Prospective analysis of factors associated with work reentry in patients with accident-related injuries

J Occup Rehabil. 2007 Mar;17(1):1-10. doi: 10.1007/s10926-006-9039-y.

Abstract

Introduction: The objective of this study was to investigate the influence of accidents, the physical and psychological consequences, the patient's predisposition as well as work-related cognitions on return to work (RTW) post accident. Despite the costs of time-off from work after accidental injuries, very few investigations have been carried out so far.

Method: In a consecutive sample, 163 patients were investigated directly and 12 months after an accident.

Results: 32% of the patients had a poor occupational integration 12 months after an accident. As predictors for return to work were found type of prior work: laborer (OR = 4.34; 1.79-10.50 CI 95%), type of accident: recreational (OR = 0.27; 0.11-0.69 CI 95%) and subjective perception of the accident severity (OR = 0.98; 0.96-0.99 CI 95%).

Conclusion: Laborers after a traffic or work accident, who estimate the accident as severe, are at greater risk of developing long-term disability. Future efforts should be conducted especially for this target group.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents / psychology*
  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Aged
  • Discriminant Analysis
  • Employment*
  • Female
  • Humans
  • Injury Severity Score
  • Life Change Events*
  • Logistic Models
  • Male
  • Middle Aged
  • Occupations
  • Prospective Studies
  • Stress Disorders, Post-Traumatic / epidemiology
  • Surveys and Questionnaires