Jun;17(2):169-73.
doi: 10.1007/s10195-015-0379-2. Epub 2015 Sep 28.

Are work return and leaves of absence predictable after an unstable pelvic ring injury?

Alessandro Aprato  1 , Alexander Joeris  2 , Ferdinando Tosto  3 , Vasiliki Kalampoki  2 , Elke Rometsch  2 , Marco Favuto  3 , Alessandro Stucchi  3 , Matheus Azi  4 , Alessandro Massè  3
Affiliations

Are work return and leaves of absence predictable after an unstable pelvic ring injury?

Alessandro Aprato et al. J Orthop Traumatol. 2016 Jun.

Abstract

Background: Resuming work after surgical treatment of an unstable pelvic ring injury is often impeded because of residual disability. The aim of this study was to test which factors influence return to work, ability to return to the same job function as before the injury, leaves of absence, and incapacitation after sustaining a pelvic fracture.

Materials and methods: We performed a retrospective study on patients with surgically treated pelvic fractures. Medical records were reviewed to document patients' demographic data, the extent of follow-up care, diagnosis of the injury (according to the Tile system of classification), type of surgical treatment, injury severity, and the time from trauma to definitive surgery. We also recorded the classification of patients' physical status according to the American Society of Anesthesiologists (ASA) and details about admission to the intensive care unit (ICU). Patients were interviewed to note the number of days before returning to work and their ability to maintain their previously held jobs.

Results: Fifty patients were included in the study, and their mean age was 46.3 ± 12.6 years. The median time to return to work was 195 days. Twelve patients (24 %) lost their jobs and 17 (34 %) resumed their previous job with a change of tasks. ICU admission and time from trauma to definitive surgery were negatively correlated with return to the previously held job. Returning to the same job tasks was not associated with any of the factors investigated. Polytrauma, ICU admission, and time from trauma to definitive surgery were associated with longer leaves of absence.

Conclusions: Work reintegration after pelvic ring injuries is a major issue for patients and health care systems: 58 % of patients were not able to return to or lost their job. Factors correlated with leaves of absence were injury severity, delayed definitive fixation, and ICU admission.

Level of evidence: IV (case series).

Keywords: Leave of absence; Morbidity; Pelvic fracture; Pelvic ring injuries; Productivity loss.

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References

    1. Papakostidis C, Kanakaris NK, Kontakis G, Giannoudis PV. Pelvic ring disruptions: treatment modalities and analysis of outcomes. Int Orthop. 2009;33(2):329–338. doi: 10.1007/s00264-008-0555-6. - DOI - PMC - PubMed
    1. MacKenzie EJ, Morris JA, Jurkovich GJ, Yasui Y, Cushing BM, Burgess AR, et al. Return to work following injury: the role of economic, social, and job-related factors. Am J Public Health. 1998;88(11):1630–1637. doi: 10.2105/AJPH.88.11.1630. - DOI - PMC - PubMed
    1. Browner BD, Cole JD, Graham JM, Bondurant FJ, Nunchuck-Burns SK, Colter HB. Delayed posterior internal fixation of unstable pelvic fractures. J Trauma. 1987;27(9):998–1006. doi: 10.1097/00005373-198709000-00008. - DOI - PubMed
    1. Cole JD, Blum DA, Ansel LJ. Outcome after fixation of unstable posterior pelvic ring injuries. Clin Orthop Relat Res. 1996;329:160–179. doi: 10.1097/00003086-199608000-00020. - DOI - PubMed
    1. Gruen GS, Leit ME, Gruen RJ, Garrison HG, Auble TE, Peitzman AB (1995) Functional outcome of patients with unstable pelvic ring fractures stabilized with open reduction and internal fixation. J Trauma 39(5):838–844; discussion 44–45 - PubMed

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