Article Details

Research Database: Article Details

Citation:  MacKenzie, E. J., Bose, M. J., Kellam, J. F., Pollak, A. N., Webb, L. X., Swiontkowski, M. F., Douglas, G., Sanders, R.W., Jones, A.L., Starr, A.J., McAndrew, M.P., Patterson, B.M., Burgess, A.R., Travison, T., and Castillo, R. C. (2006). Early predictors of long-term work disability after major limb trauma.. The Journal of Trauma: Injury, Infection, and Critical Care, 61 (3), 688-694.
Title:  Early predictors of long-term work disability after major limb trauma.
Authors:  MacKenzie, E. J., Bose, M. J., Kellam, J. F., Pollak, A. N., Webb, L. X., Swiontkowski, M. F., Douglas, G., Sanders, R.W., Jones, A.L., Starr, A.J., McAndrew, M.P., Patterson, B.M., Burgess, A.R., Travison, T., and Castillo, R. C.
Year:  2006
Journal/Publication:  The Journal of Trauma: Injury, Infection, and Critical Care
Publisher:  Lippincott Williams & Wilkins
DOI:  https://doi.org/10.1097/01.ta.0000195985.56153.68
Full text:  https://www.ncbi.nlm.nih.gov/pubmed/16967009    |   PDF   
Peer-reviewed?  Yes
NIDILRR-funded?  Not reported
Research design:  Mixed methods

Structured abstract:

Background:  To reduce the prohibitive cost of traumatic limb injuries, more research is needed on factors that reduce the time needed for patients to return to work.
Purpose:  The goal of the study was to find factors that predicted the Return to Work (RTW) outcomes of patients who had a lower limb amputation.
Study sample:  The sample consisted of adults from age 18 to 69 who had sustained certain types of lower extremity injuries.
Data collection and analysis:  Data was collected from the subjects at 3, 6, 12, 24, and 84 months after their discharge from the hospital. They were asked to give the date of their return to work, and have a medical evaluation to assess limb functions and potential complications due to surgery.
Findings:  The mean time for returning to work was 600 days, or 1.6 years, after the initial injury. The Work Limitations score for the subjects was much higher than the expected mean, and indicates that the subjects were limited in their ability to perform their jobs around 20-25% of the time.
Conclusions:  Returning to Work after lower extremity trauma is difficult. Pain and a lack of self-efficacy are large contributors to that difficulty, and containing those are important for people who wish to return to work.

Disabilities served:  Amputation
Outcomes:  Return to work