Return to work following injury: The role of economic, social, and job- related factors

Ellen J Mackenzie, John A. Morris, Gregory J. Jurkovich, Yutaka Yasui, Brad M. Cushing, Andrew R. Burgess, Barbara Jane De Lateur, Mark P. McAndrew, Marc F. Swiontkowski

Research output: Contribution to journalArticle

Abstract

Objectives. This study examined factors influencing return to work (RTW) following severe fracture to a lower extremity. Methods. This prospective cohort study followed 312 individuals treated for a lower extremity fracture at 3 level-1 trauma centers. Kaplan-Meier estimates of the proportion of RTW were computed, and a Cox proportional hazards model was used to examine the contribution of multiple risk factors on RTW. Results. Cumulative proportions of RTW at 3, 6, 9, and 12 months post-injury were 0.26, 0.49, 0.60, and 0.72. After accounting for the extent of impairment, characteristics of the patient that correlated with higher rates of RTW included younger age, higher education, higher income, the presence of strong social support, and employment in a white-collar job that was not physically demanding. Receipt of disability compensation had a strong negative effect on RTW. Conclusions. Despite relatively high rates of recovery, one quarter of persons with lower extremity fractures did not return to work by the end of 1 year. The analysis points to subgroups of individuals who are at high risk of delayed RTW, with implications for interventions at the patient, employer, and policy levels.

Original languageEnglish (US)
Pages (from-to)1630-1637
Number of pages8
JournalAmerican Journal of Public Health
Volume88
Issue number11
StatePublished - Nov 1998

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Return to Work
Economics
Wounds and Injuries
Lower Extremity
Trauma Centers
Kaplan-Meier Estimate
Proportional Hazards Models
Compensation and Redress
Social Support
Cohort Studies
Prospective Studies
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Mackenzie, E. J., Morris, J. A., Jurkovich, G. J., Yasui, Y., Cushing, B. M., Burgess, A. R., ... Swiontkowski, M. F. (1998). Return to work following injury: The role of economic, social, and job- related factors. American Journal of Public Health, 88(11), 1630-1637.

Return to work following injury : The role of economic, social, and job- related factors. / Mackenzie, Ellen J; Morris, John A.; Jurkovich, Gregory J.; Yasui, Yutaka; Cushing, Brad M.; Burgess, Andrew R.; De Lateur, Barbara Jane; McAndrew, Mark P.; Swiontkowski, Marc F.

In: American Journal of Public Health, Vol. 88, No. 11, 11.1998, p. 1630-1637.

Research output: Contribution to journalArticle

Mackenzie, EJ, Morris, JA, Jurkovich, GJ, Yasui, Y, Cushing, BM, Burgess, AR, De Lateur, BJ, McAndrew, MP & Swiontkowski, MF 1998, 'Return to work following injury: The role of economic, social, and job- related factors', American Journal of Public Health, vol. 88, no. 11, pp. 1630-1637.
Mackenzie EJ, Morris JA, Jurkovich GJ, Yasui Y, Cushing BM, Burgess AR et al. Return to work following injury: The role of economic, social, and job- related factors. American Journal of Public Health. 1998 Nov;88(11):1630-1637.
Mackenzie, Ellen J ; Morris, John A. ; Jurkovich, Gregory J. ; Yasui, Yutaka ; Cushing, Brad M. ; Burgess, Andrew R. ; De Lateur, Barbara Jane ; McAndrew, Mark P. ; Swiontkowski, Marc F. / Return to work following injury : The role of economic, social, and job- related factors. In: American Journal of Public Health. 1998 ; Vol. 88, No. 11. pp. 1630-1637.
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