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. 2017 Apr;20(2):67-74.
doi: 10.1016/j.cjtee.2016.03.008. Epub 2017 Feb 21.

Return to work after trauma: A survival analysis

Masoumeh Abedzadeh-Kalahroudi  1 , Ebrahim Razi  1 , Mojtaba Sehat  2 , Mohsen Asadi-Lari  3
Affiliations

Return to work after trauma: A survival analysis

Masoumeh Abedzadeh-Kalahroudi et al. Chin J Traumatol. 2017 Apr.

Abstract

Purpose: To evaluate the return to work (RTW) rate, time and predictors among trauma patients using survival analysis.

Methods: This cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through conducting interviews and referring to patients' medical records during their hospital stay and follow-up information at one & three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann-Whitney U test and survival analysis method.

Results: The rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time (Time between admission to first return to work) was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability.

Conclusion: Our findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW.

Keywords: Disability; Return to work; Survival; Wounds and injuries.

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Figures

Fig. 1
Fig. 1
Correlation between RTW and age.
Fig. 2
Fig. 2
Correlation between RTW and disability at 3 months.
Fig. 3
Fig. 3
Correlation between RTW insurance coverage.
Fig. 4
Fig. 4
Correlation between RTW and quality of care.
See this image and copyright information in PMC

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