Dataset Information

Factors predicting work status 3 months after injury: results from the Prospective Outcomes of Injury Study.

ABSTRACT:

Objective

Few studies examine predictors of work status following injury beyond injuries presenting to a hospital or emergency department. This paper examines the combined influences of socio-demographic, occupational, injury and pre-existing health and lifestyle factors as predictors of work status 3 months after hospitalised and non-hospitalised injury in a cohort of injured New Zealand workers.

Design

Prospective cohort study.

Setting

The Prospective Outcomes of Injury Study, New Zealand.

Participants

2626 workforce active participants were identified from the Prospective Outcomes of Injury Study; 11 participants with missing outcome responses were excluded.

Primary and secondary outcome measures

The primary outcome of interest was 'not working' at the time of interview.

Results

720 (27%) reported 'not working' 3 months after injury. The most important pre-injury predictors of not working following injury found by multidimensional modelling were as follows: low or unknown income, financial insecurity, physical work tasks, temporary employment, long week schedules, obesity, perceived threat to life and hospital admission. Contrary to expectations, workers reporting less frequent exercise pre-injury had lower odds of work absence. Pre-injury psychosocial and health factors were not associated with not working.

Conclusion

Certain pre-injury socio-demographic, physical work, work organisation, lifestyle and injury-related factors were associated with not working 3 months after injury. If these findings are confirmed, intervention strategies aimed at improving return to work should address multiple dimensions of both the worker and the workplace.

SUBMITTER: Lilley R

PROVIDER: S-EPMC3308259 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Publications

Factors predicting work status 3 months after injury: results from the Prospective Outcomes of Injury Study.

Lilley Rebbecca R Davie Gabrielle G Ameratunga Shanthi S Derrett Sarah S

BMJ open 20120302 2

<h4>Objective</h4>Few studies examine predictors of work status following injury beyond injuries presenting to a hospital or emergency department. This paper examines the combined influences of socio-demographic, occupational, injury and pre-existing health and lifestyle factors as predictors of work status 3 months after hospitalised and non-hospitalised injury in a cohort of injured New Zealand workers.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>The Prospective Outcomes of Injury S ...[more]

PMID: 22389359

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Project description:ObjectivesFew studies examine the influence of early predictors of work absence beyond 12 months following injury or the time-dependent relative importance of these factors. This study aimed to identify the most important sociodemographic, occupational, health, lifestyle and injury predictors of work absence at 12 and 24?months following injury and to examine changes in the relative importance of these over time.DesignProspective cohort study.SettingThe Prospective Outcomes of Injury Study, New Zealand.Participants2626 injured New Zealand workers aged 18-64 years were identified from the Prospective Outcomes of Injury Study recruited form New Zealand's monopoly injury compensation provider injury claims register: 2092 completed the 12-month interview (80% follow-up) and 2082 completed the 24-month interview (79% follow-up).Primary and secondary outcomes measuresThe primary outcomes of interest was absence from work at the time of the 12-month and 24-month follow-up interviews.ResultsUsing modified Poisson regression to estimate relative risks, important groups of workers were identified at increased risk of work absence at both 12 and 24?months: males, low-income workers, trade/manual workers, temporary employees, those reporting two or more comorbidities and those experiencing a work-related injury. Important factors unique to predicting work absence at 12 months included financial insecurity, fixed-term employment and long weekly hours worked; unique factors at 24 months included job dissatisfaction, long weekly days worked, a prior injury and sustaining an injury that was perceived to be a threat to life.ConclusionsImportant early predictors of work absence at 12 or 24?months following injury are multidimensional and have a time dependent pattern. A consistent set of predictors was, however, present at both time periods that are prime for early intervention. Understanding the multidimensional, time-dependent patterns of early predictors of long-term disability is important to optimally target timely interventions to prevent long-term work disability.

Project description:The objective of this study was to provide a comprehensive examination of the relation of complicated and uncomplicated mild traumatic brain injury (mTBI) with multidimensional outcomes at three- and six-months after TBI. We analyzed data from the Collaborative European NeuroTrauma Effectiveness Research (CENTER-TBI) research project. Patients after mTBI (Glasgow Coma scale (GCS) score of 13-15) enrolled in the study were differentiated into two groups based on computed tomography (CT) findings: complicated mTBI (presence of any traumatic intracranial injury on first CT) and uncomplicated mTBI (absence of any traumatic intracranial injury on first CT). Multidimensional outcomes were assessed using seven instruments measuring generic and disease-specific health-related quality of life (HRQoL) (SF-36 and QOLIBRI), functional outcome (GOSE), and psycho-social domains including symptoms of post-traumatic stress disorder (PTSD) (PCL-5), depression (PHQ-9), and anxiety (GAD-7). Data were analyzed using a multivariate repeated measures approach (MANOVA-RM), which inspected mTBI groups at three- and six-months post injury. Patients after complicated mTBI had significantly lower GOSE scores, reported lower physical and mental component summary scores based on the SF-36 version 2, and showed significantly lower HRQoL measured by QOLIBRI compared to those after uncomplicated mTBI. There was no difference between mTBI groups when looking at psychological outcomes, however, a slight improvement in PTSD symptoms and depression was observed for the entire sample from three to six months. Patients after complicated mTBI reported lower generic and disease specific HRQoL and worse functional outcome compared to individuals after uncomplicated mTBI at three and six months. Both groups showed a tendency to improve from three to six months after TBI. The complicated mTBI group included more patients with an impaired long-term outcome than the uncomplicated group. Nevertheless, patients, clinicians, researchers, and decisions-makers in health care should take account of the short and long-term impact on outcome for patients after both uncomplicated and complicated mTBI.

Project description:PurposeTo evaluate the safety and effectiveness of primary stenting of the common (CIA) or external iliac artery (EIA) using the Visi-Pro Balloon-Expandable Peripheral Stent System for treatment of stenotic, restenotic, or occluded lesions.MethodsBetween 2011 and 2012, 75 patients (mean age 64.2±8.9 years; 46 men) with Rutherford category 2-4 ischemia and atherosclerotic lesions ≤10 cm in length underwent iliac artery stenting at 17 centers in the United States and Europe. The primary outcome of the study was the major adverse event (MAE) rate at 9 months postprocedure [composite of periprocedural death, in-hospital myocardial infarction, clinically driven target lesion revascularization (CD-TLR), and amputation of the treated limb]. Secondary outcomes included 30-day MAE rate, 9-month primary patency, changes in ankle-brachial index (ABI) and the Walking Impairment Questionnaire at 30 days and 9 months postprocedure, device success, and clinically driven target vessel revascularization (CD-TVR) at 30 days and 9 months. Outcomes in specific patient cohorts (ie, gender, stent location, calcification severity, and lesion grade) were analyzed.ResultsEighty-one stents were implanted in 61 CIA and 15 EIA lesions (41 with moderate/severe calcification). The mean lesion treated length was 29.3±13.9 mm. All devices were successfully deployed. MAE occurred in 3 (4.0%) of 75 subjects at 9 months. Primary patency and freedom from CD-TVR at 9 months were both 95.8%. ABI improved from 0.67±0.14 at baseline to 0.94±0.14 and 0.96±0.16 at 30 days and 9-month follow-up, respectively (p<0.001 for both). There were no differences with respect to any of the analyzed patient characteristics, including gender.ConclusionNine-month results of the VISIBILITY Iliac stent study ( ClinicalTrials.gov identifier NCT01402700) demonstrated safety and effectiveness for the treatment of atherosclerotic CIA and EIA lesions with the Visi-Pro stent across all treated cohorts.

Dataset Information

Factors predicting work status 3 months after injury: results from the Prospective Outcomes of Injury Study.

Objective

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusion

Publications

Factors predicting work status 3 months after injury: results from the Prospective Outcomes of Injury Study.

Similar Datasets

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