Abstract
Introduction The promotion of return to work (RTW) following occupational injury benefits injured workers, their families, enterprises and the society. The identification of the potential determinants would be helpful in improving RTW rate and minimizing the duration of absenteeism following injury. Objectives The aim of the study was to identify the potential determinants of RTW following work-related injury. Methods A historical cohort of workers with occupational injury in a state-owned locomotive vehicles company in central China was followed up on the outcomes of RTW. Demographic, employment and medical information was retrieved from the company archival documents; and post-injury information was interviewed by structured questionnaires. Univariate analysis and Cox Regression Model were used to examine the associations between potential determinants and outcomes of RTW. Results Three hundred of the 323 cases (92.9%) eventually returned to work after the median absence of 43 days. Factors from socio-demographic, clinical, economic, and psychological domains affected RTW in the univariate analyses. The multivariate analysis indicated that age, injury severity, injury locus, injury nature, pain in the injury locus, self-report health status and pre-injury monthly salary were significant determinants of RTW. Conclusions There were multidimensional factors affecting RTW after occupational injury. Proper clinical treatment and rehabilitation, as well as economic and social support to facilitate workers’ RTW would be the priorities upon intervention. Future studies should be conducted in larger representative samples to confirm the findings and to develop a multidisciplinary intervention strategy towards promoting RTW.
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Li K, Tang D, Lu X. Investigation on reemployment and epidemiology for various groups of injured workers. Chinese J Rehabil Med. 2006;21:64–6.
Athanasou JA. Return to work following whiplash and back injury: a review and evaluation. Med Leg J. 2005;73:29–33.
Waddell G, Aylward M, Sawney P. Back pain, incapacity for work and social security benefits: an international literature review and analysis. London: R Soc Med Press; 2002.
Sullivan MJ, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15:475–89.
Crook J, Moldofsky H. The probability of recovery and return to work from work disability as a function of time. Qual Life Res. 1994;3:S97–109.
Kim J, June K, Yang BM, Park E, Park KM. Time dependent factors affecting the duration of work disability after compensated low-back pain in South Korea. Ind Health. 2006;44:503–9.
Niclas K, John WF, Lisa KD, Terry JA, Sandra JS. Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research. Am J Ind Med. 2001;40:464–84.
Seland K, Cherry N, Beach J. A study of factors influencing return to work after ankle fractures. Am J Ind Med. 2006;49:197–203.
Oleinick A, Gluck JV, Guire KE. Factors affecting first return to work following a compensable occupational back injury. Am J Ind Med. 1996;30:540–55.
Pransky G, Gatchel R, Linton JS, Loisel P. Improving return to work research. J Occup Rehabil. 2005;15:453–7.
Crook J, Milner R, Schultz IZ, Stringer B. Determinants of occupational disability following a low back injury: a critical review of the literature. J Occup Rehabil. 2002;12:277–95.
Pransky G, Benjamin K, Hill-Fotouhi C, Fletcher EK, Himmelstein J. Occupational upper extremity conditions: a detailed analysis of work-related outcomes. J Occup Rehabil. 2002;12:131–8.
Sears MJ, Heagerty JP. Including injured workers without compensated time loss in Cox regression models: analyzing time loss using all available data. J Occup Rehabil. 2008;18:225–32.
Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E. Return to work among sickness-absent Danish employees: prospective results from the Danish Work Environment Cohort Study/National Register on Social Transfer Payments. Int J Rehabil Res. 2006;29:229–35.
Ahlgren A, Bergroth A, Ekholm J. Work resumption or not after rehabilitation? A descriptive study from six social insurance offices. Int J Rehabil Res. 2004;27:171–80.
Franche RL, Severin NS, Sheilah HJ, Cote P, Vidmar M, Lee H. The impact of early workplace-based return-to-work strategies on work absence duration: a 6-month longitudinal study following an occupational musculoskeletal injury. J Occup Environ Med. 2007;49:960–74.
Loisel P, Durand MJ, Baril R, Gervais J, Falardeau M. Inter-organizational collaboration in occupational rehabilitation: perceptions of an interdisciplinary rehabilitation team. J Occup Rehabil. 2005;15:581–90.
Corbiere M, Sullivan MJL, Stanish DW, Adams H. Pain and depression in injured workers and their return to work: a longitudinal study. Can J Behav Sci. 2007;39:23–31.
Burton WN, Pransky G, Conti DJ, Chen CY, Edington DW. The association of medical conditions and presenteeism. J Occup Environ Med. 2004;46:S38–45.
Kovacs MF, Muriel A, Castillo MD, Medina MJ, Royuela A, The Spanish Back Pain Research Network. Fear avoidance beliefs influence duration of sick leave in Spanish low back pain patients. Spine. 2007;32:1761–6.
Pransky G, Benjamin K, Hill-Fotouhi C, Himmelstein J, Fletcher KE, Katz JN, et al. Outcomes in work-related upper extremity and low back injuries: results of a retrospective study. Am J Ind Med. 2000;37:400–9.
MacDermid CJ, Roth HJ, McMurtry R. Predictors of time lost from work following a distal radius fracture. J Occup Rehabil. 2007;17:47–62.
Pirjo J, Keijo P, Tapani K, Sirkka KK. The reality of returning to work and training: experiences from a long-term unemployment project. Int J Rehabil Res. 2004;27:215–27.
Tate DG, Habeck RV, Schwartz G. Disability management: a comprehensive framework for prevention and rehabilitation in the workplace. Rehabil Lit. 1986;47:230–5.
Schweigert MK, McNeil D, Doupe L. Treating physicians’ perceptions of barriers to return to work of their patients in Southern Ontario. Occup Med. 2004;54:425–9.
Shaw W, Hong QN, Pransky G, Loisel P. A literature review describing the role of return-to-work coordinators in trial programs and interventions designed to prevent workplace disability. J Occup Rehabil. 2008;18:2–15.
Lyth JR, Miller M. Case managers facilitate successful return to work in difficult cases utilizing return-to-work tools and therapist partnerships. Lippincott’s Case Manag. 2005;10:108–10.
Linton SJ, Gross D, Schultz I, Main C, Cote P, Pransky G, et al. Prognosis and the identification of workers risking disability: research issues and directions for future research. J Occup Rehabil. 2005;15:459–74.
Peters J, Pickvance S, Wilford J, MacDonald E, Blank L. Predictors of delayed return to work or job loss with respiratory ill-health: a systematic review. J Occup Rehabil. 2007;17:317–26.
Amick BC, Lerner D, Rogers WH, Rooney T, Kate JN. A review of health-related work outcome measures and their uses, and recommended measures. Spine. 2000;25:3152–60.
Katz NJ, Amick CB, Keller R, Fossel HA, Ossman J, Soucie V, et al. Determinants of work absence following surgery for carpal tunnel syndrome. Am J Ind Med. 2005;47:120–30.
Kominski FG, Pourat N, Roby HD, Cameron EM. Return to work and degree of recovery among injured workers in California’s workers’ compensation system. J Occup Environ Med. 2008;50:296–305.
Huang YH, Shaw SW, Chen YP. Worker perceptions of organizational support and return-to-work policy: associations with post-injury job satisfaction. Work. 2004;23:225–32.
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He, Y., Hu, J., Yu, I.T.S. et al. Determinants of Return to Work After Occupational Injury. J Occup Rehabil 20, 378–386 (2010). https://doi.org/10.1007/s10926-010-9232-x
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DOI: https://doi.org/10.1007/s10926-010-9232-x