Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients.

TitreSelf perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients.
Publication TypeJournal Article
Year of Publication2012
AuthorsIakova, M, Ballabeni, P, Erhart, P, Seichert, N, Luthi, F, Deriaz, O
JournalJ Occup Rehabil
Date Published2012 Dec
Mots-clésAdult, Disability Evaluation, Employment, Female, Humans, Inpatients, Logistic Models, Male, Middle Aged, Musculoskeletal Diseases, Outcome Assessment (Health Care), Pain Measurement, Prospective Studies, Questionnaires, Rehabilitation, Vocational, Return to Work, Self Concept, Severity of Illness Index, Sick Leave, Socioeconomic Factors, Time Factors, Wounds and Injuries, Young Adult

PURPOSE: This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation.

METHODS: A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied.

RESULTS: In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury.

CONCLUSION: RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.

Alternate URL

Alternate JournalJ Occup Rehabil
Citation Key / SERVAL ID3239
PubMed ID22562093
PubMed Central IDPMC3484271


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