Factors affecting return to work following facial trauma

Borgna, Scott C., Klein, Kerenaftali, Harvey, Laurence E. and Batstone, Martin D. (2013) Factors affecting return to work following facial trauma. Plastic and Reconstructive Surgery, 132 6: 1525-1530. doi:10.1097/PRS.0b013e3182a8069d

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Author Borgna, Scott C.
Klein, Kerenaftali
Harvey, Laurence E.
Batstone, Martin D.
Title Factors affecting return to work following facial trauma
Journal name Plastic and Reconstructive Surgery   Check publisher's open access policy
ISSN 0032-1052
1529-4242
Publication date 2013-09-04
Sub-type Article (original research)
DOI 10.1097/PRS.0b013e3182a8069d
Volume 132
Issue 6
Start page 1525
End page 1530
Total pages 21
Place of publication Baltimore, MD, United States
Publisher Lippincott Williams & Wilkins
Collection year 2014
Language eng
Formatted abstract
Background: Injury has a major impact on work absence. The aim of this study was to document the rate and timeframe, at which facially injured patients return to work, and to identify the pre-injury and injury related factors that affect return to employment.

Methods: A prospective cohort study was undertaken of facially injured patients over a 12 month period. The primary measure of outcome assessed was time taken (in days) to return to employment. 16 pre-injury and injury related variables were identified to analyze their effect on return to work. Both univariate and multivariate Cox regression analyses were performed on each variable.

Results: 714 adult, facially injured trauma cases presented in the 12 month period. 213 patients (30%) were excluded due to being unemployed or retired, and 21 patients did not return to work. The remaining 480 patients were included in the study. The median time to return to work was 15 days (mean 19 days). 7 pre-injury and injury related variables were identified that significantly affected return to employment; gender, operation status, income band, etiology, work related accident, concomitant injuries, and number of facial fractures.

Conclusions: As a cohort, facially injured patients have a relatively high rate of return to work (80% at 30 days, 96% at 12 months). As clinicians we should identify those patients at risk of having a poor return to employment outcome, and provide appropriate support and referral to allied health services.

Level I: Prospective Cohort Study, Prognostic/Risk type.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
School of Medicine Publications
 
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Created: Mon, 18 Nov 2013, 14:57:57 EST by Dr Anna D MacDonald (nee Holmes) on behalf of School of Medicine